Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$51.35
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.
$79.00
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.
$12.05 with Blue Cross vs $1,565.82 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 |
|---|---|---|---|
| Blue Cross | Health Options | $12.05 | ↓ -77% |
| Blue Cross | Network Blue | $12.35 | ↓ -76% |
| United | Medicare Advantage | $12.53 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $12.65 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $12.65 | ↓ -75% |
| Careplus | Medicare Advantage | $13.11 | ↓ -74% |
| Blue Cross | Medicare Advantage HMO | $13.11 | ↓ -74% |
| Wellcare | Medicare Advantage | $13.11 | ↓ -74% |
| Blue Cross | Medicare Advantage PPO | $13.11 | ↓ -74% |
| Avmed | Medicare Advantage | $13.11 | ↓ -74% |
| Value Options | Medicare Advantage | $13.11 | ↓ -74% |
| Magellan | Medicare Advantage | $13.11 | ↓ -74% |
| Independent Living Systems | Medicare Advantage | $13.16 | ↓ -74% |
| WellMed | Medicare Advantage | $13.77 | ↓ -73% |
| Freedom Health | Medicare Advantage | $13.77 | ↓ -73% |
| Clear Spring Health | All Products | $14.16 | ↓ -72% |
| Avmed | Exchange | $15.47 | ↓ -70% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $15.57 | ↓ -70% |
| HUMANA | Medicare Advantage HMO | $15.57 | ↓ -70% |
| BLUE CROSS | Medicare Advantage HMO | $15.57 | ↓ -70% |
| UNITED | MEDICARE ADVANTAGE | $15.57 | ↓ -70% |
| BLUE CROSS | Medicare Advantage PPO | $15.57 | ↓ -70% |
| Careplus | MEDICARE ADVANTAGE | $15.57 | ↓ -70% |
| Freedom Health | MEDICARE ADVANTAGE | $15.57 | ↓ -70% |
| Aetna | Medicare Advantage Behavioral Health | $15.73 | ↓ -69% |
| AETNA | MEDICARE ADVANTAGE | $16.00 | ↓ -69% |
| Wellcare | MEDICARE ADVANTAGE | $16.00 | ↓ -69% |
| AETNA | QHP | $16.00 | ↓ -69% |
| AETNA | NAP | $16.00 | ↓ -69% |
| WellMed | MEDICARE ADVANTAGE | $16.00 | ↓ -69% |
| Avmed | Select | $16.07 | ↓ -69% |
| AVMED | MEDICARE ADVANTAGE | $16.19 | ↓ -68% |
| Aetna | Medicare Advantage PCP | $16.26 | ↓ -68% |
| Independent Living Systems | MEDICARE ADVANTAGE | $16.35 | ↓ -68% |
| Aetna | Medicare Advantage Specialist | $16.52 | ↓ -68% |
| Avmed | Broad | $17.26 | ↓ -66% |
| Clear Spring Health | ALL PRODUCTS | $17.28 | ↓ -66% |
| DEVOTED HEALTH | Medicare Advantage HMO | $17.60 | ↓ -66% |
| OPTUM | Managed Medicaid | $17.96 | ↓ -65% |
| Carelon BH Strategies | Managed Medicaid | $18.91 | ↓ -63% |
| MOLINA | Florida KidCare | $18.91 | ↓ -63% |
| AMERIHEALTH | Managed Medicaid | $18.91 | ↓ -63% |
| Medicaid | Managed Medicaid | $18.91 | ↓ -63% |
| Molina | Florida Kidcare | $18.91 | ↓ -63% |
| SUNSHINE HEALTH | Managed Medicaid | $18.91 | ↓ -63% |
| Wellcare | Managed Medicaid | $18.91 | ↓ -63% |
| MOLINA | Managed Medicaid | $19.86 | ↓ -61% |
| United | All Products | $20.69 | ↓ -60% |
| AETNA | Managed Medicaid/CHIP | $20.80 | ↓ -59% |
| Independent Living Systems | Managed Medicaid | $22.69 | ↓ -56% |
| CIGNA | Individual Family Plan | $22.93 | ↓ -55% |
| CIGNA | SUREFIT | $27.76 | ↓ -46% |
| CIGNA | ALL PRODUCTS | $29.03 | ↓ -43% |
| Aetna | POS First Health | $35.55 | ↓ -31% |
| AETNA | ALL PRODUCTS | $37.92 | ↓ -26% |
| The Legacy Companies | All Products | $51.35 | ↑ +0% |
| Clarity Health | All Products | $51.35 | ↑ +0% |
| Three Rivers | All Products | $51.35 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $59.25 | ↑ +15% |
| National Provider Network | All Products | $67.15 | ↑ +31% |
| Aetna | All Products First Health | $71.10 | ↑ +38% |
| Cigna | All Products Physician | $79.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $79.00 | ↑ +54% |
| Cigna | Surefit Physician | $79.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $79.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $79.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $79.00 | ↑ +54% |
| Aetna | PPO First Health | $1,565.82 | ↑ +2949% |
| Magellan | Summit | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| 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 | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $51.35 | $11.26 – $79.00 |
| martin north hospital | Stuart | $117.65 | $10.08 – $90.50 |
| Boca Raton Regional Hospital | BOCA RATON | $126.10 | $13.04 – $194.00 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $55.50 | $30.18 – $30.18 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $60.00 | $85.00 – $85.00 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | $434.90 | $11.07 – $18.82 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | $192.00 | $11.07 – $16.05 |
| OVIEDO MEDICAL CENTER | Oviedo | $177.36 | $11.07 – $16.05 |