Prim art mech thrmbc non-intracranial at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$40,972.75
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.
$63,035.00
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.
$315.59 with Optum vs $50,428.00 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 | $315.59 | ↓ -99% |
| Wellcare | Medicare Advantage | $419.94 | ↓ -99% |
| Careplus | Medicare Advantage | $419.94 | ↓ -99% |
| Avmed | Medicare Advantage | $419.94 | ↓ -99% |
| Magellan | Medicare Advantage | $419.94 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $419.94 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $419.94 | ↓ -99% |
| Value Options | Medicare Advantage | $419.94 | ↓ -99% |
| Blue Cross | Health Options | $439.97 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $440.94 | ↓ -99% |
| Freedom Health | Medicare Advantage | $440.94 | ↓ -99% |
| WellMed | Medicare Advantage | $440.94 | ↓ -99% |
| United | Medicare Advantage | $445.90 | ↓ -99% |
| Blue Cross | Network Blue | $450.79 | ↓ -99% |
| Clear Spring Health | All Products | $453.54 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $461.61 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $461.61 | ↓ -99% |
| Aetna | Medicare Advantage Behavioral Health | $503.93 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $520.73 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $529.12 | ↓ -99% |
| Clear Spring Health | ALL PRODUCTS | $533.64 | ↓ -99% |
| Avmed | Exchange | $595.18 | ↓ -99% |
| Avmed | Select | $618.07 | ↓ -98% |
| Avmed | Broad | $663.85 | ↓ -98% |
| Molina | Managed Medicaid | $697.36 | ↓ -98% |
| Value Options | Managed Medicaid | $697.36 | ↓ -98% |
| Wellcare | Managed Medicaid | $697.36 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $697.36 | ↓ -98% |
| Medicaid | Managed Medicaid | $697.36 | ↓ -98% |
| Aetna | POS First Health | $739.15 | ↓ -98% |
| United | All Products | $866.26 | ↓ -98% |
| Clarity Health | All Products | $2,405.00 | ↓ -94% |
| The Legacy Companies | All Products | $2,405.00 | ↓ -94% |
| Three Rivers | All Products | $2,405.00 | ↓ -94% |
| Consociate Health | ALL PRODUCTS | $2,775.00 | ↓ -93% |
| Cigna | Individual Family Plan Mid-Level | $2,948.08 | ↓ -93% |
| Cigna | Surefit Mid-Level | $3,004.51 | ↓ -93% |
| National Provider Network | All Products | $3,145.00 | ↓ -92% |
| Aetna | PPO First Health | $3,197.59 | ↓ -92% |
| Cigna | All Products Mid-Level | $3,244.51 | ↓ -92% |
| Aetna | All Products First Health | $3,330.00 | ↓ -92% |
| Cigna | Individual Family Plan Physician | $3,468.29 | ↓ -92% |
| Cigna | Surefit Physician | $3,534.65 | ↓ -91% |
| Cigna | All Products Physician | $3,817.03 | ↓ -91% |
| OPTUM | Managed Medicaid | $4,153.67 | ↓ -90% |
| Carelon BH Strategies | Managed Medicaid | $4,372.28 | ↓ -89% |
| SUNSHINE HEALTH | Managed Medicaid | $4,372.28 | ↓ -89% |
| Molina | Florida Kidcare | $4,372.28 | ↓ -89% |
| MOLINA | Florida KidCare | $4,372.28 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $4,372.28 | ↓ -89% |
| MOLINA | Managed Medicaid | $4,590.89 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP | $4,809.51 | ↓ -88% |
| Independent Living Systems | Managed Medicaid | $5,246.74 | ↓ -87% |
| AETNA | QHP | $7,914.00 | ↓ -81% |
| UNITED | NHP | $10,701.00 | ↓ -74% |
| UNITED | ALL PRODUCTS | $12,702.00 | ↓ -69% |
| AETNA | ALL PRODUCTS | $12,883.00 | ↓ -69% |
| UNITED | International | $13,944.00 | ↓ -66% |
| CIGNA | Individual Family Plan | $16,200.00 | ↓ -60% |
| Freedom Health | MEDICARE ADVANTAGE | $18,024.60 | ↓ -56% |
| UNITED | MEDICARE ADVANTAGE | $18,024.60 | ↓ -56% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $18,024.60 | ↓ -56% |
| HUMANA | Medicare Advantage HMO | $18,024.60 | ↓ -56% |
| BLUE CROSS | Medicare Advantage PPO | $18,024.60 | ↓ -56% |
| Careplus | MEDICARE ADVANTAGE | $18,024.60 | ↓ -56% |
| BLUE CROSS | Medicare Advantage HMO | $18,024.60 | ↓ -56% |
| AVMED | MEDICARE ADVANTAGE | $18,745.58 | ↓ -54% |
| Independent Living Systems | MEDICARE ADVANTAGE | $18,925.83 | ↓ -54% |
| AETNA | MEDICARE ADVANTAGE | $19,143.34 | ↓ -53% |
| Wellcare | MEDICARE ADVANTAGE | $19,143.34 | ↓ -53% |
| WellMed | MEDICARE ADVANTAGE | $19,143.34 | ↓ -53% |
| CIGNA | SUREFIT | $19,540.85 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $20,045.13 | ↓ -51% |
| DEVOTED HEALTH | Medicare Advantage HMO | $21,057.68 | ↓ -49% |
| AVMED | EXCHANGE | $28,298.62 | ↓ -31% |
| BMI | ALL PRODUCTS | $31,517.50 | ↓ -23% |
| AVMED | Select | $31,723.29 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $37,821.00 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $40,972.75 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $40,972.75 | ↑ +0% |
| AVMED | BROAD | $41,276.33 | ↑ +1% |
| MULTIPLAN | ALL PRODUCTS | $50,428.00 | ↑ +23% |
| AETNA | All Products First Health | $50,428.00 | ↑ +23% |
| 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 | — |
| Aetna | All Products PCP | 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 | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| AETNA | NAP | 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 | — |
Visitor-reported prices
Comments
Prim art mech thrmbc non-intracranial at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $12,921.24 | $18,186.18 – $31,950.24 |
| Adventhealth Lake Wales | Lake Wales | $24,782.88 | $19,143.34 – $42,498.22 |
| Adventhealth Palm Coast Parkway | Palm Coast | $12,486.64 | $18,186.18 – $40,888.27 |
| Adventhealth Tampa | Tampa | $29,937.36 | $19,143.34 – $42,498.22 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $13,320.74 | $18,186.18 – $41,818.63 |
| Adventhealth Port Charlotte | Port Charlotte | $34,427.96 | $19,143.34 – $34,955.74 |
| cleveland clinic florida weston hospital | Weston | $40,972.75 | $315.59 – $53,579.75 |
| martin north hospital | Stuart | $40,972.75 | $367.85 – $31,517.50 |