Mitomycin instillation at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$79,388.40
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.
$122,136.00
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.
$307.34 with BLUE CROSS vs $97,708.80 with AETNA — 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 |
|---|---|---|---|
| BLUE CROSS | Medicare Advantage HMO | $307.34 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $307.34 | ↓ -100% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $307.34 | ↓ -100% |
| Careplus | MEDICARE ADVANTAGE | $307.34 | ↓ -100% |
| Freedom Health | MEDICARE ADVANTAGE | $307.34 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $307.34 | ↓ -100% |
| BLUE CROSS | Medicare Advantage PPO | $307.34 | ↓ -100% |
| AVMED | MEDICARE ADVANTAGE | $319.63 | ↓ -100% |
| Independent Living Systems | MEDICARE ADVANTAGE | $322.71 | ↓ -100% |
| WellMed | MEDICARE ADVANTAGE | $323.90 | ↓ -100% |
| AETNA | MEDICARE ADVANTAGE | $323.90 | ↓ -100% |
| Wellcare | MEDICARE ADVANTAGE | $323.90 | ↓ -100% |
| AETNA | ALL PRODUCTS | $353.31 | ↓ -100% |
| DEVOTED HEALTH | Medicare Advantage HMO | $356.29 | ↓ -100% |
| AVMED | EXCHANGE | $471.93 | ↓ -99% |
| AVMED | Select | $529.04 | ↓ -99% |
| CIGNA | Individual Family Plan | $553.81 | ↓ -99% |
| BLUE CROSS | PPO | $615.43 | ↓ -99% |
| BLUE CROSS | BSL | $615.43 | ↓ -99% |
| BLUE CROSS | HMO | $615.43 | ↓ -99% |
| BLUE CROSS | NWB | $615.43 | ↓ -99% |
| BLUE CROSS | NWBI | $615.43 | ↓ -99% |
| BLUE CROSS | PHS | $615.43 | ↓ -99% |
| CIGNA | SUREFIT | $670.05 | ↓ -99% |
| AVMED | BROAD | $688.35 | ↓ -99% |
| CIGNA | ALL PRODUCTS | $700.25 | ↓ -99% |
| OPTUM | Managed Medicaid | $10,052.30 | ↓ -87% |
| Wellcare | Managed Medicaid | $10,581.37 | ↓ -87% |
| SUNSHINE HEALTH | Managed Medicaid | $10,581.37 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $10,581.37 | ↓ -87% |
| MOLINA | Florida KidCare | $10,581.37 | ↓ -87% |
| Molina | Florida Kidcare | $10,581.37 | ↓ -87% |
| Medicaid | Managed Medicaid | $10,581.37 | ↓ -87% |
| Carelon BH Strategies | Managed Medicaid | $10,581.37 | ↓ -87% |
| MOLINA | Managed Medicaid | $11,110.44 | ↓ -86% |
| AETNA | Managed Medicaid/CHIP | $11,639.51 | ↓ -85% |
| Independent Living Systems | Managed Medicaid | $12,697.64 | ↓ -84% |
| AETNA | QHP | $24,427.20 | ↓ -69% |
| BMI | ALL PRODUCTS | $61,068.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $73,281.60 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $79,388.40 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $79,388.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $91,602.00 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $97,708.80 | ↑ +23% |
| AETNA | All Products First Health | $97,708.80 | ↑ +23% |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Mitomycin instillation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $79,388.40 | $270.53 – $103,815.60 |
| martin north hospital | Stuart | $79,388.40 | $307.34 – $91,602.00 |
| Baptist Hospital | MIAMI | $2,356.90 | $318.53 – $11,110.45 |
| Bethesda Hospital East | BOYNTON BEACH | $2,356.90 | $318.53 – $11,110.45 |
| Boca Raton Regional Hospital | BOCA RATON | $74,029.36 | $253.11 – $74,371.04 |
| Doctors Hospital | CORAL GABLES | $2,356.90 | $318.53 – $11,078.13 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $2,356.90 | $318.53 – $11,078.13 |
| Fishermens Community Hospital | MARATHON | $2,602.60 | $668.67 – $11,078.13 |