Mastectomy partial at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,633.80
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.
?
What you pay up front if you don't use insurance.
$4,052.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$324.49 with Optum vs $8,802.20 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $324.49 | ↓ -88% |
| Wellcare | Managed Medicaid | $510.90 | ↓ -81% |
| Medicaid | Managed Medicaid | $510.90 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $510.90 | ↓ -81% |
| Value Options | Managed Medicaid | $510.90 | ↓ -81% |
| Molina | Managed Medicaid | $510.90 | ↓ -81% |
| Blue Cross | Health Options | $605.63 | ↓ -77% |
| Blue Cross | Network Blue | $620.52 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $635.41 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $635.41 | ↓ -76% |
| Blue Cross | Medicare Advantage PPO | $707.50 | ↓ -73% |
| Value Options | Medicare Advantage | $707.50 | ↓ -73% |
| Magellan | Medicare Advantage | $707.50 | ↓ -73% |
| Wellcare | Medicare Advantage | $707.50 | ↓ -73% |
| Careplus | Medicare Advantage | $707.50 | ↓ -73% |
| Avmed | Medicare Advantage | $707.50 | ↓ -73% |
| Blue Cross | Medicare Advantage HMO | $707.50 | ↓ -73% |
| United | Medicare Advantage | $709.29 | ↓ -73% |
| Independent Living Systems | Medicare Advantage | $742.88 | ↓ -72% |
| Freedom Health | Medicare Advantage | $742.88 | ↓ -72% |
| WellMed | Medicare Advantage | $742.88 | ↓ -72% |
| Clear Spring Health | All Products | $764.10 | ↓ -71% |
| Aetna | Medicare Advantage Behavioral Health | $849.00 | ↓ -68% |
| Aetna | Medicare Advantage PCP | $877.30 | ↓ -67% |
| Aetna | Medicare Advantage Specialist | $891.45 | ↓ -66% |
| Avmed | Exchange | $947.12 | ↓ -64% |
| Avmed | Select | $983.54 | ↓ -63% |
| Avmed | Broad | $1,056.40 | ↓ -60% |
| Aetna | PPO First Health | $1,071.05 | ↓ -59% |
| United | All Products | $1,378.49 | ↓ -48% |
| Aetna | POS First Health | $1,823.40 | ↓ -31% |
| OPTUM | Managed Medicaid | $2,132.55 | ↓ -19% |
| SUNSHINE HEALTH | Managed Medicaid | $2,244.79 | ↓ -15% |
| Carelon BH Strategies | Managed Medicaid | $2,244.79 | ↓ -15% |
| MOLINA | Florida KidCare | $2,244.79 | ↓ -15% |
| AMERIHEALTH | Managed Medicaid | $2,244.79 | ↓ -15% |
| Molina | Florida Kidcare | $2,244.79 | ↓ -15% |
| MOLINA | Managed Medicaid | $2,357.03 | ↓ -11% |
| AETNA | Managed Medicaid/CHIP | $2,469.27 | ↓ -6% |
| Three Rivers | All Products | $2,633.80 | ↑ +0% |
| The Legacy Companies | All Products | $2,633.80 | ↑ +0% |
| Clarity Health | All Products | $2,633.80 | ↑ +0% |
| Independent Living Systems | Managed Medicaid | $2,693.75 | ↑ +2% |
| Consociate Health | ALL PRODUCTS | $3,039.00 | ↑ +15% |
| National Provider Network | All Products | $3,444.20 | ↑ +31% |
| Aetna | All Products First Health | $3,646.80 | ↑ +38% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,843.75 | ↑ +46% |
| Careplus | MEDICARE ADVANTAGE | $3,843.75 | ↑ +46% |
| BLUE CROSS | Medicare Advantage PPO | $3,843.75 | ↑ +46% |
| HUMANA | Medicare Advantage HMO | $3,843.75 | ↑ +46% |
| Freedom Health | MEDICARE ADVANTAGE | $3,843.75 | ↑ +46% |
| BLUE CROSS | Medicare Advantage HMO | $3,843.75 | ↑ +46% |
| UNITED | MEDICARE ADVANTAGE | $3,843.75 | ↑ +46% |
| AVMED | MEDICARE ADVANTAGE | $3,997.50 | ↑ +52% |
| Independent Living Systems | MEDICARE ADVANTAGE | $4,035.94 | ↑ +53% |
| Cigna | Surefit Physician | $4,052.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $4,052.00 | ↑ +54% |
| Cigna | All Products Physician | $4,052.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $4,052.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $4,052.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $4,052.00 | ↑ +54% |
| Wellcare | MEDICARE ADVANTAGE | $4,088.81 | ↑ +55% |
| AETNA | MEDICARE ADVANTAGE | $4,088.81 | ↑ +55% |
| WellMed | MEDICARE ADVANTAGE | $4,088.81 | ↑ +55% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,497.69 | ↑ +71% |
| AVMED | EXCHANGE | $6,034.69 | ↑ +129% |
| UNITED | ALL PRODUCTS | $6,534.00 | ↑ +148% |
| AVMED | Select | $6,765.01 | ↑ +157% |
| AVMED | BROAD | $8,802.20 | ↑ +234% |
| 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 | — |
| Magellan | Summit | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
Visitor-reported prices
Comments
Mastectomy partial at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,633.80 | $324.49 – $4,497.69 |
| martin north hospital | Stuart | $2,633.80 | $506.34 – $4,497.69 |
| Baptist Hospital | MIAMI | $19,897.15 | $173.17 – $13,774.50 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,884.37 – $6,824.22 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,884.37 – $8,733.28 |
| Adventhealth Tampa | Tampa | not published | $4,088.81 – $9,077.15 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,884.37 – $8,932.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $4,105.66 – $4,192.10 |