Pros sheath/sock w gel cushn at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
not published by hospital
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.
not published by hospital
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.
$168.63 with CIGNA vs $213.48 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 |
|---|---|---|---|
| CIGNA | Individual Family Plan | $168.63 | — |
| CIGNA | SUREFIT | $204.17 | — |
| CIGNA | ALL PRODUCTS | $213.48 | — |
Visitor-reported prices
Comments
Pros sheath/sock w gel cushn at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON | $778.55 | $90.31 – $106.13 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION | $662.00 | $90.31 – $134.99 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $997.00 | $90.31 – $134.99 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie | $407.00 | $92.17 – $134.99 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $74.48 – $111.72 |
| cleveland clinic florida weston hospital | Weston | not published | $140.74 – $140.74 |
| martin north hospital | Stuart | not published | $134.48 – $134.48 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $90.31 – $134.99 |