Lymph vessel x-ray trunk at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$210.60
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$324.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$30.94 with Aetna vs $7,235.02 with AVMED — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | PPO First Health | $30.94 | ↓ -85% |
| Blue Cross | Health Options | $37.25 | ↓ -82% |
| Blue Cross | Network Blue | $38.16 | ↓ -82% |
| United | Medicare Advantage | $38.18 | ↓ -82% |
| Blue Cross | Traditional (PPS) | $39.08 | ↓ -81% |
| Blue Cross | Perferred Patient Care | $39.08 | ↓ -81% |
| Value Options | Medicare Advantage | $39.41 | ↓ -81% |
| Wellcare | Medicare Advantage | $39.41 | ↓ -81% |
| Avmed | Medicare Advantage | $39.41 | ↓ -81% |
| Magellan | Medicare Advantage | $39.41 | ↓ -81% |
| Careplus | Medicare Advantage | $39.41 | ↓ -81% |
| Blue Cross | Medicare Advantage HMO | $39.41 | ↓ -81% |
| Blue Cross | Medicare Advantage PPO | $39.41 | ↓ -81% |
| Independent Living Systems | Medicare Advantage | $40.09 | ↓ -81% |
| WellMed | Medicare Advantage | $41.38 | ↓ -80% |
| Freedom Health | Medicare Advantage | $41.38 | ↓ -80% |
| Clear Spring Health | All Products | $42.56 | ↓ -80% |
| Aetna | Medicare Advantage Behavioral Health | $47.29 | ↓ -78% |
| Aetna | Medicare Advantage PCP | $48.87 | ↓ -77% |
| Aetna | Medicare Advantage Specialist | $49.66 | ↓ -76% |
| United | All Products | $50.01 | ↓ -76% |
| Avmed | Exchange | $50.64 | ↓ -76% |
| Avmed | Select | $52.58 | ↓ -75% |
| Avmed | Broad | $56.48 | ↓ -73% |
| Aetna | POS First Health | $145.80 | ↓ -31% |
| Three Rivers | All Products | $210.60 | ↑ +0% |
| Clarity Health | All Products | $210.60 | ↑ +0% |
| The Legacy Companies | All Products | $210.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $243.00 | ↑ +15% |
| National Provider Network | All Products | $275.40 | ↑ +31% |
| Aetna | All Products First Health | $291.60 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $324.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $324.00 | ↑ +54% |
| Cigna | Surefit Physician | $324.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $324.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $324.00 | ↑ +54% |
| Cigna | All Products Physician | $324.00 | ↑ +54% |
| OPTUM | Managed Medicaid | $754.20 | ↑ +258% |
| MOLINA | Florida KidCare | $793.89 | ↑ +277% |
| AMERIHEALTH | Managed Medicaid | $793.89 | ↑ +277% |
| Carelon BH Strategies | Managed Medicaid | $793.89 | ↑ +277% |
| Medicaid | Managed Medicaid | $793.89 | ↑ +277% |
| Molina | Florida Kidcare | $793.89 | ↑ +277% |
| SUNSHINE HEALTH | Managed Medicaid | $793.89 | ↑ +277% |
| Wellcare | Managed Medicaid | $793.89 | ↑ +277% |
| MOLINA | Managed Medicaid | $833.58 | ↑ +296% |
| AETNA | Managed Medicaid/CHIP | $873.28 | ↑ +315% |
| Independent Living Systems | Managed Medicaid | $952.67 | ↑ +352% |
| BLUE CROSS | Medicare Advantage HMO | $3,159.40 | ↑ +1400% |
| BLUE CROSS | Medicare Advantage PPO | $3,159.40 | ↑ +1400% |
| Freedom Health | MEDICARE ADVANTAGE | $3,159.40 | ↑ +1400% |
| HUMANA | Medicare Advantage HMO | $3,159.40 | ↑ +1400% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,159.40 | ↑ +1400% |
| Careplus | MEDICARE ADVANTAGE | $3,159.40 | ↑ +1400% |
| UNITED | MEDICARE ADVANTAGE | $3,159.40 | ↑ +1400% |
| AVMED | MEDICARE ADVANTAGE | $3,285.77 | ↑ +1460% |
| Wellcare | MEDICARE ADVANTAGE | $3,297.29 | ↑ +1466% |
| WellMed | MEDICARE ADVANTAGE | $3,297.29 | ↑ +1466% |
| AETNA | MEDICARE ADVANTAGE | $3,297.29 | ↑ +1466% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,317.37 | ↑ +1475% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,627.02 | ↑ +1622% |
| AVMED | EXCHANGE | $4,960.25 | ↑ +2255% |
| AVMED | Select | $5,560.54 | ↑ +2540% |
| AVMED | BROAD | $7,235.02 | ↑ +3335% |
| Optum | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Lymph vessel x-ray trunk at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $11,980.00 | $2,231.43 – $6,438.74 |
| cleveland clinic florida weston hospital | Weston | $17,856.80 | $34.81 – $23,075.80 |
| martin north hospital | Stuart | $210.60 | $31.14 – $3,627.02 |
| Baptist Hospital | MIAMI | $2,634.45 | $173.17 – $3,692.97 |
| Bethesda Hospital East | BOYNTON BEACH | $2,634.45 | $371.00 – $3,647.70 |
| Boca Raton Regional Hospital | BOCA RATON | $3,199.95 | $468.00 – $3,367.59 |
| Doctors Hospital | CORAL GABLES | $2,634.45 | $693.65 – $3,692.97 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $2,634.45 | $693.65 – $3,647.70 |