Removal of shunt at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$11,763.70
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.
$18,098.00
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.
$581.96 with Clear Spring Health vs $14,478.40 with MULTIPLAN — 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 | $581.96 | ↓ -95% |
| OPTUM | Managed Medicaid | $2,290.02 | ↓ -81% |
| Molina | Florida Kidcare | $2,410.55 | ↓ -80% |
| Medicaid | Managed Medicaid | $2,410.55 | ↓ -80% |
| Wellcare | Managed Medicaid | $2,410.55 | ↓ -80% |
| AMERIHEALTH | Managed Medicaid | $2,410.55 | ↓ -80% |
| MOLINA | Florida KidCare | $2,410.55 | ↓ -80% |
| SUNSHINE HEALTH | Managed Medicaid | $2,410.55 | ↓ -80% |
| Carelon BH Strategies | Managed Medicaid | $2,410.55 | ↓ -80% |
| MOLINA | Managed Medicaid | $2,531.08 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP | $2,651.61 | ↓ -77% |
| AETNA | QHP | $2,789.00 | ↓ -76% |
| Independent Living Systems | Managed Medicaid | $2,892.66 | ↓ -75% |
| Freedom Health | MEDICARE ADVANTAGE | $3,159.40 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $3,159.40 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,159.40 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $3,159.40 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $3,159.40 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $3,159.40 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $3,159.40 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $3,285.77 | ↓ -72% |
| WellMed | MEDICARE ADVANTAGE | $3,297.29 | ↓ -72% |
| Wellcare | MEDICARE ADVANTAGE | $3,297.29 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $3,297.29 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,317.37 | ↓ -72% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,627.02 | ↓ -69% |
| BLUE CROSS | HMO | $4,383.00 | ↓ -63% |
| BLUE CROSS | BSL | $4,383.00 | ↓ -63% |
| AETNA | ALL PRODUCTS | $4,542.00 | ↓ -61% |
| CIGNA | Individual Family Plan | $4,651.19 | ↓ -60% |
| AVMED | EXCHANGE | $4,960.25 | ↓ -58% |
| AVMED | Select | $5,560.54 | ↓ -53% |
| CIGNA | SUREFIT | $5,610.38 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $5,755.16 | ↓ -51% |
| BLUE CROSS | NWBI | $5,843.00 | ↓ -50% |
| BLUE CROSS | NWB | $5,843.00 | ↓ -50% |
| UNITED | NHP | $6,386.00 | ↓ -46% |
| AVMED | BROAD | $7,235.02 | ↓ -38% |
| UNITED | ALL PRODUCTS | $7,578.00 | ↓ -36% |
| BLUE CROSS | PPO | $8,031.00 | ↓ -32% |
| BLUE CROSS | PHS | $8,031.00 | ↓ -32% |
| UNITED | International | $8,320.00 | ↓ -29% |
| BMI | ALL PRODUCTS | $9,049.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $10,858.80 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $11,763.70 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $11,763.70 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $13,573.50 | ↑ +15% |
| AETNA | All Products First Health | $14,478.40 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $14,478.40 | ↑ +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 of shunt at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $11,763.70 | $298.65 – $15,383.30 |
| martin north hospital | Stuart | $11,763.70 | $352.88 – $9,049.00 |
| Baptist Hospital | MIAMI | $7,780.50 | $173.17 – $10,773.00 |
| Bethesda Hospital East | BOYNTON BEACH | $7,780.50 | $2,389.48 – $10,773.00 |
| Boca Raton Regional Hospital | BOCA RATON | $5,349.50 | $2,962.80 – $6,223.00 |
| Doctors Hospital | CORAL GABLES | $7,780.50 | $2,094.75 – $10,773.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $7,780.50 | $2,082.78 – $10,773.00 |
| Homestead Hospital | HOMESTEAD | $7,780.50 | $167.89 – $10,773.00 |