Removal of skin tags each add'l 10 at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$274.95
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.
$423.00
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.
$9.94 with Optum vs $7,917.00 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $9.94 | ↓ -96% |
| Wellcare | Medicare Advantage | $13.94 | ↓ -95% |
| Value Options | Medicare Advantage | $13.94 | ↓ -95% |
| Careplus | Medicare Advantage | $13.94 | ↓ -95% |
| Magellan | Medicare Advantage | $13.94 | ↓ -95% |
| Avmed | Medicare Advantage | $13.94 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $13.94 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $13.94 | ↓ -95% |
| Wellcare | Managed Medicaid | $14.04 | ↓ -95% |
| Value Options | Managed Medicaid | $14.04 | ↓ -95% |
| Medicaid | Managed Medicaid | $14.04 | ↓ -95% |
| Molina | Managed Medicaid | $14.04 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $14.04 | ↓ -95% |
| Freedom Health | Medicare Advantage | $14.64 | ↓ -95% |
| WellMed | Medicare Advantage | $14.64 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $14.64 | ↓ -95% |
| Clear Spring Health | All Products | $15.06 | ↓ -95% |
| Blue Cross | Health Options | $15.52 | ↓ -94% |
| Blue Cross | Network Blue | $15.91 | ↓ -94% |
| United | Medicare Advantage | $16.26 | ↓ -94% |
| Blue Cross | Traditional (PPS) | $16.29 | ↓ -94% |
| Blue Cross | Perferred Patient Care | $16.29 | ↓ -94% |
| Aetna | Medicare Advantage Behavioral Health | $16.73 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $17.29 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $17.56 | ↓ -94% |
| Clear Spring Health | ALL PRODUCTS | $18.82 | ↓ -93% |
| Cigna | Individual Family Plan Mid-Level | $20.77 | ↓ -92% |
| Cigna | Surefit Mid-Level | $21.16 | ↓ -92% |
| Avmed | Exchange | $21.76 | ↓ -92% |
| Avmed | Select | $22.60 | ↓ -92% |
| Cigna | All Products Mid-Level | $22.86 | ↓ -92% |
| Avmed | Broad | $24.27 | ↓ -91% |
| Cigna | Individual Family Plan Physician | $24.43 | ↓ -91% |
| Cigna | Surefit Physician | $24.90 | ↓ -91% |
| Aetna | POS First Health | $26.39 | ↓ -90% |
| Cigna | All Products Physician | $26.89 | ↓ -90% |
| Aetna | PPO First Health | $29.52 | ↓ -89% |
| United | All Products | $31.67 | ↓ -88% |
| Clarity Health | All Products | $65.00 | ↓ -76% |
| Three Rivers | All Products | $65.00 | ↓ -76% |
| The Legacy Companies | All Products | $65.00 | ↓ -76% |
| Consociate Health | ALL PRODUCTS | $75.00 | ↓ -73% |
| National Provider Network | All Products | $85.00 | ↓ -69% |
| Aetna | All Products First Health | $90.00 | ↓ -67% |
| OPTUM | Managed Medicaid | $98.33 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $99.41 | ↓ -64% |
| AVMED | EXCHANGE | $101.52 | ↓ -63% |
| AVMED | Select | $101.52 | ↓ -63% |
| Carelon BH Strategies | Managed Medicaid | $103.50 | ↓ -62% |
| SUNSHINE HEALTH | Managed Medicaid | $103.50 | ↓ -62% |
| MOLINA | Florida KidCare | $103.50 | ↓ -62% |
| AMERIHEALTH | Managed Medicaid | $103.50 | ↓ -62% |
| Molina | Florida Kidcare | $103.50 | ↓ -62% |
| MOLINA | Managed Medicaid | $108.68 | ↓ -60% |
| CIGNA | Individual Family Plan | $108.71 | ↓ -60% |
| AETNA | Managed Medicaid/CHIP | $113.85 | ↓ -59% |
| Independent Living Systems | Managed Medicaid | $124.20 | ↓ -55% |
| AVMED | BROAD | $131.13 | ↓ -52% |
| CIGNA | SUREFIT | $131.13 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $134.51 | ↓ -51% |
| BMI | ALL PRODUCTS | $211.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $253.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $274.95 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $274.95 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $338.40 | ↑ +23% |
| AETNA | All Products First Health | $338.40 | ↑ +23% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +797% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +797% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +1087% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +1087% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +1365% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +1365% |
| AETNA | QHP | $4,863.00 | ↑ +1669% |
| AETNA | ALL PRODUCTS | $7,917.00 | ↑ +2779% |
| Consociate Health | Transplant | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Removal of skin tags each add'l 10 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $274.95 | $9.94 – $1,595.00 |
| martin north hospital | Stuart | $274.95 | $12.98 – $1,339.00 |
| Boca Raton Regional Hospital | BOCA RATON | $328.25 | $181.80 – $505.00 |
| AdventHealth Orlando | Orlando | $1,242.00 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,234.29 – $1,260.27 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $1,252.97 – $1,279.35 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $1,295.96 – $1,323.24 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $1,345.79 – $1,374.12 |