Pet image ltd area at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$400.40
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.
?
What you pay up front if you don't use insurance.
$616.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$56.80 with Aetna vs $3,000.85 with AVMED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | PPO First Health | $56.80 | ↓ -86% |
| United | Medicare Advantage | $69.71 | ↓ -83% |
| Wellcare | Medicare Advantage | $71.26 | ↓ -82% |
| Value Options | Medicare Advantage | $71.26 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $71.26 | ↓ -82% |
| Blue Cross | Medicare Advantage HMO | $71.26 | ↓ -82% |
| Avmed | Medicare Advantage | $71.26 | ↓ -82% |
| Careplus | Medicare Advantage | $71.26 | ↓ -82% |
| Magellan | Medicare Advantage | $71.26 | ↓ -82% |
| Blue Cross | Health Options | $72.06 | ↓ -82% |
| Independent Living Systems | Medicare Advantage | $73.20 | ↓ -82% |
| Blue Cross | Network Blue | $73.83 | ↓ -82% |
| WellMed | Medicare Advantage | $74.82 | ↓ -81% |
| Freedom Health | Medicare Advantage | $74.82 | ↓ -81% |
| Blue Cross | Perferred Patient Care | $75.60 | ↓ -81% |
| Blue Cross | Traditional (PPS) | $75.60 | ↓ -81% |
| Clear Spring Health | All Products | $76.96 | ↓ -81% |
| Aetna | Medicare Advantage Behavioral Health | $85.51 | ↓ -79% |
| Aetna | Medicare Advantage PCP | $88.36 | ↓ -78% |
| Aetna | Medicare Advantage Specialist | $89.79 | ↓ -78% |
| United | All Products | $91.59 | ↓ -77% |
| Avmed | Exchange | $92.73 | ↓ -77% |
| Avmed | Select | $96.30 | ↓ -76% |
| Avmed | Broad | $103.43 | ↓ -74% |
| Aetna | POS First Health | $277.20 | ↓ -31% |
| Three Rivers | All Products | $400.40 | ↑ +0% |
| Clarity Health | All Products | $400.40 | ↑ +0% |
| The Legacy Companies | All Products | $400.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $462.00 | ↑ +15% |
| National Provider Network | All Products | $523.60 | ↑ +31% |
| Aetna | All Products First Health | $554.40 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $616.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $616.00 | ↑ +54% |
| Cigna | Surefit Physician | $616.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $616.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $616.00 | ↑ +54% |
| Cigna | All Products Physician | $616.00 | ↑ +54% |
| OPTUM | Managed Medicaid | $859.52 | ↑ +115% |
| MOLINA | Florida KidCare | $904.76 | ↑ +126% |
| AMERIHEALTH | Managed Medicaid | $904.76 | ↑ +126% |
| Carelon BH Strategies | Managed Medicaid | $904.76 | ↑ +126% |
| Medicaid | Managed Medicaid | $904.76 | ↑ +126% |
| Molina | Florida Kidcare | $904.76 | ↑ +126% |
| SUNSHINE HEALTH | Managed Medicaid | $904.76 | ↑ +126% |
| Wellcare | Managed Medicaid | $904.76 | ↑ +126% |
| MOLINA | Managed Medicaid | $950.00 | ↑ +137% |
| AETNA | Managed Medicaid/CHIP | $995.24 | ↑ +149% |
| Independent Living Systems | Managed Medicaid | $1,085.71 | ↑ +171% |
| BLUE CROSS | Medicare Advantage HMO | $1,310.41 | ↑ +227% |
| BLUE CROSS | Medicare Advantage PPO | $1,310.41 | ↑ +227% |
| Freedom Health | MEDICARE ADVANTAGE | $1,310.41 | ↑ +227% |
| HUMANA | Medicare Advantage HMO | $1,310.41 | ↑ +227% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,310.41 | ↑ +227% |
| Careplus | MEDICARE ADVANTAGE | $1,310.41 | ↑ +227% |
| UNITED | MEDICARE ADVANTAGE | $1,310.41 | ↑ +227% |
| Wellcare | MEDICARE ADVANTAGE | $1,351.97 | ↑ +238% |
| WellMed | MEDICARE ADVANTAGE | $1,351.97 | ↑ +238% |
| AETNA | MEDICARE ADVANTAGE | $1,351.97 | ↑ +238% |
| AVMED | MEDICARE ADVANTAGE | $1,362.83 | ↑ +240% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,375.94 | ↑ +244% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,487.17 | ↑ +271% |
| AVMED | EXCHANGE | $2,057.35 | ↑ +414% |
| AVMED | Select | $2,306.33 | ↑ +476% |
| AVMED | BROAD | $3,000.85 | ↑ +649% |
| Optum | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Pet image ltd area at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $7,719.40 | $67.33 – $9,571.00 |
| martin north hospital | Stuart | $400.40 | $60.24 – $1,487.17 |
| Baptist Hospital | MIAMI | $4,914.00 | $173.17 – $5,206.50 |
| Boca Raton Regional Hospital | BOCA RATON | $3,371.55 | $1,327.69 – $5,187.00 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON | $4,524.07 | $2,056.62 – $4,067.00 |
| HCA FLORIDA LARGO HOSPITAL | LARGO | $23,425.88 | $2,056.62 – $4,381.00 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION | $13,147.00 | $2,227.20 – $2,938.37 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $16,920.00 | $2,227.20 – $2,938.37 |