Removal cerclage w/anes at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$10,333.70
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.
$15,898.00
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.
$167.91 with Clear Spring Health vs $12,718.40 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 |
|---|---|---|---|
| Clear Spring Health | ALL PRODUCTS | $167.91 | ↓ -98% |
| OPTUM | Managed Medicaid | $1,188.74 | ↓ -88% |
| Medicaid | Managed Medicaid | $1,251.31 | ↓ -88% |
| Molina | Florida Kidcare | $1,251.31 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $1,251.31 | ↓ -88% |
| MOLINA | Florida KidCare | $1,251.31 | ↓ -88% |
| Wellcare | Managed Medicaid | $1,251.31 | ↓ -88% |
| Carelon BH Strategies | Managed Medicaid | $1,251.31 | ↓ -88% |
| SUNSHINE HEALTH | Managed Medicaid | $1,251.31 | ↓ -88% |
| MOLINA | Managed Medicaid | $1,313.88 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $1,376.44 | ↓ -87% |
| Independent Living Systems | Managed Medicaid | $1,501.57 | ↓ -85% |
| Freedom Health | MEDICARE ADVANTAGE | $3,191.55 | ↓ -69% |
| BLUE CROSS | Medicare Advantage HMO | $3,191.55 | ↓ -69% |
| BLUE CROSS | Medicare Advantage PPO | $3,191.55 | ↓ -69% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,191.55 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $3,191.55 | ↓ -69% |
| Careplus | MEDICARE ADVANTAGE | $3,191.55 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $3,191.55 | ↓ -69% |
| AVMED | MEDICARE ADVANTAGE | $3,319.21 | ↓ -68% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,351.13 | ↓ -68% |
| WellMed | MEDICARE ADVANTAGE | $3,380.46 | ↓ -67% |
| Wellcare | MEDICARE ADVANTAGE | $3,380.46 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $3,380.46 | ↓ -67% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,718.51 | ↓ -64% |
| CIGNA | Individual Family Plan | $4,085.79 | ↓ -60% |
| CIGNA | SUREFIT | $4,928.38 | ↓ -52% |
| AVMED | EXCHANGE | $5,010.73 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $5,055.56 | ↓ -51% |
| BLUE CROSS | BSL | $5,233.00 | ↓ -49% |
| BLUE CROSS | HMO | $5,233.00 | ↓ -49% |
| AVMED | Select | $5,617.13 | ↓ -46% |
| UNITED | NHP | $6,386.00 | ↓ -38% |
| BLUE CROSS | NWB | $6,391.00 | ↓ -38% |
| BLUE CROSS | NWBI | $6,391.00 | ↓ -38% |
| AETNA | QHP | $6,535.00 | ↓ -37% |
| AVMED | BROAD | $7,308.65 | ↓ -29% |
| UNITED | ALL PRODUCTS | $7,578.00 | ↓ -27% |
| BMI | ALL PRODUCTS | $7,949.00 | ↓ -23% |
| UNITED | International | $8,320.00 | ↓ -19% |
| BLUE CROSS | PHS | $8,858.00 | ↓ -14% |
| BLUE CROSS | PPO | $8,858.00 | ↓ -14% |
| MAGELLAN | ALL PRODUCTS | $9,538.80 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $10,333.70 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $10,333.70 | ↑ +0% |
| AETNA | ALL PRODUCTS | $10,638.00 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $11,923.50 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $12,718.40 | ↑ +23% |
| AETNA | All Products First Health | $12,718.40 | ↑ +23% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Removal cerclage w/anes at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $10,333.70 | $102.39 – $7,949.00 |
| Boca Raton Regional Hospital | BOCA RATON | $4,457.70 | $476.00 – $4,478.27 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO | $13,803.70 | $26.92 – $28.34 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,211.44 – $5,641.99 |
| Adventhealth Tampa | Tampa | not published | $863.00 – $7,504.63 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,211.44 – $7,384.62 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $26.88 – $27.45 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,380.46 – $6,172.72 |