Ndl insj without njx 3+ musc at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$91.65
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.
$141.00
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.
$17.96 with OPTUM vs $723.00 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 | $17.96 | ↓ -80% |
| MOLINA | Florida KidCare | $18.91 | ↓ -79% |
| Wellcare | Managed Medicaid | $18.91 | ↓ -79% |
| SUNSHINE HEALTH | Managed Medicaid | $18.91 | ↓ -79% |
| Carelon BH Strategies | Managed Medicaid | $18.91 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $18.91 | ↓ -79% |
| Medicaid | Managed Medicaid | $18.91 | ↓ -79% |
| Molina | Florida Kidcare | $18.91 | ↓ -79% |
| MOLINA | Managed Medicaid | $19.86 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP | $20.80 | ↓ -77% |
| Independent Living Systems | Managed Medicaid | $22.69 | ↓ -75% |
| HUMANA | Medicare Advantage HMO | $24.58 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $24.58 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $24.58 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $24.58 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $24.58 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $24.58 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $24.58 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $25.57 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $25.81 | ↓ -72% |
| Clear Spring Health | ALL PRODUCTS | $29.48 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $30.20 | ↓ -67% |
| WellMed | MEDICARE ADVANTAGE | $30.20 | ↓ -67% |
| Wellcare | MEDICARE ADVANTAGE | $30.20 | ↓ -67% |
| AETNA | QHP | $32.99 | ↓ -64% |
| DEVOTED HEALTH | Medicare Advantage HMO | $33.22 | ↓ -64% |
| CIGNA | Individual Family Plan | $36.24 | ↓ -60% |
| AVMED | EXCHANGE | $38.59 | ↓ -58% |
| AVMED | Select | $43.27 | ↓ -53% |
| CIGNA | SUREFIT | $43.71 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $44.84 | ↓ -51% |
| AETNA | ALL PRODUCTS | $50.20 | ↓ -45% |
| AVMED | BROAD | $56.29 | ↓ -39% |
| BMI | ALL PRODUCTS | $70.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $84.60 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $91.65 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $91.65 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $105.75 | ↑ +15% |
| AETNA | All Products First Health | $112.80 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $112.80 | ↑ +23% |
| UNITED | NHP | $168.00 | ↑ +83% |
| UNITED | ALL PRODUCTS | $213.00 | ↑ +132% |
| UNITED | International | $213.00 | ↑ +132% |
| BLUE CROSS | HMO | $394.00 | ↑ +330% |
| BLUE CROSS | BSL | $394.00 | ↑ +330% |
| BLUE CROSS | NWBI | $458.00 | ↑ +400% |
| BLUE CROSS | NWB | $458.00 | ↑ +400% |
| BLUE CROSS | PPO | $656.00 | ↑ +616% |
| BLUE CROSS | PHS | $723.00 | ↑ +689% |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ndl insj without njx 3+ musc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $87.61 | not published |
| Adventhealth Tampa | Tampa | $304.65 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $304.65 | $30.20 – $55.15 |
| cleveland clinic florida weston hospital | Weston | $137.15 | $16.97 – $119.85 |
| martin north hospital | Stuart | $137.15 | $18.91 – $105.75 |
| Baptist Hospital | MIAMI | $72.15 | $17.76 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $72.15 | $17.76 – $99.90 |
| Boca Raton Regional Hospital | BOCA RATON | $54.60 | $12.60 – $84.00 |