Perq dev breast 1st mr guide at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$663.00
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.
$1,020.00
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.
$105.15 with Optum vs $1,617.31 with AVMED — 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 | $105.15 | ↓ -84% |
| Blue Cross | Medicare Advantage PPO | $112.84 | ↓ -83% |
| Magellan | Medicare Advantage | $112.84 | ↓ -83% |
| Blue Cross | Medicare Advantage HMO | $112.84 | ↓ -83% |
| Value Options | Medicare Advantage | $112.84 | ↓ -83% |
| Wellcare | Medicare Advantage | $112.84 | ↓ -83% |
| Careplus | Medicare Advantage | $112.84 | ↓ -83% |
| Avmed | Medicare Advantage | $112.84 | ↓ -83% |
| WellMed | Medicare Advantage | $118.48 | ↓ -82% |
| Freedom Health | Medicare Advantage | $118.48 | ↓ -82% |
| Independent Living Systems | Medicare Advantage | $118.48 | ↓ -82% |
| Clear Spring Health | All Products | $121.87 | ↓ -82% |
| United | Medicare Advantage | $125.10 | ↓ -81% |
| Aetna | Medicare Advantage Behavioral Health | $135.41 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $139.92 | ↓ -79% |
| Aetna | Medicare Advantage Specialist | $142.18 | ↓ -79% |
| Avmed | Exchange | $167.27 | ↓ -75% |
| Avmed | Select | $173.70 | ↓ -74% |
| Avmed | Broad | $186.57 | ↓ -72% |
| Aetna | POS First Health | $201.18 | ↓ -70% |
| United | All Products | $243.46 | ↓ -63% |
| AmeriHealth | Managed Medicaid | $465.97 | ↓ -30% |
| Molina | Managed Medicaid | $465.97 | ↓ -30% |
| Wellcare | Managed Medicaid | $465.97 | ↓ -30% |
| Medicaid | Managed Medicaid | $465.97 | ↓ -30% |
| Value Options | Managed Medicaid | $465.97 | ↓ -30% |
| The Legacy Companies | All Products | $663.00 | ↑ +0% |
| Clarity Health | All Products | $663.00 | ↑ +0% |
| Three Rivers | All Products | $663.00 | ↑ +0% |
| Freedom Health | MEDICARE ADVANTAGE | $706.25 | ↑ +7% |
| Careplus | MEDICARE ADVANTAGE | $706.25 | ↑ +7% |
| HUMANA | Medicare Advantage HMO | $706.25 | ↑ +7% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $706.25 | ↑ +7% |
| BLUE CROSS | Medicare Advantage PPO | $706.25 | ↑ +7% |
| BLUE CROSS | Medicare Advantage HMO | $706.25 | ↑ +7% |
| UNITED | MEDICARE ADVANTAGE | $706.25 | ↑ +7% |
| AVMED | MEDICARE ADVANTAGE | $734.50 | ↑ +11% |
| WellMed | MEDICARE ADVANTAGE | $739.49 | ↑ +12% |
| AETNA | MEDICARE ADVANTAGE | $739.49 | ↑ +12% |
| Wellcare | MEDICARE ADVANTAGE | $739.49 | ↑ +12% |
| Independent Living Systems | MEDICARE ADVANTAGE | $741.56 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $765.00 | ↑ +15% |
| DEVOTED HEALTH | Medicare Advantage HMO | $813.44 | ↑ +23% |
| OPTUM | Managed Medicaid | $816.59 | ↑ +23% |
| Molina | Florida Kidcare | $859.57 | ↑ +30% |
| AMERIHEALTH | Managed Medicaid | $859.57 | ↑ +30% |
| SUNSHINE HEALTH | Managed Medicaid | $859.57 | ↑ +30% |
| Carelon BH Strategies | Managed Medicaid | $859.57 | ↑ +30% |
| MOLINA | Florida KidCare | $859.57 | ↑ +30% |
| National Provider Network | All Products | $867.00 | ↑ +31% |
| MOLINA | Managed Medicaid | $902.55 | ↑ +36% |
| Aetna | All Products First Health | $918.00 | ↑ +38% |
| AETNA | Managed Medicaid/CHIP | $945.53 | ↑ +43% |
| Independent Living Systems | Managed Medicaid | $1,031.48 | ↑ +56% |
| AVMED | EXCHANGE | $1,108.81 | ↑ +67% |
| Cigna | Individual Family Plan Mid-Level | $1,117.09 | ↑ +68% |
| Cigna | Surefit Mid-Level | $1,138.47 | ↑ +72% |
| Aetna | PPO First Health | $1,219.51 | ↑ +84% |
| Cigna | All Products Mid-Level | $1,229.41 | ↑ +85% |
| AVMED | Select | $1,243.00 | ↑ +87% |
| Cigna | Individual Family Plan Physician | $1,314.20 | ↑ +98% |
| Cigna | Surefit Physician | $1,339.35 | ↑ +102% |
| Cigna | All Products Physician | $1,446.35 | ↑ +118% |
| AVMED | BROAD | $1,617.31 | ↑ +144% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
Visitor-reported prices
Comments
Perq dev breast 1st mr guide at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $441.65 | $702.51 – $1,234.20 |
| Adventhealth Tampa | Tampa | $1,266.33 | $739.49 – $1,641.66 |
| Adventhealth Port Charlotte | Port Charlotte | $10,582.40 | $739.49 – $1,350.30 |
| cleveland clinic florida weston hospital | Weston | $1,715.35 | $105.15 – $2,243.15 |
| martin north hospital | Stuart | $1,715.35 | $152.24 – $1,979.25 |
| Boca Raton Regional Hospital | BOCA RATON | $1,925.30 | $726.20 – $2,962.00 |
| AdventHealth Orlando | Orlando | $5,405.00 | $739.49 – $1,959.64 |
| Adventhealth Riverview | Riverview | $1,266.33 | not published |