Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$3,656.90
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.
$5,626.00
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.
$154.14 with Optum vs $4,500.80 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 | $154.14 | ↓ -96% |
| Value Options | Medicare Advantage | $202.15 | ↓ -94% |
| Avmed | Medicare Advantage | $202.15 | ↓ -94% |
| Wellcare | Medicare Advantage | $202.15 | ↓ -94% |
| Magellan | Medicare Advantage | $202.15 | ↓ -94% |
| Blue Cross | Medicare Advantage HMO | $202.15 | ↓ -94% |
| Careplus | Medicare Advantage | $202.15 | ↓ -94% |
| Blue Cross | Medicare Advantage PPO | $202.15 | ↓ -94% |
| WellMed | Medicare Advantage | $212.26 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $212.26 | ↓ -94% |
| Freedom Health | Medicare Advantage | $212.26 | ↓ -94% |
| United | Medicare Advantage | $216.84 | ↓ -94% |
| Clear Spring Health | All Products | $218.32 | ↓ -94% |
| Aetna | Medicare Advantage Behavioral Health | $242.58 | ↓ -93% |
| Aetna | Medicare Advantage PCP | $250.67 | ↓ -93% |
| Aetna | Medicare Advantage Specialist | $254.71 | ↓ -93% |
| Clear Spring Health | ALL PRODUCTS | $256.46 | ↓ -93% |
| Avmed | Exchange | $289.13 | ↓ -92% |
| Avmed | Select | $300.25 | ↓ -92% |
| Avmed | Broad | $322.49 | ↓ -91% |
| Aetna | POS First Health | $331.66 | ↓ -91% |
| United | All Products | $420.82 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $538.22 | ↓ -85% |
| Molina | Managed Medicaid | $538.22 | ↓ -85% |
| Wellcare | Managed Medicaid | $538.22 | ↓ -85% |
| Value Options | Managed Medicaid | $538.22 | ↓ -85% |
| Medicaid | Managed Medicaid | $538.22 | ↓ -85% |
| UNITED | NHP | $668.00 | ↓ -82% |
| UNITED | ALL PRODUCTS | $792.00 | ↓ -78% |
| UNITED | International | $870.00 | ↓ -76% |
| The Legacy Companies | All Products | $1,040.00 | ↓ -72% |
| Clarity Health | All Products | $1,040.00 | ↓ -72% |
| Three Rivers | All Products | $1,040.00 | ↓ -72% |
| Consociate Health | ALL PRODUCTS | $1,200.00 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $1,322.11 | ↓ -64% |
| AVMED | EXCHANGE | $1,350.24 | ↓ -63% |
| AVMED | Select | $1,350.24 | ↓ -63% |
| Aetna | PPO First Health | $1,351.55 | ↓ -63% |
| National Provider Network | All Products | $1,360.00 | ↓ -63% |
| Cigna | Individual Family Plan Mid-Level | $1,374.90 | ↓ -62% |
| Cigna | Surefit Mid-Level | $1,401.25 | ↓ -62% |
| Aetna | All Products First Health | $1,440.00 | ↓ -61% |
| CIGNA | Individual Family Plan | $1,445.88 | ↓ -60% |
| Cigna | All Products Mid-Level | $1,513.17 | ↓ -59% |
| Cigna | Individual Family Plan Physician | $1,617.63 | ↓ -56% |
| Cigna | Surefit Physician | $1,648.54 | ↓ -55% |
| CIGNA | SUREFIT | $1,744.06 | ↓ -52% |
| AVMED | BROAD | $1,744.06 | ↓ -52% |
| Cigna | All Products Physician | $1,780.37 | ↓ -51% |
| CIGNA | ALL PRODUCTS | $1,789.07 | ↓ -51% |
| AETNA | QHP | $2,579.00 | ↓ -29% |
| BMI | ALL PRODUCTS | $2,813.00 | ↓ -23% |
| OPTUM | Managed Medicaid | $3,094.77 | ↓ -15% |
| Carelon BH Strategies | Managed Medicaid | $3,257.65 | ↓ -11% |
| MOLINA | Florida KidCare | $3,257.65 | ↓ -11% |
| AMERIHEALTH | Managed Medicaid | $3,257.65 | ↓ -11% |
| Molina | Florida Kidcare | $3,257.65 | ↓ -11% |
| SUNSHINE HEALTH | Managed Medicaid | $3,257.65 | ↓ -11% |
| MAGELLAN | ALL PRODUCTS | $3,375.60 | ↓ -8% |
| MOLINA | Managed Medicaid | $3,420.53 | ↓ -6% |
| AETNA | Managed Medicaid/CHIP | $3,583.42 | ↓ -2% |
| The Legacy Companies | ALL PRODUCTS | $3,656.90 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $3,656.90 | ↑ +0% |
| Independent Living Systems | Managed Medicaid | $3,909.18 | ↑ +7% |
| AETNA | ALL PRODUCTS | $4,198.00 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $4,500.80 | ↑ +23% |
| AETNA | All Products First Health | $4,500.80 | ↑ +23% |
| 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 | Summit | 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 | — |
| Magellan | Pinnacle | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $9,189.55 | not published |
| cleveland clinic florida weston hospital | Weston | $3,656.90 | $154.14 – $4,782.10 |
| martin north hospital | Stuart | $3,656.90 | $202.15 – $3,420.53 |
| Baptist Hospital | MIAMI | $3,422.25 | $173.17 – $4,738.50 |
| Bethesda Hospital East | BOYNTON BEACH | $3,422.25 | $1,267.00 – $4,934.00 |
| Boca Raton Regional Hospital | BOCA RATON | $3,064.75 | $591.00 – $3,078.90 |
| Doctors Hospital | CORAL GABLES | $3,422.25 | $366.00 – $4,738.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $3,422.25 | $366.00 – $4,738.50 |