Nr lnr acclrtr tx max 5 sessions at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$9,844.25
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.
$15,145.00
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.
$0.01 with UNITED vs $14,050.00 with Cigna — 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 | ALL PRODUCTS | $0.01 | ↓ -100% |
| UNITED | International | $0.01 | ↓ -100% |
| UNITED | NHP | $0.01 | ↓ -100% |
| OPTUM | Managed Medicaid | $832.44 | ↓ -92% |
| SUNSHINE HEALTH | Managed Medicaid | $876.25 | ↓ -91% |
| AMERIHEALTH | Managed Medicaid | $876.25 | ↓ -91% |
| Carelon BH Strategies | Managed Medicaid | $876.25 | ↓ -91% |
| MOLINA | Florida KidCare | $876.25 | ↓ -91% |
| Molina | Florida Kidcare | $876.25 | ↓ -91% |
| Medicaid | Managed Medicaid | $876.25 | ↓ -91% |
| Wellcare | Managed Medicaid | $876.25 | ↓ -91% |
| Optum | Managed Medicaid | $883.97 | ↓ -91% |
| MOLINA | Managed Medicaid | $920.06 | ↓ -91% |
| United | Medicare Advantage | $954.21 | ↓ -90% |
| Aetna | PPO First Health | $956.05 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP | $963.88 | ↓ -90% |
| Independent Living Systems | Medicare Advantage | $1,001.92 | ↓ -90% |
| Careplus | Medicare Advantage | $1,002.99 | ↓ -90% |
| Value Options | Medicare Advantage | $1,002.99 | ↓ -90% |
| Wellcare | Medicare Advantage | $1,002.99 | ↓ -90% |
| Avmed | Medicare Advantage | $1,002.99 | ↓ -90% |
| Magellan | Medicare Advantage | $1,002.99 | ↓ -90% |
| Blue Cross | Medicare Advantage HMO | $1,002.99 | ↓ -90% |
| Blue Cross | Medicare Advantage PPO | $1,002.99 | ↓ -90% |
| Independent Living Systems | Managed Medicaid | $1,051.50 | ↓ -89% |
| Freedom Health | Medicare Advantage | $1,053.14 | ↓ -89% |
| WellMed | Medicare Advantage | $1,053.14 | ↓ -89% |
| Clear Spring Health | All Products | $1,083.23 | ↓ -89% |
| Aetna | Medicare Advantage Behavioral Health | $1,203.59 | ↓ -88% |
| Aetna | Medicare Advantage PCP | $1,243.71 | ↓ -87% |
| Aetna | Medicare Advantage Specialist | $1,263.77 | ↓ -87% |
| United | All Products | $1,281.52 | ↓ -87% |
| Avmed | Exchange | $1,297.49 | ↓ -87% |
| Avmed | Select | $1,347.39 | ↓ -86% |
| BLUE CROSS | BSL | $1,430.00 | ↓ -85% |
| BLUE CROSS | HMO | $1,430.00 | ↓ -85% |
| Blue Cross | Health Options | $1,442.25 | ↓ -85% |
| Avmed | Broad | $1,447.20 | ↓ -85% |
| Blue Cross | Network Blue | $1,477.72 | ↓ -85% |
| Blue Cross | Perferred Patient Care | $1,513.18 | ↓ -85% |
| Blue Cross | Traditional (PPS) | $1,513.18 | ↓ -85% |
| Clear Spring Health | ALL PRODUCTS | $1,515.93 | ↓ -85% |
| BLUE CROSS | NWB | $1,656.00 | ↓ -83% |
| BLUE CROSS | NWBI | $1,656.00 | ↓ -83% |
| HUMANA | Medicare Advantage HMO | $1,762.55 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,762.55 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $1,762.55 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $1,762.55 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $1,762.55 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $1,762.55 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $1,762.55 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $1,833.05 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,850.67 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $1,867.22 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $1,867.22 | ↓ -81% |
| WellMed | MEDICARE ADVANTAGE | $1,867.22 | ↓ -81% |
| BLUE CROSS | PPO | $1,882.00 | ↓ -81% |
| BLUE CROSS | PHS | $1,882.00 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $2,053.95 | ↓ -79% |
| AVMED | EXCHANGE | $2,767.20 | ↓ -72% |
| AVMED | Select | $3,102.08 | ↓ -68% |
| AETNA | QHP | $3,543.93 | ↓ -64% |
| CIGNA | Individual Family Plan | $3,892.27 | ↓ -60% |
| AVMED | BROAD | $4,036.23 | ↓ -59% |
| CIGNA | SUREFIT | $4,694.95 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $4,816.11 | ↓ -51% |
| AETNA | ALL PRODUCTS | $5,391.62 | ↓ -45% |
| Aetna | POS First Health | $6,322.50 | ↓ -36% |
| BMI | ALL PRODUCTS | $7,572.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $9,087.00 | ↓ -8% |
| Three Rivers | All Products | $9,132.50 | ↓ -7% |
| Clarity Health | All Products | $9,132.50 | ↓ -7% |
| The Legacy Companies | All Products | $9,132.50 | ↓ -7% |
| The Legacy Companies | ALL PRODUCTS | $9,844.25 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $9,844.25 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $10,537.50 | ↑ +7% |
| National Provider Network | All Products | $11,942.50 | ↑ +21% |
| AETNA | All Products First Health | $12,116.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $12,116.00 | ↑ +23% |
| Aetna | All Products First Health | $12,645.00 | ↑ +28% |
| Cigna | Individual Family Plan Mid-Level | $14,050.00 | ↑ +43% |
| Cigna | Surefit Physician | $14,050.00 | ↑ +43% |
| Cigna | All Products Mid-Level | $14,050.00 | ↑ +43% |
| Cigna | Individual Family Plan Physician | $14,050.00 | ↑ +43% |
| Cigna | Surefit Mid-Level | $14,050.00 | ↑ +43% |
| Cigna | All Products Physician | $14,050.00 | ↑ +43% |
| Aetna | Medical Rental | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Nr lnr acclrtr tx max 5 sessions at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $14,194.32 | $1,773.86 – $3,116.40 |
| Adventhealth Palm Coast Parkway | Palm Coast | $6,110.77 | not published |
| Adventhealth Tampa | Tampa | $10,119.58 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $18,827.36 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $10,119.58 | not published |
| cleveland clinic florida weston hospital | Weston | $9,844.25 | $0.01 – $14,050.00 |
| martin north hospital | Stuart | $9,844.25 | $0.01 – $15,145.00 |
| Baptist Hospital | MIAMI | $9,566.05 | $173.17 – $13,245.30 |