Prolonged IV inf, req pump at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,549.60
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.
$2,384.00
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.
$222.12 with Wellcare vs $1,907.20 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 |
|---|---|---|---|
| Wellcare | MEDICARE ADVANTAGE | $222.12 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $222.12 | ↓ -86% |
| WellMed | MEDICARE ADVANTAGE | $222.12 | ↓ -86% |
| DEVOTED HEALTH | Medicare Advantage HMO | $244.33 | ↓ -84% |
| OPTUM | Managed Medicaid | $307.14 | ↓ -80% |
| Wellcare | Managed Medicaid | $323.31 | ↓ -79% |
| SUNSHINE HEALTH | Managed Medicaid | $323.31 | ↓ -79% |
| Carelon BH Strategies | Managed Medicaid | $323.31 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $323.31 | ↓ -79% |
| MOLINA | Florida KidCare | $323.31 | ↓ -79% |
| Medicaid | Managed Medicaid | $323.31 | ↓ -79% |
| Molina | Florida Kidcare | $323.31 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $332.94 | ↓ -79% |
| BLUE CROSS | Medicare Advantage HMO | $332.94 | ↓ -79% |
| BLUE CROSS | Medicare Advantage PPO | $332.94 | ↓ -79% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $332.94 | ↓ -79% |
| Careplus | MEDICARE ADVANTAGE | $332.94 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $332.94 | ↓ -79% |
| Freedom Health | MEDICARE ADVANTAGE | $332.94 | ↓ -79% |
| MOLINA | Managed Medicaid | $339.48 | ↓ -78% |
| AVMED | MEDICARE ADVANTAGE | $346.26 | ↓ -78% |
| Independent Living Systems | MEDICARE ADVANTAGE | $349.59 | ↓ -77% |
| AETNA | Managed Medicaid/CHIP | $355.64 | ↓ -77% |
| UNITED | NHP | $386.00 | ↓ -75% |
| Independent Living Systems | Managed Medicaid | $387.97 | ↓ -75% |
| UNITED | ALL PRODUCTS | $499.00 | ↓ -68% |
| UNITED | International | $499.00 | ↓ -68% |
| AVMED | EXCHANGE | $522.72 | ↓ -66% |
| AETNA | QHP | $557.86 | ↓ -64% |
| AVMED | Select | $585.98 | ↓ -62% |
| CIGNA | Individual Family Plan | $612.69 | ↓ -60% |
| BLUE CROSS | HMO | $664.00 | ↓ -57% |
| BLUE CROSS | BSL | $664.00 | ↓ -57% |
| CIGNA | SUREFIT | $739.04 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $758.11 | ↓ -51% |
| AVMED | BROAD | $762.44 | ↓ -51% |
| AETNA | ALL PRODUCTS | $848.70 | ↓ -45% |
| BLUE CROSS | NWB | $930.00 | ↓ -40% |
| BLUE CROSS | NWBI | $930.00 | ↓ -40% |
| BLUE CROSS | PPO | $1,089.00 | ↓ -30% |
| BLUE CROSS | PHS | $1,089.00 | ↓ -30% |
| BMI | ALL PRODUCTS | $1,192.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $1,430.40 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $1,549.60 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $1,549.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,788.00 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $1,907.20 | ↑ +23% |
| AETNA | All Products First Health | $1,907.20 | ↑ +23% |
| Consociate Health | Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Prolonged IV inf, req pump at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $1,383.46 | $222.12 – $405.59 |
| cleveland clinic florida weston hospital | Weston | $1,549.60 | $192.15 – $777.75 |
| martin north hospital | Stuart | $1,549.60 | $222.12 – $1,788.00 |
| Boca Raton Regional Hospital | BOCA RATON | $688.35 | $218.13 – $703.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $211.02 – $370.72 |
| Adventhealth Lake Wales | Lake Wales | not published | $222.12 – $493.11 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $211.02 – $474.43 |
| Adventhealth Tampa | Tampa | not published | $222.12 – $493.11 |