Nasal/sinus maxillary endoscopy dx 31233 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,451.45
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.
$2,233.00
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.
$65.09 with Optum vs $4,545.00 with BLUE CROSS — 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 | $65.09 | ↓ -96% |
| Avmed | Medicare Advantage | $126.43 | ↓ -91% |
| Blue Cross | Medicare Advantage PPO | $126.43 | ↓ -91% |
| Blue Cross | Medicare Advantage HMO | $126.43 | ↓ -91% |
| Magellan | Medicare Advantage | $126.43 | ↓ -91% |
| Wellcare | Medicare Advantage | $126.43 | ↓ -91% |
| Value Options | Medicare Advantage | $126.43 | ↓ -91% |
| Careplus | Medicare Advantage | $126.43 | ↓ -91% |
| Blue Cross | Health Options | $129.65 | ↓ -91% |
| WellMed | Medicare Advantage | $132.75 | ↓ -91% |
| Freedom Health | Medicare Advantage | $132.75 | ↓ -91% |
| Independent Living Systems | Medicare Advantage | $132.75 | ↓ -91% |
| Blue Cross | Network Blue | $132.84 | ↓ -91% |
| Blue Cross | Traditional (PPS) | $136.03 | ↓ -91% |
| Blue Cross | Perferred Patient Care | $136.03 | ↓ -91% |
| Clear Spring Health | All Products | $136.54 | ↓ -91% |
| United | Medicare Advantage | $138.70 | ↓ -90% |
| Aetna | Medicare Advantage Behavioral Health | $151.72 | ↓ -90% |
| Aetna | Medicare Advantage PCP | $156.77 | ↓ -89% |
| Aetna | Medicare Advantage Specialist | $159.30 | ↓ -89% |
| Clear Spring Health | ALL PRODUCTS | $162.70 | ↓ -89% |
| Avmed | Exchange | $186.23 | ↓ -87% |
| Avmed | Select | $193.39 | ↓ -87% |
| Medicaid | Managed Medicaid | $206.81 | ↓ -86% |
| Wellcare | Managed Medicaid | $206.81 | ↓ -86% |
| Molina | Managed Medicaid | $206.81 | ↓ -86% |
| Value Options | Managed Medicaid | $206.81 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $206.81 | ↓ -86% |
| Avmed | Broad | $207.71 | ↓ -86% |
| Aetna | POS First Health | $212.43 | ↓ -85% |
| United | All Products | $271.04 | ↓ -81% |
| Cigna | Individual Family Plan Mid-Level | $319.63 | ↓ -78% |
| Cigna | Surefit Mid-Level | $325.73 | ↓ -78% |
| Cigna | All Products Mid-Level | $351.84 | ↓ -76% |
| OPTUM | Managed Medicaid | $357.79 | ↓ -75% |
| Cigna | Individual Family Plan Physician | $376.06 | ↓ -74% |
| MOLINA | Florida KidCare | $376.62 | ↓ -74% |
| SUNSHINE HEALTH | Managed Medicaid | $376.62 | ↓ -74% |
| Molina | Florida Kidcare | $376.62 | ↓ -74% |
| Carelon BH Strategies | Managed Medicaid | $376.62 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $376.62 | ↓ -74% |
| Cigna | Surefit Physician | $383.24 | ↓ -74% |
| BLUE CROSS | Medicare Advantage HMO | $389.78 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $389.78 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $389.78 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $389.78 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $389.78 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $389.78 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $389.78 | ↓ -73% |
| MOLINA | Managed Medicaid | $395.45 | ↓ -73% |
| Aetna | PPO First Health | $396.54 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $405.37 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $408.44 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $408.44 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $408.44 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $409.27 | ↓ -72% |
| Cigna | All Products Physician | $413.93 | ↓ -71% |
| AETNA | Managed Medicaid/CHIP | $414.28 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $449.28 | ↓ -69% |
| Independent Living Systems | Managed Medicaid | $451.94 | ↓ -69% |
| The Legacy Companies | All Products | $566.80 | ↓ -61% |
| Clarity Health | All Products | $566.80 | ↓ -61% |
| Three Rivers | All Products | $566.80 | ↓ -61% |
| CIGNA | Individual Family Plan | $573.88 | ↓ -60% |
| AVMED | EXCHANGE | $611.95 | ↓ -58% |
| Consociate Health | ALL PRODUCTS | $654.00 | ↓ -55% |
| AVMED | Select | $686.01 | ↓ -53% |
| CIGNA | SUREFIT | $692.23 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $710.09 | ↓ -51% |
| National Provider Network | All Products | $741.20 | ↓ -49% |
| Aetna | All Products First Health | $784.80 | ↓ -46% |
| AVMED | BROAD | $892.59 | ↓ -39% |
| BMI | ALL PRODUCTS | $1,116.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $1,339.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $1,451.45 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $1,451.45 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $1,786.40 | ↑ +23% |
| AETNA | All Products First Health | $1,786.40 | ↑ +23% |
| BLUE CROSS | HMO | $2,784.00 | ↑ +92% |
| BLUE CROSS | BSL | $2,784.00 | ↑ +92% |
| AETNA | QHP | $2,789.00 | ↑ +92% |
| BLUE CROSS | NWBI | $3,679.00 | ↑ +153% |
| BLUE CROSS | NWB | $3,679.00 | ↑ +153% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↑ +213% |
| BLUE CROSS | PPO | $4,545.00 | ↑ +213% |
| BLUE CROSS | PHS | $4,545.00 | ↑ +213% |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Nasal/sinus maxillary endoscopy dx 31233 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $566.80 | $65.09 – $654.00 |
| Adventhealth Tampa | Tampa | not published | $408.44 – $906.73 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $446.48 – $455.88 |
| martin north hospital | Stuart | not published | $376.62 – $451.94 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $453.24 – $462.78 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $468.79 – $478.66 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $374.19 – $5,618.00 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | not published | $389.78 – $5,792.00 |