Mapping functional cort/subcort ea add'l hr at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,322.10
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.
$2,034.00
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.
$141.48 with Optum vs $1,880.00 with BLUE CROSS — 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $141.48 | ↓ -89% |
| Blue Cross | Health Options | $146.60 | ↓ -89% |
| Blue Cross | Network Blue | $150.21 | ↓ -89% |
| Blue Cross | Perferred Patient Care | $153.81 | ↓ -88% |
| Blue Cross | Traditional (PPS) | $153.81 | ↓ -88% |
| United | Medicare Advantage | $171.59 | ↓ -87% |
| AETNA | QHP | $175.50 | ↓ -87% |
| AETNA | MEDICARE ADVANTAGE | $176.25 | ↓ -87% |
| AVMED | Select | $180.00 | ↓ -86% |
| AVMED | EXCHANGE | $180.00 | ↓ -86% |
| Independent Living Systems | Medicare Advantage | $180.17 | ↓ -86% |
| Wellcare | Medicare Advantage | $192.65 | ↓ -85% |
| Avmed | Medicare Advantage | $192.65 | ↓ -85% |
| Careplus | Medicare Advantage | $192.65 | ↓ -85% |
| Value Options | Medicare Advantage | $192.65 | ↓ -85% |
| Blue Cross | Medicare Advantage PPO | $192.65 | ↓ -85% |
| Blue Cross | Medicare Advantage HMO | $192.65 | ↓ -85% |
| Magellan | Medicare Advantage | $192.65 | ↓ -85% |
| CIGNA | Individual Family Plan | $192.75 | ↓ -85% |
| Freedom Health | Medicare Advantage | $202.28 | ↓ -85% |
| WellMed | Medicare Advantage | $202.28 | ↓ -85% |
| Clear Spring Health | All Products | $208.06 | ↓ -84% |
| Molina | Managed Medicaid | $215.49 | ↓ -84% |
| Wellcare | Managed Medicaid | $215.49 | ↓ -84% |
| Medicaid | Managed Medicaid | $215.49 | ↓ -84% |
| Value Options | Managed Medicaid | $215.49 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $215.49 | ↓ -84% |
| OPTUM | Managed Medicaid | $222.50 | ↓ -83% |
| Avmed | Exchange | $227.25 | ↓ -83% |
| Aetna | Medicare Advantage Behavioral Health | $231.18 | ↓ -83% |
| AVMED | BROAD | $232.50 | ↓ -82% |
| CIGNA | SUREFIT | $232.50 | ↓ -82% |
| AMERIHEALTH | Managed Medicaid | $234.21 | ↓ -82% |
| SUNSHINE HEALTH | Managed Medicaid | $234.21 | ↓ -82% |
| Molina | Florida Kidcare | $234.21 | ↓ -82% |
| Carelon BH Strategies | Managed Medicaid | $234.21 | ↓ -82% |
| MOLINA | Florida KidCare | $234.21 | ↓ -82% |
| Avmed | Select | $235.99 | ↓ -82% |
| CIGNA | ALL PRODUCTS | $238.50 | ↓ -82% |
| Aetna | Medicare Advantage PCP | $238.89 | ↓ -82% |
| Aetna | Medicare Advantage Specialist | $242.74 | ↓ -82% |
| MOLINA | Managed Medicaid | $245.92 | ↓ -81% |
| Avmed | Broad | $253.47 | ↓ -81% |
| AETNA | Managed Medicaid/CHIP | $257.63 | ↓ -81% |
| Aetna | PPO First Health | $264.34 | ↓ -80% |
| AETNA | ALL PRODUCTS | $267.00 | ↓ -80% |
| Independent Living Systems | Managed Medicaid | $281.05 | ↓ -79% |
| United | All Products | $303.88 | ↓ -77% |
| UNITED | NHP | $328.00 | ↓ -75% |
| BMI | ALL PRODUCTS | $375.00 | ↓ -72% |
| UNITED | ALL PRODUCTS | $421.00 | ↓ -68% |
| UNITED | International | $421.00 | ↓ -68% |
| Clear Spring Health | ALL PRODUCTS | $429.39 | ↓ -68% |
| MAGELLAN | ALL PRODUCTS | $450.00 | ↓ -66% |
| Clarity Health | ALL PRODUCTS | $487.50 | ↓ -63% |
| The Legacy Companies | ALL PRODUCTS | $487.50 | ↓ -63% |
| Consociate Health | ALL PRODUCTS | $562.50 | ↓ -57% |
| Aetna | POS First Health | $577.80 | ↓ -56% |
| AETNA | All Products First Health | $600.00 | ↓ -55% |
| MULTIPLAN | ALL PRODUCTS | $600.00 | ↓ -55% |
| Clarity Health | All Products | $834.60 | ↓ -37% |
| The Legacy Companies | All Products | $834.60 | ↓ -37% |
| Three Rivers | All Products | $834.60 | ↓ -37% |
| National Provider Network | All Products | $1,091.40 | ↓ -17% |
| Aetna | All Products First Health | $1,155.60 | ↓ -13% |
| Cigna | Surefit Physician | $1,284.00 | ↓ -3% |
| Cigna | Surefit Mid-Level | $1,284.00 | ↓ -3% |
| Cigna | Individual Family Plan Physician | $1,284.00 | ↓ -3% |
| Cigna | Individual Family Plan Mid-Level | $1,284.00 | ↓ -3% |
| Cigna | All Products Physician | $1,284.00 | ↓ -3% |
| Cigna | All Products Mid-Level | $1,284.00 | ↓ -3% |
| BLUE CROSS | HMO | $1,474.00 | ↑ +11% |
| BLUE CROSS | BSL | $1,474.00 | ↑ +11% |
| BLUE CROSS | NWB | $1,780.00 | ↑ +35% |
| BLUE CROSS | NWBI | $1,780.00 | ↑ +35% |
| BLUE CROSS | PPO | $1,880.00 | ↑ +42% |
| BLUE CROSS | PHS | $1,880.00 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mapping functional cort/subcort ea add'l hr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,322.10 | $63.04 – $821.00 |
| martin north hospital | Stuart | $1,322.10 | $122.57 – $1,333.00 |
| Baptist Hospital | MIAMI | $789.10 | $173.17 – $1,092.60 |
| Bethesda Hospital East | BOYNTON BEACH | $789.10 | $236.10 – $1,092.60 |
| Doctors Hospital | CORAL GABLES | $789.10 | $212.45 – $1,092.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $789.10 | $211.24 – $1,092.60 |
| Fishermens Community Hospital | MARATHON | $789.10 | $202.74 – $1,092.60 |
| Homestead Hospital | HOMESTEAD | $789.10 | $167.89 – $1,092.60 |