Perq p-art revsc 1 abnor uni at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$3,640.00
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.
$5,600.00
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.
$143.68 with Wellcare vs $41,276.33 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 |
|---|---|---|---|
| Wellcare | Managed Medicaid | $143.68 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $143.68 | ↓ -96% |
| Value Options | Managed Medicaid | $143.68 | ↓ -96% |
| Molina | Managed Medicaid | $143.68 | ↓ -96% |
| Medicaid | Managed Medicaid | $143.68 | ↓ -96% |
| Optum | Managed Medicaid | $539.71 | ↓ -85% |
| Blue Cross | Medicare Advantage HMO | $742.42 | ↓ -80% |
| Value Options | Medicare Advantage | $742.42 | ↓ -80% |
| Magellan | Medicare Advantage | $742.42 | ↓ -80% |
| Blue Cross | Medicare Advantage PPO | $742.42 | ↓ -80% |
| Wellcare | Medicare Advantage | $742.42 | ↓ -80% |
| Careplus | Medicare Advantage | $742.42 | ↓ -80% |
| Avmed | Medicare Advantage | $742.42 | ↓ -80% |
| WellMed | Medicare Advantage | $779.54 | ↓ -79% |
| Independent Living Systems | Medicare Advantage | $779.54 | ↓ -79% |
| Freedom Health | Medicare Advantage | $779.54 | ↓ -79% |
| United | Medicare Advantage | $791.66 | ↓ -78% |
| Clear Spring Health | All Products | $801.81 | ↓ -78% |
| Aetna | Medicare Advantage Behavioral Health | $890.90 | ↓ -76% |
| Aetna | Medicare Advantage PCP | $920.60 | ↓ -75% |
| Aetna | Medicare Advantage Specialist | $935.45 | ↓ -74% |
| Avmed | Exchange | $1,017.80 | ↓ -72% |
| Avmed | Select | $1,056.94 | ↓ -71% |
| Avmed | Broad | $1,135.23 | ↓ -69% |
| United | All Products | $1,481.36 | ↓ -59% |
| Aetna | PPO First Health | $2,520.00 | ↓ -31% |
| Aetna | POS First Health | $2,520.00 | ↓ -31% |
| The Legacy Companies | All Products | $3,640.00 | ↑ +0% |
| Clarity Health | All Products | $3,640.00 | ↑ +0% |
| Three Rivers | All Products | $3,640.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $4,200.00 | ↑ +15% |
| National Provider Network | All Products | $4,760.00 | ↑ +31% |
| Aetna | All Products First Health | $5,040.00 | ↑ +38% |
| OPTUM | Managed Medicaid | $5,298.24 | ↑ +46% |
| Molina | Florida Kidcare | $5,577.09 | ↑ +53% |
| SUNSHINE HEALTH | Managed Medicaid | $5,577.09 | ↑ +53% |
| Carelon BH Strategies | Managed Medicaid | $5,577.09 | ↑ +53% |
| MOLINA | Florida KidCare | $5,577.09 | ↑ +53% |
| AMERIHEALTH | Managed Medicaid | $5,577.09 | ↑ +53% |
| Cigna | Individual Family Plan Physician | $5,600.00 | ↑ +54% |
| Cigna | All Products Physician | $5,600.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $5,600.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $5,600.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $5,600.00 | ↑ +54% |
| Cigna | Surefit Physician | $5,600.00 | ↑ +54% |
| MOLINA | Managed Medicaid | $5,855.94 | ↑ +61% |
| AETNA | Managed Medicaid/CHIP | $6,134.80 | ↑ +69% |
| Independent Living Systems | Managed Medicaid | $6,692.51 | ↑ +84% |
| HUMANA | Medicare Advantage HMO | $18,024.60 | ↑ +395% |
| Careplus | MEDICARE ADVANTAGE | $18,024.60 | ↑ +395% |
| Freedom Health | MEDICARE ADVANTAGE | $18,024.60 | ↑ +395% |
| UNITED | MEDICARE ADVANTAGE | $18,024.60 | ↑ +395% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $18,024.60 | ↑ +395% |
| BLUE CROSS | Medicare Advantage PPO | $18,024.60 | ↑ +395% |
| BLUE CROSS | Medicare Advantage HMO | $18,024.60 | ↑ +395% |
| AVMED | MEDICARE ADVANTAGE | $18,745.58 | ↑ +415% |
| Independent Living Systems | MEDICARE ADVANTAGE | $18,925.83 | ↑ +420% |
| Wellcare | MEDICARE ADVANTAGE | $19,143.34 | ↑ +426% |
| WellMed | MEDICARE ADVANTAGE | $19,143.34 | ↑ +426% |
| AETNA | MEDICARE ADVANTAGE | $19,143.34 | ↑ +426% |
| DEVOTED HEALTH | Medicare Advantage HMO | $21,057.68 | ↑ +479% |
| AVMED | EXCHANGE | $28,298.62 | ↑ +677% |
| AVMED | Select | $31,723.29 | ↑ +772% |
| AVMED | BROAD | $41,276.33 | ↑ +1034% |
| Value Options | All Products | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
Visitor-reported prices
Comments
Perq p-art revsc 1 abnor uni at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $83,891.60 | $143.68 – $109,704.40 |
| Baptist Hospital | MIAMI | $52,691.60 | $173.17 – $72,957.60 |
| Bethesda Hospital East | BOYNTON BEACH | $52,691.60 | $3,651.00 – $72,957.60 |
| Doctors Hospital | CORAL GABLES | $52,691.60 | $5,251.06 – $72,957.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $52,691.60 | $5,251.06 – $72,957.60 |
| Homestead Hospital | HOMESTEAD | $52,691.60 | $167.89 – $72,957.60 |
| AdventHealth Orlando | Orlando | $20,145.00 | $19,143.34 – $50,729.86 |
| Adventhealth Carrollwood | Tampa | $32,476.05 | $19,143.34 – $42,498.22 |