Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$3,949.40
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.
$6,076.00
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.
$74.81 with Optum vs $4,860.80 with AETNA — 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 | $74.81 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $88.89 | ↓ -98% |
| Avmed | Medicare Advantage | $88.89 | ↓ -98% |
| Magellan | Medicare Advantage | $88.89 | ↓ -98% |
| Wellcare | Medicare Advantage | $88.89 | ↓ -98% |
| Value Options | Medicare Advantage | $88.89 | ↓ -98% |
| Careplus | Medicare Advantage | $88.89 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $88.89 | ↓ -98% |
| Freedom Health | Medicare Advantage | $93.33 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $93.33 | ↓ -98% |
| WellMed | Medicare Advantage | $93.33 | ↓ -98% |
| Clear Spring Health | All Products | $96.00 | ↓ -98% |
| United | Medicare Advantage | $97.99 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $106.67 | ↓ -97% |
| Aetna | Medicare Advantage PCP | $110.22 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $112.00 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $122.73 | ↓ -97% |
| Avmed | Exchange | $131.00 | ↓ -97% |
| Avmed | Select | $136.04 | ↓ -97% |
| Avmed | Broad | $146.12 | ↓ -96% |
| Aetna | POS First Health | $157.38 | ↓ -96% |
| Value Options | Managed Medicaid | $183.07 | ↓ -95% |
| Molina | Managed Medicaid | $183.07 | ↓ -95% |
| Medicaid | Managed Medicaid | $183.07 | ↓ -95% |
| Wellcare | Managed Medicaid | $183.07 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $183.07 | ↓ -95% |
| United | All Products | $190.67 | ↓ -95% |
| Cigna | Individual Family Plan Mid-Level | $307.90 | ↓ -92% |
| Cigna | Surefit Mid-Level | $313.79 | ↓ -92% |
| Cigna | All Products Mid-Level | $338.86 | ↓ -91% |
| Cigna | Individual Family Plan Physician | $362.23 | ↓ -91% |
| Aetna | PPO First Health | $364.88 | ↓ -91% |
| Cigna | Surefit Physician | $369.16 | ↓ -91% |
| Cigna | All Products Physician | $398.65 | ↓ -90% |
| Clarity Health | All Products | $520.00 | ↓ -87% |
| Three Rivers | All Products | $520.00 | ↓ -87% |
| The Legacy Companies | All Products | $520.00 | ↓ -87% |
| Consociate Health | ALL PRODUCTS | $600.00 | ↓ -85% |
| National Provider Network | All Products | $680.00 | ↓ -83% |
| Aetna | All Products First Health | $720.00 | ↓ -82% |
| OPTUM | Managed Medicaid | $816.59 | ↓ -79% |
| Molina | Florida Kidcare | $859.57 | ↓ -78% |
| SUNSHINE HEALTH | Managed Medicaid | $859.57 | ↓ -78% |
| AMERIHEALTH | Managed Medicaid | $859.57 | ↓ -78% |
| Carelon BH Strategies | Managed Medicaid | $859.57 | ↓ -78% |
| MOLINA | Florida KidCare | $859.57 | ↓ -78% |
| MOLINA | Managed Medicaid | $902.55 | ↓ -77% |
| AETNA | Managed Medicaid/CHIP | $945.53 | ↓ -76% |
| Independent Living Systems | Managed Medicaid | $1,031.48 | ↓ -74% |
| CIGNA | Individual Family Plan | $1,561.53 | ↓ -60% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $1,626.36 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $1,626.36 | ↓ -59% |
| Freedom Health | MEDICARE ADVANTAGE | $1,626.36 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $1,626.36 | ↓ -59% |
| Careplus | MEDICARE ADVANTAGE | $1,626.36 | ↓ -59% |
| BLUE CROSS | Medicare Advantage PPO | $1,626.36 | ↓ -59% |
| BLUE CROSS | Medicare Advantage HMO | $1,626.36 | ↓ -59% |
| AVMED | MEDICARE ADVANTAGE | $1,691.42 | ↓ -57% |
| Independent Living Systems | MEDICARE ADVANTAGE | $1,707.68 | ↓ -57% |
| AETNA | MEDICARE ADVANTAGE | $1,724.73 | ↓ -56% |
| Wellcare | MEDICARE ADVANTAGE | $1,724.73 | ↓ -56% |
| WellMed | MEDICARE ADVANTAGE | $1,724.73 | ↓ -56% |
| CIGNA | SUREFIT | $1,883.56 | ↓ -52% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,897.20 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $1,932.17 | ↓ -51% |
| UNITED | NHP | $2,297.00 | ↓ -42% |
| UNITED | International | $2,307.00 | ↓ -42% |
| BLUE CROSS | BSL | $2,467.00 | ↓ -38% |
| BLUE CROSS | HMO | $2,467.00 | ↓ -38% |
| AVMED | EXCHANGE | $2,553.39 | ↓ -35% |
| UNITED | ALL PRODUCTS | $2,728.00 | ↓ -31% |
| AETNA | QHP | $2,789.00 | ↓ -29% |
| AVMED | Select | $2,862.40 | ↓ -28% |
| BMI | ALL PRODUCTS | $3,038.00 | ↓ -23% |
| BLUE CROSS | NWB | $3,264.00 | ↓ -17% |
| BLUE CROSS | NWBI | $3,264.00 | ↓ -17% |
| MAGELLAN | ALL PRODUCTS | $3,645.60 | ↓ -8% |
| AVMED | BROAD | $3,724.37 | ↓ -6% |
| The Legacy Companies | ALL PRODUCTS | $3,949.40 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $3,949.40 | ↑ +0% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +2% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +2% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $4,860.80 | ↑ +23% |
| AETNA | All Products First Health | $4,860.80 | ↑ +23% |
| Aetna | All Products PCP | 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 | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | 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 | Medical Rental | not published by hospital | — |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $2,218.21 | $1,638.49 – $2,878.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | $2,218.21 | $1,638.49 – $3,683.85 |
| Adventhealth Tampa | Tampa | $5,341.20 | $1,724.73 – $3,828.90 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,429.47 | $1,638.49 – $3,767.67 |
| Adventhealth Port Charlotte | Port Charlotte | $10,582.40 | $1,724.73 – $3,149.35 |
| cleveland clinic florida weston hospital | Weston | $3,949.40 | $74.81 – $5,164.60 |
| martin north hospital | Stuart | $3,949.40 | $88.89 – $3,038.00 |
| Boca Raton Regional Hospital | BOCA RATON | $1,695.85 | $939.24 – $2,609.00 |