Perq transcath closure each at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,080.00
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.
$3,200.00
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.
$288.52 with Molina vs $10,785.67 with Independent Living Systems — 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 |
|---|---|---|---|
| Molina | Managed Medicaid | $288.52 | ↓ -86% |
| Wellcare | Managed Medicaid | $288.52 | ↓ -86% |
| Value Options | Managed Medicaid | $288.52 | ↓ -86% |
| Medicaid | Managed Medicaid | $288.52 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $288.52 | ↓ -86% |
| Optum | Managed Medicaid | $339.77 | ↓ -84% |
| Value Options | Medicare Advantage | $343.90 | ↓ -83% |
| Wellcare | Medicare Advantage | $343.90 | ↓ -83% |
| Avmed | Medicare Advantage | $343.90 | ↓ -83% |
| Blue Cross | Medicare Advantage HMO | $343.90 | ↓ -83% |
| Blue Cross | Medicare Advantage PPO | $343.90 | ↓ -83% |
| Magellan | Medicare Advantage | $343.90 | ↓ -83% |
| Careplus | Medicare Advantage | $343.90 | ↓ -83% |
| WellMed | Medicare Advantage | $361.10 | ↓ -83% |
| Freedom Health | Medicare Advantage | $361.10 | ↓ -83% |
| Independent Living Systems | Medicare Advantage | $361.10 | ↓ -83% |
| Clear Spring Health | All Products | $371.41 | ↓ -82% |
| United | Medicare Advantage | $378.79 | ↓ -82% |
| Aetna | Medicare Advantage Behavioral Health | $412.68 | ↓ -80% |
| Aetna | Medicare Advantage PCP | $426.44 | ↓ -79% |
| Aetna | Medicare Advantage Specialist | $433.31 | ↓ -79% |
| Avmed | Exchange | $505.02 | ↓ -76% |
| Avmed | Select | $524.45 | ↓ -75% |
| Avmed | Broad | $563.30 | ↓ -73% |
| Aetna | PPO First Health | $610.03 | ↓ -71% |
| United | All Products | $675.32 | ↓ -68% |
| Aetna | POS First Health | $1,440.00 | ↓ -31% |
| Three Rivers | All Products | $2,080.00 | ↑ +0% |
| Clarity Health | All Products | $2,080.00 | ↑ +0% |
| The Legacy Companies | All Products | $2,080.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $2,400.00 | ↑ +15% |
| National Provider Network | All Products | $2,720.00 | ↑ +31% |
| Aetna | All Products First Health | $2,880.00 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $3,200.00 | ↑ +54% |
| Cigna | Surefit Physician | $3,200.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $3,200.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $3,200.00 | ↑ +54% |
| Cigna | All Products Physician | $3,200.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $3,200.00 | ↑ +54% |
| OPTUM | Managed Medicaid | $8,538.66 | ↑ +311% |
| Molina | Florida Kidcare | $8,988.06 | ↑ +332% |
| MOLINA | Florida KidCare | $8,988.06 | ↑ +332% |
| AMERIHEALTH | Managed Medicaid | $8,988.06 | ↑ +332% |
| Carelon BH Strategies | Managed Medicaid | $8,988.06 | ↑ +332% |
| SUNSHINE HEALTH | Managed Medicaid | $8,988.06 | ↑ +332% |
| MOLINA | Managed Medicaid | $9,437.46 | ↑ +354% |
| AETNA | Managed Medicaid/CHIP | $9,886.87 | ↑ +375% |
| Independent Living Systems | Managed Medicaid | $10,785.67 | ↑ +419% |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Aetna | All Products PCP | 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 | — |
| Aetna | Medical Rental | not published by hospital | — |
Visitor-reported prices
Comments
Perq transcath closure each at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,741.70 | $288.52 – $16,635.00 |
| martin north hospital | Stuart | $2,080.00 | $288.52 – $9,437.46 |
| Baptist Hospital | MIAMI | $6,439.55 | $173.17 – $9,801.06 |
| Bethesda Hospital East | BOYNTON BEACH | $6,439.55 | $1,267.00 – $9,907.00 |
| Boca Raton Regional Hospital | BOCA RATON | $5,714.15 | $591.00 – $5,740.52 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $6,439.55 | $366.00 – $9,680.35 |
| West Kendall Baptist Hospital | MIAMI | $6,439.55 | $366.00 – $9,680.35 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | $44,742.48 | $11,702.25 – $11,948.62 |