Psy/npsy phys/qhp 2> tst 1st 30 min at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$157.30
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.
?
What you pay up front if you don't use insurance.
$242.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$17.41 with Optum vs $473.26 with Independent Living Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $17.41 | ↓ -89% |
| Wellcare | Medicare Advantage | $22.06 | ↓ -86% |
| Value Options | Medicare Advantage | $22.06 | ↓ -86% |
| Careplus | Medicare Advantage | $22.06 | ↓ -86% |
| Magellan | Medicare Advantage | $22.06 | ↓ -86% |
| Blue Cross | Medicare Advantage HMO | $22.06 | ↓ -86% |
| Blue Cross | Medicare Advantage PPO | $22.06 | ↓ -86% |
| Avmed | Medicare Advantage | $22.06 | ↓ -86% |
| WellMed | Medicare Advantage | $23.16 | ↓ -85% |
| Independent Living Systems | Medicare Advantage | $23.16 | ↓ -85% |
| Freedom Health | Medicare Advantage | $23.16 | ↓ -85% |
| United | Medicare Advantage | $23.38 | ↓ -85% |
| Clear Spring Health | All Products | $23.82 | ↓ -85% |
| Aetna | Medicare Advantage Behavioral Health | $26.47 | ↓ -83% |
| Aetna | Medicare Advantage PCP | $27.35 | ↓ -83% |
| Aetna | Medicare Advantage Specialist | $27.80 | ↓ -82% |
| Avmed | Exchange | $30.51 | ↓ -81% |
| Avmed | Select | $31.68 | ↓ -80% |
| Value Options | Managed Medicaid | $32.17 | ↓ -80% |
| Medicaid | Managed Medicaid | $32.17 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $32.17 | ↓ -80% |
| Wellcare | Managed Medicaid | $32.17 | ↓ -80% |
| Molina | Managed Medicaid | $32.17 | ↓ -80% |
| Avmed | Broad | $34.03 | ↓ -78% |
| Magellan | Summit | $35.00 | ↓ -78% |
| Aetna | POS First Health | $37.27 | ↓ -76% |
| Magellan | Pinnacle | $37.58 | ↓ -76% |
| United | All Products | $40.80 | ↓ -74% |
| Cigna | Individual Family Plan Mid-Level | $51.18 | ↓ -67% |
| Cigna | Surefit Mid-Level | $52.16 | ↓ -67% |
| Cigna | All Products Mid-Level | $56.33 | ↓ -64% |
| Cigna | Individual Family Plan Physician | $60.21 | ↓ -62% |
| Cigna | Surefit Physician | $61.36 | ↓ -61% |
| Cigna | All Products Physician | $66.26 | ↓ -58% |
| Aetna | PPO First Health | $70.05 | ↓ -55% |
| HUMANA | Medicare Advantage HMO | $129.39 | ↓ -18% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $129.39 | ↓ -18% |
| Careplus | MEDICARE ADVANTAGE | $129.39 | ↓ -18% |
| Freedom Health | MEDICARE ADVANTAGE | $129.39 | ↓ -18% |
| UNITED | MEDICARE ADVANTAGE | $129.39 | ↓ -18% |
| BLUE CROSS | Medicare Advantage HMO | $129.39 | ↓ -18% |
| BLUE CROSS | Medicare Advantage PPO | $129.39 | ↓ -18% |
| AVMED | MEDICARE ADVANTAGE | $134.56 | ↓ -14% |
| Independent Living Systems | MEDICARE ADVANTAGE | $135.86 | ↓ -14% |
| WellMed | MEDICARE ADVANTAGE | $138.94 | ↓ -12% |
| Wellcare | MEDICARE ADVANTAGE | $138.94 | ↓ -12% |
| AETNA | MEDICARE ADVANTAGE | $138.94 | ↓ -12% |
| DEVOTED HEALTH | Medicare Advantage HMO | $152.83 | ↓ -3% |
| Three Rivers | All Products | $157.30 | ↑ +0% |
| Clarity Health | All Products | $157.30 | ↑ +0% |
| The Legacy Companies | All Products | $157.30 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $181.50 | ↑ +15% |
| AVMED | EXCHANGE | $203.14 | ↑ +29% |
| National Provider Network | All Products | $205.70 | ↑ +31% |
| Aetna | All Products First Health | $217.80 | ↑ +38% |
| AVMED | Select | $227.72 | ↑ +45% |
| AVMED | BROAD | $296.30 | ↑ +88% |
| OPTUM | Managed Medicaid | $374.66 | ↑ +138% |
| SUNSHINE HEALTH | Managed Medicaid | $394.38 | ↑ +151% |
| MOLINA | Florida KidCare | $394.38 | ↑ +151% |
| AMERIHEALTH | Managed Medicaid | $394.38 | ↑ +151% |
| Molina | Florida Kidcare | $394.38 | ↑ +151% |
| Carelon BH Strategies | Managed Medicaid | $394.38 | ↑ +151% |
| MOLINA | Managed Medicaid | $414.10 | ↑ +163% |
| AETNA | Managed Medicaid/CHIP | $433.82 | ↑ +176% |
| Independent Living Systems | Managed Medicaid | $473.26 | ↑ +201% |
| Aetna | All Products Specialist | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
Visitor-reported prices
Comments
Psy/npsy phys/qhp 2> tst 1st 30 min at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $314.60 | $17.41 – $411.40 |
| martin north hospital | Stuart | $314.60 | $22.06 – $414.10 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $131.99 – $231.89 |
| Adventhealth Lake Wales | Lake Wales | not published | $138.94 – $308.45 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $131.99 – $296.76 |
| Adventhealth Tampa | Tampa | not published | $138.94 – $308.45 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $131.99 – $303.51 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $14.40 – $14.71 |