Removal of prostate at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$4,056.00
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.
$6,240.00
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.
$658.99 with Molina vs $6,240.00 with Cigna — 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 |
|---|---|---|---|
| Molina | Managed Medicaid | $658.99 | ↓ -84% |
| Medicaid | Managed Medicaid | $658.99 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $658.99 | ↓ -84% |
| Wellcare | Managed Medicaid | $658.99 | ↓ -84% |
| Value Options | Managed Medicaid | $658.99 | ↓ -84% |
| Optum | Managed Medicaid | $732.91 | ↓ -82% |
| Careplus | Medicare Advantage | $835.62 | ↓ -79% |
| Magellan | Medicare Advantage | $835.62 | ↓ -79% |
| Value Options | Medicare Advantage | $835.62 | ↓ -79% |
| Wellcare | Medicare Advantage | $835.62 | ↓ -79% |
| Blue Cross | Medicare Advantage HMO | $835.62 | ↓ -79% |
| Blue Cross | Medicare Advantage PPO | $835.62 | ↓ -79% |
| Avmed | Medicare Advantage | $835.62 | ↓ -79% |
| WellMed | Medicare Advantage | $877.40 | ↓ -78% |
| Freedom Health | Medicare Advantage | $877.40 | ↓ -78% |
| Independent Living Systems | Medicare Advantage | $877.40 | ↓ -78% |
| Blue Cross | Health Options | $877.48 | ↓ -78% |
| United | Medicare Advantage | $881.90 | ↓ -78% |
| Blue Cross | Network Blue | $899.06 | ↓ -78% |
| Clear Spring Health | All Products | $902.47 | ↓ -78% |
| Blue Cross | Perferred Patient Care | $920.63 | ↓ -77% |
| Blue Cross | Traditional (PPS) | $920.63 | ↓ -77% |
| Aetna | Medicare Advantage Behavioral Health | $1,002.74 | ↓ -75% |
| Aetna | Medicare Advantage PCP | $1,036.17 | ↓ -74% |
| Aetna | Medicare Advantage Specialist | $1,052.88 | ↓ -74% |
| Avmed | Exchange | $1,173.25 | ↓ -71% |
| Avmed | Select | $1,218.38 | ↓ -70% |
| Avmed | Broad | $1,308.63 | ↓ -68% |
| Aetna | PPO First Health | $1,487.67 | ↓ -63% |
| United | All Products | $1,707.62 | ↓ -58% |
| Aetna | POS First Health | $2,808.00 | ↓ -31% |
| OPTUM | Managed Medicaid | $2,889.05 | ↓ -29% |
| MOLINA | Florida KidCare | $3,041.11 | ↓ -25% |
| SUNSHINE HEALTH | Managed Medicaid | $3,041.11 | ↓ -25% |
| AMERIHEALTH | Managed Medicaid | $3,041.11 | ↓ -25% |
| Molina | Florida Kidcare | $3,041.11 | ↓ -25% |
| Carelon BH Strategies | Managed Medicaid | $3,041.11 | ↓ -25% |
| MOLINA | Managed Medicaid | $3,193.17 | ↓ -21% |
| AETNA | Managed Medicaid/CHIP | $3,345.22 | ↓ -18% |
| Independent Living Systems | Managed Medicaid | $3,649.33 | ↓ -10% |
| Three Rivers | All Products | $4,056.00 | ↑ +0% |
| Clarity Health | All Products | $4,056.00 | ↑ +0% |
| The Legacy Companies | All Products | $4,056.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $4,680.00 | ↑ +15% |
| National Provider Network | All Products | $5,304.00 | ↑ +31% |
| Aetna | All Products First Health | $5,616.00 | ↑ +38% |
| Cigna | All Products Mid-Level | $6,240.00 | ↑ +54% |
| Cigna | Surefit Physician | $6,240.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $6,240.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $6,240.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $6,240.00 | ↑ +54% |
| Cigna | All Products Physician | $6,240.00 | ↑ +54% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Removal of prostate at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $4,056.00 | $658.99 – $6,240.00 |
| martin north hospital | Stuart | $4,056.00 | $658.99 – $6,240.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $5,648.65 – $5,767.57 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $5,734.16 – $5,854.88 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $5,930.89 – $6,055.75 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $6,158.92 – $6,288.58 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $5,255.19 – $5,531.78 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD | not published | $5,657.59 – $5,955.36 |