Prq av fstl crtj uxtr 1 acs at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,872.00
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.
$2,880.00
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.
$257.00 with Optum vs $41,276.33 with AVMED — 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 | $257.00 | ↓ -86% |
| Blue Cross | Medicare Advantage HMO | $343.72 | ↓ -82% |
| Blue Cross | Medicare Advantage PPO | $343.72 | ↓ -82% |
| Value Options | Medicare Advantage | $343.72 | ↓ -82% |
| Magellan | Medicare Advantage | $343.72 | ↓ -82% |
| Avmed | Medicare Advantage | $343.72 | ↓ -82% |
| Careplus | Medicare Advantage | $343.72 | ↓ -82% |
| Wellcare | Medicare Advantage | $343.72 | ↓ -82% |
| Independent Living Systems | Medicare Advantage | $360.91 | ↓ -81% |
| Freedom Health | Medicare Advantage | $360.91 | ↓ -81% |
| WellMed | Medicare Advantage | $360.91 | ↓ -81% |
| United | Medicare Advantage | $363.35 | ↓ -81% |
| Clear Spring Health | All Products | $371.22 | ↓ -80% |
| Aetna | Medicare Advantage Behavioral Health | $412.46 | ↓ -78% |
| Aetna | Medicare Advantage PCP | $426.21 | ↓ -77% |
| Aetna | Medicare Advantage Specialist | $433.09 | ↓ -77% |
| Avmed | Exchange | $483.51 | ↓ -74% |
| Avmed | Select | $502.11 | ↓ -73% |
| Avmed | Broad | $539.30 | ↓ -71% |
| United | All Products | $703.73 | ↓ -62% |
| Aetna | POS First Health | $1,296.00 | ↓ -31% |
| Aetna | PPO First Health | $1,296.00 | ↓ -31% |
| Three Rivers | All Products | $1,872.00 | ↑ +0% |
| The Legacy Companies | All Products | $1,872.00 | ↑ +0% |
| Clarity Health | All Products | $1,872.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $2,160.00 | ↑ +15% |
| OPTUM | Managed Medicaid | $2,199.26 | ↑ +17% |
| Wellcare | Managed Medicaid | $2,315.01 | ↑ +24% |
| Medicaid | Managed Medicaid | $2,315.01 | ↑ +24% |
| Molina | Florida Kidcare | $2,315.01 | ↑ +24% |
| Carelon BH Strategies | Managed Medicaid | $2,315.01 | ↑ +24% |
| AMERIHEALTH | Managed Medicaid | $2,315.01 | ↑ +24% |
| MOLINA | Florida KidCare | $2,315.01 | ↑ +24% |
| SUNSHINE HEALTH | Managed Medicaid | $2,315.01 | ↑ +24% |
| MOLINA | Managed Medicaid | $2,430.76 | ↑ +30% |
| National Provider Network | All Products | $2,448.00 | ↑ +31% |
| AETNA | Managed Medicaid/CHIP | $2,546.51 | ↑ +36% |
| Aetna | All Products First Health | $2,592.00 | ↑ +38% |
| Independent Living Systems | Managed Medicaid | $2,778.01 | ↑ +48% |
| Cigna | Individual Family Plan Mid-Level | $9,440.97 | ↑ +404% |
| Cigna | Surefit Mid-Level | $9,621.68 | ↑ +414% |
| Cigna | All Products Mid-Level | $10,390.27 | ↑ +455% |
| Cigna | Individual Family Plan Physician | $11,106.89 | ↑ +493% |
| Cigna | Surefit Physician | $11,319.40 | ↑ +505% |
| Cigna | All Products Physician | $12,223.71 | ↑ +553% |
| HUMANA | Medicare Advantage HMO | $18,024.60 | ↑ +863% |
| BLUE CROSS | Medicare Advantage HMO | $18,024.60 | ↑ +863% |
| BLUE CROSS | Medicare Advantage PPO | $18,024.60 | ↑ +863% |
| Careplus | MEDICARE ADVANTAGE | $18,024.60 | ↑ +863% |
| Freedom Health | MEDICARE ADVANTAGE | $18,024.60 | ↑ +863% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $18,024.60 | ↑ +863% |
| UNITED | MEDICARE ADVANTAGE | $18,024.60 | ↑ +863% |
| AVMED | MEDICARE ADVANTAGE | $18,745.58 | ↑ +901% |
| Independent Living Systems | MEDICARE ADVANTAGE | $18,925.83 | ↑ +911% |
| Wellcare | MEDICARE ADVANTAGE | $19,143.34 | ↑ +923% |
| AETNA | MEDICARE ADVANTAGE | $19,143.34 | ↑ +923% |
| WellMed | MEDICARE ADVANTAGE | $19,143.34 | ↑ +923% |
| DEVOTED HEALTH | Medicare Advantage HMO | $21,057.68 | ↑ +1025% |
| AVMED | EXCHANGE | $28,298.62 | ↑ +1412% |
| AVMED | Select | $31,723.29 | ↑ +1595% |
| AVMED | BROAD | $41,276.33 | ↑ +2105% |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medical Rental | 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 | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Prq av fstl crtj uxtr 1 acs at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $83,891.60 | $257.00 – $109,704.40 |
| Baptist Hospital | MIAMI | $52,691.60 | $173.17 – $72,957.60 |
| Bethesda Hospital East | BOYNTON BEACH | $52,691.60 | $2,280.19 – $72,957.60 |
| Doctors Hospital | CORAL GABLES | $52,691.60 | $2,210.41 – $72,957.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $52,691.60 | $2,210.41 – $72,957.60 |
| Homestead Hospital | HOMESTEAD | $52,691.60 | $167.89 – $72,957.60 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $18,186.18 – $31,950.24 |
| Adventhealth Lake Wales | Lake Wales | not published | $19,143.34 – $42,498.22 |