Removal of intranasal lesion at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,016.60
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.
$1,564.00
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.
$168.64 with Optum vs $7,454.70 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 | $168.64 | ↓ -83% |
| Blue Cross | Health Options | $315.06 | ↓ -69% |
| Blue Cross | Network Blue | $322.80 | ↓ -68% |
| Blue Cross | Traditional (PPS) | $330.55 | ↓ -67% |
| Blue Cross | Perferred Patient Care | $330.55 | ↓ -67% |
| Wellcare | Medicare Advantage | $394.20 | ↓ -61% |
| Blue Cross | Medicare Advantage HMO | $394.20 | ↓ -61% |
| Careplus | Medicare Advantage | $394.20 | ↓ -61% |
| Avmed | Medicare Advantage | $394.20 | ↓ -61% |
| Magellan | Medicare Advantage | $394.20 | ↓ -61% |
| Value Options | Medicare Advantage | $394.20 | ↓ -61% |
| Blue Cross | Medicare Advantage PPO | $394.20 | ↓ -61% |
| United | Medicare Advantage | $413.24 | ↓ -59% |
| Independent Living Systems | Medicare Advantage | $413.91 | ↓ -59% |
| WellMed | Medicare Advantage | $413.91 | ↓ -59% |
| Freedom Health | Medicare Advantage | $413.91 | ↓ -59% |
| Clear Spring Health | All Products | $425.74 | ↓ -58% |
| Aetna | Medicare Advantage Behavioral Health | $473.04 | ↓ -53% |
| Aetna | Medicare Advantage PCP | $488.81 | ↓ -52% |
| Aetna | Medicare Advantage Specialist | $496.69 | ↓ -51% |
| Aetna | POS First Health | $514.14 | ↓ -49% |
| Avmed | Exchange | $558.88 | ↓ -45% |
| Avmed | Select | $580.38 | ↓ -43% |
| Avmed | Broad | $623.37 | ↓ -39% |
| Wellcare | Managed Medicaid | $732.53 | ↓ -28% |
| Molina | Managed Medicaid | $732.53 | ↓ -28% |
| Medicaid | Managed Medicaid | $732.53 | ↓ -28% |
| Value Options | Managed Medicaid | $732.53 | ↓ -28% |
| AmeriHealth | Managed Medicaid | $732.53 | ↓ -28% |
| United | All Products | $813.43 | ↓ -20% |
| The Legacy Companies | All Products | $1,016.60 | ↑ +0% |
| Clarity Health | All Products | $1,016.60 | ↑ +0% |
| Three Rivers | All Products | $1,016.60 | ↑ +0% |
| Cigna | Individual Family Plan Mid-Level | $1,054.95 | ↑ +4% |
| Cigna | Surefit Mid-Level | $1,075.10 | ↑ +6% |
| Cigna | All Products Mid-Level | $1,161.28 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $1,173.00 | ↑ +15% |
| Cigna | Individual Family Plan Physician | $1,241.23 | ↑ +22% |
| Cigna | Surefit Physician | $1,264.90 | ↑ +24% |
| National Provider Network | All Products | $1,329.40 | ↑ +31% |
| Aetna | PPO First Health | $1,350.96 | ↑ +33% |
| Cigna | All Products Physician | $1,366.21 | ↑ +34% |
| Aetna | All Products First Health | $1,407.60 | ↑ +38% |
| OPTUM | Managed Medicaid | $1,634.08 | ↑ +61% |
| MOLINA | Florida KidCare | $1,720.08 | ↑ +69% |
| AMERIHEALTH | Managed Medicaid | $1,720.08 | ↑ +69% |
| Carelon BH Strategies | Managed Medicaid | $1,720.08 | ↑ +69% |
| Molina | Florida Kidcare | $1,720.08 | ↑ +69% |
| SUNSHINE HEALTH | Managed Medicaid | $1,720.08 | ↑ +69% |
| MOLINA | Managed Medicaid | $1,806.08 | ↑ +78% |
| AETNA | Managed Medicaid/CHIP | $1,892.09 | ↑ +86% |
| Independent Living Systems | Managed Medicaid | $2,064.10 | ↑ +103% |
| Freedom Health | MEDICARE ADVANTAGE | $3,255.33 | ↑ +220% |
| Careplus | MEDICARE ADVANTAGE | $3,255.33 | ↑ +220% |
| BLUE CROSS | Medicare Advantage HMO | $3,255.33 | ↑ +220% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,255.33 | ↑ +220% |
| UNITED | MEDICARE ADVANTAGE | $3,255.33 | ↑ +220% |
| BLUE CROSS | Medicare Advantage PPO | $3,255.33 | ↑ +220% |
| HUMANA | Medicare Advantage HMO | $3,255.33 | ↑ +220% |
| AVMED | MEDICARE ADVANTAGE | $3,385.54 | ↑ +233% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,418.10 | ↑ +236% |
| WellMed | MEDICARE ADVANTAGE | $3,462.26 | ↑ +241% |
| AETNA | MEDICARE ADVANTAGE | $3,462.26 | ↑ +241% |
| Wellcare | MEDICARE ADVANTAGE | $3,462.26 | ↑ +241% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,808.49 | ↑ +275% |
| AVMED | EXCHANGE | $5,110.87 | ↑ +403% |
| AVMED | Select | $5,729.38 | ↑ +464% |
| AVMED | BROAD | $7,454.70 | ↑ +633% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
Visitor-reported prices
Comments
Removal of intranasal lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $12,121.20 | $168.64 – $15,850.80 |
| martin north hospital | Stuart | $12,121.20 | $263.41 – $9,324.00 |
| AdventHealth Orlando | Orlando | $11,456.00 | $3,462.26 – $9,175.00 |
| Adventhealth Carrollwood | Tampa | $30,746.36 | $614.00 – $7,686.23 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,289.15 – $5,778.52 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $7,686.23 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $538.65 – $549.99 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,462.26 – $6,322.09 |