MRA pelvis w IV cont at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
not published by hospital
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.
not published by hospital
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.
$285.23 with OPTUM vs $820.92 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid | $285.23 | — |
| Carelon BH Strategies | Managed Medicaid | $300.24 | — |
| Wellcare | Managed Medicaid | $300.24 | — |
| MOLINA | Florida KidCare | $300.24 | — |
| Medicaid | Managed Medicaid | $300.24 | — |
| SUNSHINE HEALTH | Managed Medicaid | $300.24 | — |
| Molina | Florida Kidcare | $300.24 | — |
| AMERIHEALTH | Managed Medicaid | $300.24 | — |
| MOLINA | Managed Medicaid | $315.25 | — |
| AETNA | Managed Medicaid/CHIP | $330.26 | — |
| UNITED | MEDICARE ADVANTAGE | $358.48 | — |
| BLUE CROSS | Medicare Advantage HMO | $358.48 | — |
| BLUE CROSS | Medicare Advantage PPO | $358.48 | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $358.48 | — |
| Freedom Health | MEDICARE ADVANTAGE | $358.48 | — |
| Careplus | MEDICARE ADVANTAGE | $358.48 | — |
| HUMANA | Medicare Advantage HMO | $358.48 | — |
| Independent Living Systems | Managed Medicaid | $360.29 | — |
| WellMed | MEDICARE ADVANTAGE | $364.32 | — |
| AETNA | MEDICARE ADVANTAGE | $364.32 | — |
| Wellcare | MEDICARE ADVANTAGE | $364.32 | — |
| AVMED | MEDICARE ADVANTAGE | $372.82 | — |
| Independent Living Systems | MEDICARE ADVANTAGE | $376.40 | — |
| DEVOTED HEALTH | Medicare Advantage HMO | $400.75 | — |
| AVMED | EXCHANGE | $562.81 | — |
| AVMED | Select | $630.92 | — |
| AVMED | BROAD | $820.92 | — |
Visitor-reported prices
Comments
MRA pelvis w IV cont at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Boca Raton Regional Hospital | BOCA RATON | $1,142.70 | $357.78 – $1,236.00 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $7,957.87 | $828.27 – $1,186.00 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $2,393.45 | $828.27 – $1,256.00 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $11,104.75 | $828.27 – $1,580.00 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $7,279.00 | $828.27 – $1,116.00 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON | $7,746.98 | $828.27 – $983.00 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $3,782.65 | $828.27 – $3,399.00 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD | $3,091.04 | $828.27 – $1,101.00 |