Myelography l-s spine at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$4,644.90
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.
$7,146.00
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.
$30.91 with Aetna vs $5,451.20 with MULTIPLAN — 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 |
|---|---|---|---|
| Aetna | PPO First Health | $30.91 | ↓ -99% |
| Blue Cross | Health Options | $36.79 | ↓ -99% |
| Blue Cross | Network Blue | $37.69 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $38.60 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $38.60 | ↓ -99% |
| United | Medicare Advantage | $39.47 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $41.44 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $41.79 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $41.79 | ↓ -99% |
| Wellcare | Medicare Advantage | $41.79 | ↓ -99% |
| Careplus | Medicare Advantage | $41.79 | ↓ -99% |
| Value Options | Medicare Advantage | $41.79 | ↓ -99% |
| Avmed | Medicare Advantage | $41.79 | ↓ -99% |
| Magellan | Medicare Advantage | $41.79 | ↓ -99% |
| Freedom Health | Medicare Advantage | $43.88 | ↓ -99% |
| WellMed | Medicare Advantage | $43.88 | ↓ -99% |
| Clear Spring Health | All Products | $45.13 | ↓ -99% |
| Aetna | Medicare Advantage Behavioral Health | $50.15 | ↓ -99% |
| United | All Products | $51.72 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $51.82 | ↓ -99% |
| Avmed | Exchange | $52.36 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $52.66 | ↓ -99% |
| Avmed | Select | $54.38 | ↓ -99% |
| Avmed | Broad | $58.41 | ↓ -99% |
| Aetna | All Products Behavioral Health | $76.10 | ↓ -98% |
| Optum | Managed Medicaid | $78.57 | ↓ -98% |
| Aetna | All Products Anesthesia | $78.64 | ↓ -98% |
| Aetna | Medical Rental | $96.96 | ↓ -98% |
| Aetna | All Products PCP | $101.57 | ↓ -98% |
| Aetna | All Products Specialist | $124.94 | ↓ -97% |
| Aetna | POS First Health | $149.40 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $159.99 | ↓ -97% |
| BLUE CROSS | BSL | $212.00 | ↓ -95% |
| BLUE CROSS | HMO | $212.00 | ↓ -95% |
| The Legacy Companies | All Products | $215.80 | ↓ -95% |
| Clarity Health | All Products | $215.80 | ↓ -95% |
| Three Rivers | All Products | $215.80 | ↓ -95% |
| BLUE CROSS | NWB | $237.00 | ↓ -95% |
| BLUE CROSS | NWBI | $237.00 | ↓ -95% |
| Consociate Health | ALL PRODUCTS | $249.00 | ↓ -95% |
| BLUE CROSS | PHS | $265.00 | ↓ -94% |
| BLUE CROSS | PPO | $265.00 | ↓ -94% |
| National Provider Network | All Products | $282.20 | ↓ -94% |
| Aetna | All Products First Health | $298.80 | ↓ -94% |
| Cigna | All Products Mid-Level | $332.00 | ↓ -93% |
| Cigna | Individual Family Plan Mid-Level | $332.00 | ↓ -93% |
| Cigna | Individual Family Plan Physician | $332.00 | ↓ -93% |
| Cigna | Surefit Physician | $332.00 | ↓ -93% |
| Cigna | Surefit Mid-Level | $332.00 | ↓ -93% |
| Cigna | All Products Physician | $332.00 | ↓ -93% |
| OPTUM | Managed Medicaid | $350.47 | ↓ -92% |
| MOLINA | Florida KidCare | $368.92 | ↓ -92% |
| Molina | Florida Kidcare | $368.92 | ↓ -92% |
| Carelon BH Strategies | Managed Medicaid | $368.92 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $368.92 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $368.92 | ↓ -92% |
| Wellcare | Managed Medicaid | $368.92 | ↓ -92% |
| Medicaid | Managed Medicaid | $368.92 | ↓ -92% |
| MOLINA | Managed Medicaid | $387.37 | ↓ -92% |
| AETNA | Managed Medicaid/CHIP | $405.81 | ↓ -91% |
| Independent Living Systems | Managed Medicaid | $442.70 | ↓ -90% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $793.05 | ↓ -83% |
| Careplus | MEDICARE ADVANTAGE | $793.05 | ↓ -83% |
| BLUE CROSS | Medicare Advantage HMO | $793.05 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $793.05 | ↓ -83% |
| BLUE CROSS | Medicare Advantage PPO | $793.05 | ↓ -83% |
| Freedom Health | MEDICARE ADVANTAGE | $793.05 | ↓ -83% |
| HUMANA | Medicare Advantage HMO | $793.05 | ↓ -83% |
| WellMed | MEDICARE ADVANTAGE | $818.63 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $818.63 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $818.63 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $824.77 | ↓ -82% |
| Independent Living Systems | MEDICARE ADVANTAGE | $832.70 | ↓ -82% |
| DEVOTED HEALTH | Medicare Advantage HMO | $900.50 | ↓ -81% |
| AVMED | EXCHANGE | $1,245.08 | ↓ -73% |
| AVMED | Select | $1,395.76 | ↓ -70% |
| AETNA | QHP | $1,594.48 | ↓ -66% |
| CIGNA | Individual Family Plan | $1,751.20 | ↓ -62% |
| AVMED | BROAD | $1,816.08 | ↓ -61% |
| CIGNA | SUREFIT | $2,112.34 | ↓ -55% |
| CIGNA | ALL PRODUCTS | $2,166.85 | ↓ -53% |
| AETNA | ALL PRODUCTS | $2,425.78 | ↓ -48% |
| BMI | ALL PRODUCTS | $3,407.00 | ↓ -27% |
| MAGELLAN | ALL PRODUCTS | $4,088.40 | ↓ -12% |
| Clarity Health | ALL PRODUCTS | $4,429.10 | ↓ -5% |
| The Legacy Companies | ALL PRODUCTS | $4,429.10 | ↓ -5% |
| AETNA | All Products First Health | $5,451.20 | ↑ +17% |
| MULTIPLAN | ALL PRODUCTS | $5,451.20 | ↑ +17% |
| Magellan | Pinnacle | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | 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 | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
Visitor-reported prices
Comments
Myelography l-s spine at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $5,062.69 | $777.70 – $1,366.30 |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,525.25 | $777.70 – $1,748.52 |
| Adventhealth Tampa | Tampa | $4,974.35 | $797.83 – $1,817.36 |
| cleveland clinic florida weston hospital | Weston | $4,644.90 | $34.38 – $5,791.90 |
| martin north hospital | Stuart | $4,644.90 | $30.76 – $3,407.00 |
| Baptist Hospital | MIAMI | $2,450.50 | $173.17 – $3,393.00 |
| Bethesda Hospital East | BOYNTON BEACH | $2,450.50 | $353.09 – $3,393.00 |
| Doctors Hospital | CORAL GABLES | $2,450.50 | $342.29 – $3,393.00 |