Mr safety determination physician/other qhp at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$665.60
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.
$1,024.00
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.
$27.90 with United vs $1,814.00 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 |
|---|---|---|---|
| United | Medicare Advantage | $27.90 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $28.77 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $28.77 | ↓ -96% |
| Wellcare | Medicare Advantage | $28.77 | ↓ -96% |
| Value Options | Medicare Advantage | $28.77 | ↓ -96% |
| Magellan | Medicare Advantage | $28.77 | ↓ -96% |
| Avmed | Medicare Advantage | $28.77 | ↓ -96% |
| Careplus | Medicare Advantage | $28.77 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $29.30 | ↓ -96% |
| Freedom Health | Medicare Advantage | $30.21 | ↓ -95% |
| WellMed | Medicare Advantage | $30.21 | ↓ -95% |
| Clear Spring Health | All Products | $31.07 | ↓ -95% |
| Blue Cross | Health Options | $32.37 | ↓ -95% |
| Blue Cross | Network Blue | $33.21 | ↓ -95% |
| Blue Cross | Perferred Patient Care | $34.04 | ↓ -95% |
| Blue Cross | Traditional (PPS) | $34.04 | ↓ -95% |
| Aetna | Medicare Advantage Behavioral Health | $34.52 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $35.67 | ↓ -95% |
| Aetna | Medicare Advantage Specialist | $36.25 | ↓ -95% |
| United | All Products | $36.88 | ↓ -94% |
| Aetna | All Products Behavioral Health | $48.18 | ↓ -93% |
| Aetna | All Products Anesthesia | $49.79 | ↓ -93% |
| Optum | Managed Medicaid | $50.48 | ↓ -92% |
| Aetna | Medical Rental | $61.38 | ↓ -91% |
| Aetna | All Products PCP | $64.30 | ↓ -90% |
| Aetna | All Products Specialist | $79.10 | ↓ -88% |
| HUMANA | Medicare Advantage HMO | $88.38 | ↓ -87% |
| UNITED | MEDICARE ADVANTAGE | $88.38 | ↓ -87% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $88.38 | ↓ -87% |
| Freedom Health | MEDICARE ADVANTAGE | $88.38 | ↓ -87% |
| BLUE CROSS | Medicare Advantage HMO | $88.38 | ↓ -87% |
| BLUE CROSS | Medicare Advantage PPO | $88.38 | ↓ -87% |
| Careplus | MEDICARE ADVANTAGE | $88.38 | ↓ -87% |
| Wellcare | MEDICARE ADVANTAGE | $90.88 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $90.88 | ↓ -86% |
| WellMed | MEDICARE ADVANTAGE | $90.88 | ↓ -86% |
| AVMED | MEDICARE ADVANTAGE | $91.92 | ↓ -86% |
| Independent Living Systems | MEDICARE ADVANTAGE | $92.80 | ↓ -86% |
| DEVOTED HEALTH | Medicare Advantage HMO | $99.97 | ↓ -85% |
| Clear Spring Health | ALL PRODUCTS | $103.14 | ↓ -85% |
| Aetna | POS First Health | $118.80 | ↓ -82% |
| Aetna | PPO First Health | $118.80 | ↓ -82% |
| AVMED | EXCHANGE | $138.76 | ↓ -79% |
| AVMED | Select | $155.55 | ↓ -77% |
| Three Rivers | All Products | $171.60 | ↓ -74% |
| Clarity Health | All Products | $171.60 | ↓ -74% |
| The Legacy Companies | All Products | $171.60 | ↓ -74% |
| CIGNA | Individual Family Plan | $195.32 | ↓ -71% |
| Consociate Health | ALL PRODUCTS | $198.00 | ↓ -70% |
| AVMED | BROAD | $202.40 | ↓ -70% |
| National Provider Network | All Products | $224.40 | ↓ -66% |
| CIGNA | SUREFIT | $235.60 | ↓ -65% |
| Aetna | All Products First Health | $237.60 | ↓ -64% |
| CIGNA | ALL PRODUCTS | $241.68 | ↓ -64% |
| Cigna | All Products Mid-Level | $264.00 | ↓ -60% |
| Cigna | Individual Family Plan Mid-Level | $264.00 | ↓ -60% |
| Cigna | Individual Family Plan Physician | $264.00 | ↓ -60% |
| Cigna | Surefit Mid-Level | $264.00 | ↓ -60% |
| Cigna | Surefit Physician | $264.00 | ↓ -60% |
| Cigna | All Products Physician | $264.00 | ↓ -60% |
| BMI | ALL PRODUCTS | $380.00 | ↓ -43% |
| MAGELLAN | ALL PRODUCTS | $456.00 | ↓ -31% |
| Clarity Health | ALL PRODUCTS | $494.00 | ↓ -26% |
| The Legacy Companies | ALL PRODUCTS | $494.00 | ↓ -26% |
| MULTIPLAN | ALL PRODUCTS | $608.00 | ↓ -9% |
| AETNA | All Products First Health | $608.00 | ↓ -9% |
| BLUE CROSS | HMO | $616.00 | ↓ -7% |
| BLUE CROSS | BSL | $616.00 | ↓ -7% |
| BLUE CROSS | NWB | $642.00 | ↓ -4% |
| BLUE CROSS | NWBI | $642.00 | ↓ -4% |
| BLUE CROSS | PHS | $697.00 | ↑ +5% |
| BLUE CROSS | PPO | $697.00 | ↑ +5% |
| AETNA | QHP | $1,119.00 | ↑ +68% |
| AETNA | ALL PRODUCTS | $1,814.00 | ↑ +173% |
| Molina | Florida Kidcare | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| MOLINA | Florida KidCare | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| OPTUM | Managed Medicaid | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Independent Living Systems | Managed Medicaid | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Wellcare | Managed Medicaid | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Carelon BH Strategies | Managed Medicaid | not published by hospital | — |
| Medicaid | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Mr safety determination physician/other qhp at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $210.74 | $86.33 – $151.68 |
| Adventhealth Lake Wales | Lake Wales | $252.89 | $90.88 – $201.75 |
| Adventhealth Palm Coast Parkway | Palm Coast | $210.74 | $86.33 – $220.13 |
| Adventhealth Tampa | Tampa | $295.04 | $90.88 – $201.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $210.74 | $86.33 – $198.52 |
| cleveland clinic florida weston hospital | Weston | $665.60 | $27.90 – $646.00 |
| martin north hospital | Stuart | $665.60 | $28.46 – $380.00 |
| Baptist Hospital | MIAMI | $242.45 | $64.53 – $335.70 |