Place cecostomy tube perc at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$4,407.00
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.
$6,780.00
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.
$180.78 with Optum vs $8,031.00 with BLUE CROSS — 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 | $180.78 | ↓ -96% |
| Blue Cross | Medicare Advantage HMO | $189.59 | ↓ -96% |
| Value Options | Medicare Advantage | $189.59 | ↓ -96% |
| Careplus | Medicare Advantage | $189.59 | ↓ -96% |
| Magellan | Medicare Advantage | $189.59 | ↓ -96% |
| Blue Cross | Medicare Advantage PPO | $189.59 | ↓ -96% |
| Avmed | Medicare Advantage | $189.59 | ↓ -96% |
| Wellcare | Medicare Advantage | $189.59 | ↓ -96% |
| Independent Living Systems | Medicare Advantage | $199.07 | ↓ -95% |
| WellMed | Medicare Advantage | $199.07 | ↓ -95% |
| Freedom Health | Medicare Advantage | $199.07 | ↓ -95% |
| Blue Cross | Health Options | $199.16 | ↓ -95% |
| Blue Cross | Network Blue | $204.06 | ↓ -95% |
| Clear Spring Health | All Products | $204.76 | ↓ -95% |
| United | Medicare Advantage | $206.62 | ↓ -95% |
| Blue Cross | Perferred Patient Care | $208.96 | ↓ -95% |
| Blue Cross | Traditional (PPS) | $208.96 | ↓ -95% |
| Aetna | Medicare Advantage Behavioral Health | $227.51 | ↓ -95% |
| Aetna | Medicare Advantage PCP | $235.09 | ↓ -95% |
| Aetna | Medicare Advantage Specialist | $238.88 | ↓ -95% |
| Clear Spring Health | ALL PRODUCTS | $255.91 | ↓ -94% |
| Avmed | Exchange | $273.07 | ↓ -94% |
| Avmed | Select | $283.57 | ↓ -94% |
| Avmed | Broad | $304.57 | ↓ -93% |
| Aetna | POS First Health | $325.13 | ↓ -93% |
| United | All Products | $397.44 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $579.84 | ↓ -87% |
| Value Options | Managed Medicaid | $579.84 | ↓ -87% |
| Medicaid | Managed Medicaid | $579.84 | ↓ -87% |
| Wellcare | Managed Medicaid | $579.84 | ↓ -87% |
| Molina | Managed Medicaid | $579.84 | ↓ -87% |
| Three Rivers | All Products | $975.00 | ↓ -78% |
| The Legacy Companies | All Products | $975.00 | ↓ -78% |
| Clarity Health | All Products | $975.00 | ↓ -78% |
| Consociate Health | ALL PRODUCTS | $1,125.00 | ↓ -74% |
| Freedom Health | MEDICARE ADVANTAGE | $1,183.54 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $1,183.54 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,183.54 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $1,183.54 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $1,183.54 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $1,183.54 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $1,183.54 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $1,230.88 | ↓ -72% |
| Cigna | Individual Family Plan Mid-Level | $1,240.72 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,242.71 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $1,249.63 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $1,249.63 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $1,249.63 | ↓ -72% |
| Cigna | Surefit Mid-Level | $1,264.47 | ↓ -71% |
| National Provider Network | All Products | $1,275.00 | ↓ -71% |
| Aetna | PPO First Health | $1,336.69 | ↓ -70% |
| Aetna | All Products First Health | $1,350.00 | ↓ -69% |
| Cigna | All Products Mid-Level | $1,365.48 | ↓ -69% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,374.59 | ↓ -69% |
| OPTUM | Managed Medicaid | $1,410.62 | ↓ -68% |
| Cigna | Individual Family Plan Physician | $1,459.66 | ↓ -67% |
| AMERIHEALTH | Managed Medicaid | $1,484.86 | ↓ -66% |
| MOLINA | Florida KidCare | $1,484.86 | ↓ -66% |
| Molina | Florida Kidcare | $1,484.86 | ↓ -66% |
| Carelon BH Strategies | Managed Medicaid | $1,484.86 | ↓ -66% |
| SUNSHINE HEALTH | Managed Medicaid | $1,484.86 | ↓ -66% |
| Cigna | Surefit Physician | $1,487.58 | ↓ -66% |
| MOLINA | Managed Medicaid | $1,559.10 | ↓ -65% |
| Cigna | All Products Physician | $1,606.43 | ↓ -64% |
| AETNA | Managed Medicaid/CHIP | $1,633.35 | ↓ -63% |
| CIGNA | Individual Family Plan | $1,742.46 | ↓ -60% |
| Independent Living Systems | Managed Medicaid | $1,781.83 | ↓ -60% |
| AVMED | EXCHANGE | $1,858.15 | ↓ -58% |
| AVMED | Select | $2,083.02 | ↓ -53% |
| CIGNA | SUREFIT | $2,101.80 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $2,156.04 | ↓ -51% |
| UNITED | NHP | $2,297.00 | ↓ -48% |
| UNITED | International | $2,307.00 | ↓ -48% |
| AVMED | BROAD | $2,710.30 | ↓ -39% |
| UNITED | ALL PRODUCTS | $2,728.00 | ↓ -38% |
| AETNA | QHP | $2,789.00 | ↓ -37% |
| BMI | ALL PRODUCTS | $3,390.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $4,068.00 | ↓ -8% |
| BLUE CROSS | HMO | $4,383.00 | ↓ -1% |
| BLUE CROSS | BSL | $4,383.00 | ↓ -1% |
| The Legacy Companies | ALL PRODUCTS | $4,407.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $4,407.00 | ↑ +0% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↑ +3% |
| MULTIPLAN | ALL PRODUCTS | $5,424.00 | ↑ +23% |
| AETNA | All Products First Health | $5,424.00 | ↑ +23% |
| BLUE CROSS | NWBI | $5,843.00 | ↑ +33% |
| BLUE CROSS | NWB | $5,843.00 | ↑ +33% |
| BLUE CROSS | PHS | $8,031.00 | ↑ +82% |
| BLUE CROSS | PPO | $8,031.00 | ↑ +82% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Place cecostomy tube perc at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $4,407.00 | $180.78 – $5,763.00 |
| martin north hospital | Stuart | $4,407.00 | $166.51 – $3,390.00 |
| Baptist Hospital | MIAMI | $3,977.35 | $173.17 – $5,507.10 |
| Bethesda Hospital East | BOYNTON BEACH | $3,977.35 | $1,249.63 – $5,507.10 |
| Doctors Hospital | CORAL GABLES | $3,977.35 | $803.00 – $5,507.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $3,977.35 | $803.00 – $5,507.10 |
| Homestead Hospital | HOMESTEAD | $3,977.35 | $167.89 – $5,507.10 |
| West Kendall Baptist Hospital | MIAMI | $3,977.35 | $803.00 – $5,507.10 |