Perc d-e cor revasc t cabg s at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$34,602.75
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.
$53,235.00
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.
$4,602.00 with BLUE CROSS vs $42,588.00 with MULTIPLAN — 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 |
|---|---|---|---|
| BLUE CROSS | BSL | $4,602.00 | ↓ -87% |
| OPTUM | Managed Medicaid | $5,298.24 | ↓ -85% |
| Medicaid | Managed Medicaid | $5,577.09 | ↓ -84% |
| AMERIHEALTH | Managed Medicaid | $5,577.09 | ↓ -84% |
| Molina | Florida Kidcare | $5,577.09 | ↓ -84% |
| Wellcare | Managed Medicaid | $5,577.09 | ↓ -84% |
| MOLINA | Florida KidCare | $5,577.09 | ↓ -84% |
| SUNSHINE HEALTH | Managed Medicaid | $5,577.09 | ↓ -84% |
| Carelon BH Strategies | Managed Medicaid | $5,577.09 | ↓ -84% |
| MOLINA | Managed Medicaid | $5,855.94 | ↓ -83% |
| BLUE CROSS | HMO | $6,113.00 | ↓ -82% |
| AETNA | Managed Medicaid/CHIP | $6,134.80 | ↓ -82% |
| Independent Living Systems | Managed Medicaid | $6,692.51 | ↓ -81% |
| BLUE CROSS | NWBI | $8,048.00 | ↓ -77% |
| BLUE CROSS | NWB | $8,048.00 | ↓ -77% |
| AETNA | QHP | $9,921.00 | ↓ -71% |
| BLUE CROSS | PPO | $10,952.00 | ↓ -68% |
| BLUE CROSS | PHS | $10,952.00 | ↓ -68% |
| BLUE CROSS | Medicare Advantage HMO | $11,383.44 | ↓ -67% |
| HUMANA | Medicare Advantage HMO | $11,383.44 | ↓ -67% |
| UNITED | MEDICARE ADVANTAGE | $11,383.44 | ↓ -67% |
| Freedom Health | MEDICARE ADVANTAGE | $11,383.44 | ↓ -67% |
| Careplus | MEDICARE ADVANTAGE | $11,383.44 | ↓ -67% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $11,383.44 | ↓ -67% |
| BLUE CROSS | Medicare Advantage PPO | $11,383.44 | ↓ -67% |
| AVMED | MEDICARE ADVANTAGE | $11,838.77 | ↓ -66% |
| Independent Living Systems | MEDICARE ADVANTAGE | $11,952.61 | ↓ -65% |
| Wellcare | MEDICARE ADVANTAGE | $12,055.35 | ↓ -65% |
| WellMed | MEDICARE ADVANTAGE | $12,055.35 | ↓ -65% |
| AETNA | MEDICARE ADVANTAGE | $12,055.35 | ↓ -65% |
| DEVOTED HEALTH | Medicare Advantage HMO | $13,260.89 | ↓ -62% |
| CIGNA | Individual Family Plan | $13,681.40 | ↓ -60% |
| UNITED | NHP | $15,469.00 | ↓ -55% |
| AETNA | ALL PRODUCTS | $16,076.00 | ↓ -54% |
| CIGNA | SUREFIT | $16,502.85 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $16,928.73 | ↓ -51% |
| AVMED | EXCHANGE | $17,872.00 | ↓ -48% |
| UNITED | ALL PRODUCTS | $18,361.00 | ↓ -47% |
| AVMED | Select | $20,034.85 | ↓ -42% |
| UNITED | International | $25,373.00 | ↓ -27% |
| AVMED | BROAD | $26,068.07 | ↓ -25% |
| BMI | ALL PRODUCTS | $26,617.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $31,941.00 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $34,602.75 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $34,602.75 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $39,926.25 | ↑ +15% |
| AETNA | All Products First Health | $42,588.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $42,588.00 | ↑ +23% |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Perc d-e cor revasc t cabg s at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $34,940.46 | $11,452.59 – $20,120.39 |
| Adventhealth Palm Coast Parkway | Palm Coast | $34,774.87 | $11,452.59 – $25,749.03 |
| Adventhealth Tampa | Tampa | $43,728.54 | $12,055.35 – $26,762.89 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $27,147.60 | $11,452.59 – $26,334.92 |
| Adventhealth Port Charlotte | Port Charlotte | $41,542.11 | $12,055.35 – $22,013.08 |
| cleveland clinic florida weston hospital | Weston | $34,602.75 | $5,298.24 – $45,249.75 |
| martin north hospital | Stuart | $34,602.75 | $5,577.09 – $39,926.25 |
| Boca Raton Regional Hospital | BOCA RATON | $28,686.45 | $9,312.00 – $28,818.85 |