Ot therapeutic activities direct patient contact each 15 minutes at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$222.95
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.
$343.00
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.
$20.97 with OPTUM vs $723.00 with BLUE CROSS — 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid | $20.97 | ↓ -91% |
| Medicaid | Managed Medicaid | $22.07 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $22.07 | ↓ -90% |
| Wellcare | Managed Medicaid | $22.07 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $22.07 | ↓ -90% |
| Carelon BH Strategies | Managed Medicaid | $22.07 | ↓ -90% |
| MOLINA | Florida KidCare | $22.07 | ↓ -90% |
| Molina | Florida Kidcare | $22.07 | ↓ -90% |
| MOLINA | Managed Medicaid | $23.17 | ↓ -90% |
| AETNA | Managed Medicaid/CHIP | $24.28 | ↓ -89% |
| Independent Living Systems | Managed Medicaid | $26.48 | ↓ -88% |
| BLUE CROSS | Medicare Advantage PPO | $44.62 | ↓ -80% |
| UNITED | MEDICARE ADVANTAGE | $44.62 | ↓ -80% |
| HUMANA | Medicare Advantage HMO | $44.62 | ↓ -80% |
| Freedom Health | MEDICARE ADVANTAGE | $44.62 | ↓ -80% |
| BLUE CROSS | Medicare Advantage HMO | $44.62 | ↓ -80% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $44.62 | ↓ -80% |
| Careplus | MEDICARE ADVANTAGE | $44.62 | ↓ -80% |
| WellMed | MEDICARE ADVANTAGE | $45.39 | ↓ -80% |
| Wellcare | MEDICARE ADVANTAGE | $45.39 | ↓ -80% |
| AETNA | MEDICARE ADVANTAGE | $45.39 | ↓ -80% |
| AVMED | MEDICARE ADVANTAGE | $46.40 | ↓ -79% |
| Independent Living Systems | MEDICARE ADVANTAGE | $46.85 | ↓ -79% |
| Clear Spring Health | ALL PRODUCTS | $49.02 | ↓ -78% |
| DEVOTED HEALTH | Medicare Advantage HMO | $49.93 | ↓ -78% |
| CIGNA | Individual Family Plan | $63.78 | ↓ -71% |
| CIGNA | SUREFIT | $77.22 | ↓ -65% |
| CIGNA | ALL PRODUCTS | $80.74 | ↓ -64% |
| AVMED | EXCHANGE | $82.32 | ↓ -63% |
| AVMED | Select | $82.32 | ↓ -63% |
| AVMED | BROAD | $106.33 | ↓ -52% |
| AETNA | QHP | $146.00 | ↓ -35% |
| UNITED | NHP | $168.00 | ↓ -25% |
| BMI | ALL PRODUCTS | $171.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $205.80 | ↓ -8% |
| UNITED | International | $213.00 | ↓ -4% |
| UNITED | ALL PRODUCTS | $213.00 | ↓ -4% |
| Clarity Health | ALL PRODUCTS | $222.95 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $222.95 | ↑ +0% |
| AETNA | ALL PRODUCTS | $235.00 | ↑ +5% |
| Consociate Health | ALL PRODUCTS | $257.25 | ↑ +15% |
| AETNA | All Products First Health | $274.40 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $274.40 | ↑ +23% |
| BLUE CROSS | HMO | $394.00 | ↑ +77% |
| BLUE CROSS | BSL | $394.00 | ↑ +77% |
| BLUE CROSS | NWBI | $458.00 | ↑ +105% |
| BLUE CROSS | NWB | $458.00 | ↑ +105% |
| BLUE CROSS | PPO | $656.00 | ↑ +194% |
| BLUE CROSS | PHS | $723.00 | ↑ +224% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $190.12 | $34.58 – $60.75 |
| Adventhealth Lake Wales | Lake Wales | $195.08 | $36.40 – $80.81 |
| Adventhealth Palm Coast Parkway | Palm Coast | $245.45 | not published |
| Adventhealth Tampa | Tampa | $149.70 | $36.40 – $80.81 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $174.49 | $34.58 – $79.52 |
| Adventhealth Port Charlotte | Port Charlotte | $268.35 | not published |
| cleveland clinic florida weston hospital | Weston | $222.95 | $19.28 – $291.55 |
| martin north hospital | Stuart | $222.95 | $22.07 – $257.25 |