Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$743.60
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.
$1,144.00
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.
$95.37 with Aetna vs $1,144.00 with Cigna — 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 |
|---|---|---|---|
| Aetna | POS First Health | $95.37 | ↓ -87% |
| Blue Cross | Health Options | $112.55 | ↓ -85% |
| Blue Cross | Network Blue | $115.32 | ↓ -84% |
| Blue Cross | Traditional (PPS) | $118.08 | ↓ -84% |
| Blue Cross | Perferred Patient Care | $118.08 | ↓ -84% |
| Blue Cross | Medicare Advantage HMO | $119.70 | ↓ -84% |
| Wellcare | Medicare Advantage | $119.70 | ↓ -84% |
| Value Options | Medicare Advantage | $119.70 | ↓ -84% |
| Careplus | Medicare Advantage | $119.70 | ↓ -84% |
| Avmed | Medicare Advantage | $119.70 | ↓ -84% |
| Magellan | Medicare Advantage | $119.70 | ↓ -84% |
| Blue Cross | Medicare Advantage PPO | $119.70 | ↓ -84% |
| Freedom Health | Medicare Advantage | $125.69 | ↓ -83% |
| WellMed | Medicare Advantage | $125.69 | ↓ -83% |
| Independent Living Systems | Medicare Advantage | $125.69 | ↓ -83% |
| Clear Spring Health | All Products | $129.28 | ↓ -83% |
| BLUE CROSS | Medicare Advantage PPO | $129.36 | ↓ -83% |
| BLUE CROSS | Medicare Advantage HMO | $129.36 | ↓ -83% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $129.36 | ↓ -83% |
| Freedom Health | MEDICARE ADVANTAGE | $129.36 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $129.36 | ↓ -83% |
| HUMANA | Medicare Advantage HMO | $129.36 | ↓ -83% |
| Careplus | MEDICARE ADVANTAGE | $129.36 | ↓ -83% |
| United | Medicare Advantage | $129.74 | ↓ -83% |
| AVMED | MEDICARE ADVANTAGE | $134.53 | ↓ -82% |
| Independent Living Systems | MEDICARE ADVANTAGE | $135.82 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $139.03 | ↓ -81% |
| Wellcare | MEDICARE ADVANTAGE | $139.03 | ↓ -81% |
| WellMed | MEDICARE ADVANTAGE | $139.03 | ↓ -81% |
| Aetna | Medicare Advantage Behavioral Health | $143.64 | ↓ -81% |
| Aetna | Medicare Advantage PCP | $148.43 | ↓ -80% |
| Aetna | Medicare Advantage Specialist | $150.82 | ↓ -80% |
| DEVOTED HEALTH | Medicare Advantage HMO | $152.93 | ↓ -79% |
| AETNA | QHP | $158.00 | ↓ -79% |
| AETNA | ALL PRODUCTS | $158.00 | ↓ -79% |
| CIGNA | Individual Family Plan | $165.51 | ↓ -78% |
| Clear Spring Health | ALL PRODUCTS | $169.03 | ↓ -77% |
| Avmed | Exchange | $174.33 | ↓ -77% |
| Avmed | Select | $181.04 | ↓ -76% |
| Avmed | Broad | $194.45 | ↓ -74% |
| CIGNA | SUREFIT | $199.64 | ↓ -73% |
| AVMED | EXCHANGE | $203.09 | ↓ -73% |
| CIGNA | ALL PRODUCTS | $204.79 | ↓ -72% |
| United | All Products | $226.71 | ↓ -70% |
| AVMED | Select | $227.67 | ↓ -69% |
| AVMED | BROAD | $296.23 | ↓ -60% |
| BMI | ALL PRODUCTS | $322.00 | ↓ -57% |
| MAGELLAN | ALL PRODUCTS | $386.40 | ↓ -48% |
| Clarity Health | ALL PRODUCTS | $418.60 | ↓ -44% |
| The Legacy Companies | ALL PRODUCTS | $418.60 | ↓ -44% |
| Aetna | PPO First Health | $454.32 | ↓ -39% |
| Consociate Health | ALL PRODUCTS | $483.00 | ↓ -35% |
| AETNA | All Products First Health | $515.20 | ↓ -31% |
| MULTIPLAN | ALL PRODUCTS | $515.20 | ↓ -31% |
| The Legacy Companies | All Products | $743.60 | ↑ +0% |
| Three Rivers | All Products | $743.60 | ↑ +0% |
| Clarity Health | All Products | $743.60 | ↑ +0% |
| National Provider Network | All Products | $972.40 | ↑ +31% |
| Aetna | All Products First Health | $1,029.60 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $1,144.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,144.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,144.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,144.00 | ↑ +54% |
| Cigna | All Products Physician | $1,144.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,144.00 | ↑ +54% |
| Independent Living Systems | Managed Medicaid | not published by hospital | — |
| OPTUM | Managed Medicaid | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| Wellcare | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Medicaid | Managed Medicaid | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Carelon BH Strategies | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| MOLINA | Florida KidCare | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | 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 | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $743.60 | $105.17 – $1,144.00 |
| martin north hospital | Stuart | $743.60 | $94.10 – $1,144.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $132.08 – $232.04 |
| Adventhealth Lake Wales | Lake Wales | not published | $139.03 – $308.65 |
| Adventhealth Tampa | Tampa | not published | $139.03 – $308.65 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $132.08 – $303.71 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $134.90 – $137.74 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $139.03 – $253.87 |