Perq transcath septal reduxn at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$4,729.40
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.
$7,276.00
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.
$543.26 with Optum 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $543.26 | ↓ -89% |
| Value Options | Managed Medicaid | $554.31 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $554.31 | ↓ -88% |
| Medicaid | Managed Medicaid | $554.31 | ↓ -88% |
| Wellcare | Managed Medicaid | $554.31 | ↓ -88% |
| Molina | Managed Medicaid | $554.31 | ↓ -88% |
| Blue Cross | Medicare Advantage HMO | $732.08 | ↓ -85% |
| Blue Cross | Medicare Advantage PPO | $732.08 | ↓ -85% |
| Value Options | Medicare Advantage | $732.08 | ↓ -85% |
| Wellcare | Medicare Advantage | $732.08 | ↓ -85% |
| Avmed | Medicare Advantage | $732.08 | ↓ -85% |
| Careplus | Medicare Advantage | $732.08 | ↓ -85% |
| Magellan | Medicare Advantage | $732.08 | ↓ -85% |
| Independent Living Systems | Medicare Advantage | $768.68 | ↓ -84% |
| WellMed | Medicare Advantage | $768.68 | ↓ -84% |
| Freedom Health | Medicare Advantage | $768.68 | ↓ -84% |
| United | Medicare Advantage | $779.39 | ↓ -84% |
| Clear Spring Health | All Products | $790.65 | ↓ -83% |
| Aetna | Medicare Advantage Behavioral Health | $878.50 | ↓ -81% |
| Clear Spring Health | ALL PRODUCTS | $888.33 | ↓ -81% |
| Aetna | Medicare Advantage PCP | $907.78 | ↓ -81% |
| Aetna | Medicare Advantage Specialist | $922.42 | ↓ -80% |
| Avmed | Exchange | $1,043.06 | ↓ -78% |
| Avmed | Select | $1,083.17 | ↓ -77% |
| Avmed | Broad | $1,163.41 | ↓ -75% |
| Aetna | PPO First Health | $1,243.66 | ↓ -74% |
| United | All Products | $1,394.77 | ↓ -71% |
| AETNA | QHP | $1,702.58 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $1,709.86 | ↓ -64% |
| AVMED | EXCHANGE | $1,746.24 | ↓ -63% |
| AVMED | Select | $1,746.24 | ↓ -63% |
| CIGNA | Individual Family Plan | $1,869.93 | ↓ -60% |
| CIGNA | SUREFIT | $2,255.56 | ↓ -52% |
| AVMED | BROAD | $2,255.56 | ↓ -52% |
| UNITED | NHP | $2,297.00 | ↓ -51% |
| CIGNA | ALL PRODUCTS | $2,313.77 | ↓ -51% |
| Aetna | POS First Health | $2,475.00 | ↓ -48% |
| AETNA | ALL PRODUCTS | $2,590.26 | ↓ -45% |
| UNITED | ALL PRODUCTS | $2,728.00 | ↓ -42% |
| UNITED | International | $2,995.00 | ↓ -37% |
| Three Rivers | All Products | $3,575.00 | ↓ -24% |
| The Legacy Companies | All Products | $3,575.00 | ↓ -24% |
| Clarity Health | All Products | $3,575.00 | ↓ -24% |
| BMI | ALL PRODUCTS | $3,638.00 | ↓ -23% |
| Consociate Health | ALL PRODUCTS | $4,125.00 | ↓ -13% |
| MAGELLAN | ALL PRODUCTS | $4,365.60 | ↓ -8% |
| National Provider Network | All Products | $4,675.00 | ↓ -1% |
| Clarity Health | ALL PRODUCTS | $4,729.40 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $4,729.40 | ↑ +0% |
| Aetna | All Products First Health | $4,950.00 | ↑ +5% |
| BLUE CROSS | BSL | $5,209.00 | ↑ +10% |
| BLUE CROSS | HMO | $5,209.00 | ↑ +10% |
| Cigna | Individual Family Plan Mid-Level | $5,500.00 | ↑ +16% |
| Cigna | Surefit Physician | $5,500.00 | ↑ +16% |
| Cigna | Surefit Mid-Level | $5,500.00 | ↑ +16% |
| Cigna | Individual Family Plan Physician | $5,500.00 | ↑ +16% |
| Cigna | All Products Physician | $5,500.00 | ↑ +16% |
| Cigna | All Products Mid-Level | $5,500.00 | ↑ +16% |
| AETNA | All Products First Health | $5,820.80 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $5,820.80 | ↑ +23% |
| BLUE CROSS | NWB | $6,786.00 | ↑ +43% |
| BLUE CROSS | NWBI | $6,786.00 | ↑ +43% |
| OPTUM | Managed Medicaid | $8,538.66 | ↑ +81% |
| Carelon BH Strategies | Managed Medicaid | $8,988.06 | ↑ +90% |
| MOLINA | Florida KidCare | $8,988.06 | ↑ +90% |
| AMERIHEALTH | Managed Medicaid | $8,988.06 | ↑ +90% |
| Molina | Florida Kidcare | $8,988.06 | ↑ +90% |
| SUNSHINE HEALTH | Managed Medicaid | $8,988.06 | ↑ +90% |
| BLUE CROSS | PHS | $9,255.00 | ↑ +96% |
| BLUE CROSS | PPO | $9,255.00 | ↑ +96% |
| MOLINA | Managed Medicaid | $9,437.46 | ↑ +100% |
| AETNA | Managed Medicaid/CHIP | $9,886.87 | ↑ +109% |
| Independent Living Systems | Managed Medicaid | $10,785.67 | ↑ +128% |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Perq transcath septal reduxn at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $22,316.95 | not published |
| cleveland clinic florida weston hospital | Weston | $4,729.40 | $543.26 – $16,635.00 |
| martin north hospital | Stuart | $4,729.40 | $554.31 – $13,738.00 |
| Baptist Hospital | MIAMI | $25,455.95 | $173.17 – $35,246.70 |
| Bethesda Hospital East | BOYNTON BEACH | $25,455.95 | $4,367.00 – $35,246.70 |
| Boca Raton Regional Hospital | BOCA RATON | $23,357.75 | $4,707.00 – $23,465.56 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $25,455.95 | $1,954.00 – $35,246.70 |
| West Kendall Baptist Hospital | MIAMI | $25,455.95 | $1,954.00 – $35,246.70 |