Replace tunneled cv cath at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$855.40
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.
$1,316.00
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.
$98.31 with Optum vs $7,235.02 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 | $98.31 | ↓ -89% |
| Blue Cross | Health Options | $205.46 | ↓ -76% |
| Careplus | Medicare Advantage | $208.41 | ↓ -76% |
| Avmed | Medicare Advantage | $208.41 | ↓ -76% |
| Magellan | Medicare Advantage | $208.41 | ↓ -76% |
| Blue Cross | Medicare Advantage HMO | $208.41 | ↓ -76% |
| Value Options | Medicare Advantage | $208.41 | ↓ -76% |
| Wellcare | Medicare Advantage | $208.41 | ↓ -76% |
| Blue Cross | Medicare Advantage PPO | $208.41 | ↓ -76% |
| United | Medicare Advantage | $209.31 | ↓ -76% |
| Blue Cross | Network Blue | $210.51 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $215.56 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $215.56 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $218.83 | ↓ -74% |
| WellMed | Medicare Advantage | $218.83 | ↓ -74% |
| Freedom Health | Medicare Advantage | $218.83 | ↓ -74% |
| Clear Spring Health | All Products | $225.08 | ↓ -74% |
| Aetna | Medicare Advantage Behavioral Health | $250.09 | ↓ -71% |
| Aetna | Medicare Advantage PCP | $258.43 | ↓ -70% |
| Aetna | Medicare Advantage Specialist | $262.60 | ↓ -69% |
| Avmed | Exchange | $283.18 | ↓ -67% |
| Medicaid | Managed Medicaid | $290.30 | ↓ -66% |
| Molina | Managed Medicaid | $290.30 | ↓ -66% |
| Value Options | Managed Medicaid | $290.30 | ↓ -66% |
| AmeriHealth | Managed Medicaid | $290.30 | ↓ -66% |
| Wellcare | Managed Medicaid | $290.30 | ↓ -66% |
| Avmed | Select | $294.07 | ↓ -66% |
| Avmed | Broad | $315.85 | ↓ -63% |
| Aetna | POS First Health | $324.53 | ↓ -62% |
| United | All Products | $412.16 | ↓ -52% |
| OPTUM | Managed Medicaid | $451.37 | ↓ -47% |
| Carelon BH Strategies | Managed Medicaid | $475.13 | ↓ -44% |
| AMERIHEALTH | Managed Medicaid | $475.13 | ↓ -44% |
| MOLINA | Florida KidCare | $475.13 | ↓ -44% |
| SUNSHINE HEALTH | Managed Medicaid | $475.13 | ↓ -44% |
| Molina | Florida Kidcare | $475.13 | ↓ -44% |
| MOLINA | Managed Medicaid | $498.89 | ↓ -42% |
| AETNA | Managed Medicaid/CHIP | $522.64 | ↓ -39% |
| Independent Living Systems | Managed Medicaid | $570.16 | ↓ -33% |
| Cigna | Individual Family Plan Mid-Level | $678.55 | ↓ -21% |
| Cigna | Surefit Mid-Level | $691.53 | ↓ -19% |
| Aetna | PPO First Health | $698.98 | ↓ -18% |
| Cigna | All Products Mid-Level | $746.77 | ↓ -13% |
| Cigna | Individual Family Plan Physician | $798.28 | ↓ -7% |
| Cigna | Surefit Physician | $813.55 | ↓ -5% |
| The Legacy Companies | All Products | $855.40 | ↑ +0% |
| Clarity Health | All Products | $855.40 | ↑ +0% |
| Three Rivers | All Products | $855.40 | ↑ +0% |
| Cigna | All Products Physician | $878.55 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $987.00 | ↑ +15% |
| National Provider Network | All Products | $1,118.60 | ↑ +31% |
| Aetna | All Products First Health | $1,184.40 | ↑ +38% |
| HUMANA | Medicare Advantage HMO | $3,159.40 | ↑ +269% |
| Freedom Health | MEDICARE ADVANTAGE | $3,159.40 | ↑ +269% |
| UNITED | MEDICARE ADVANTAGE | $3,159.40 | ↑ +269% |
| Careplus | MEDICARE ADVANTAGE | $3,159.40 | ↑ +269% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,159.40 | ↑ +269% |
| BLUE CROSS | Medicare Advantage PPO | $3,159.40 | ↑ +269% |
| BLUE CROSS | Medicare Advantage HMO | $3,159.40 | ↑ +269% |
| AVMED | MEDICARE ADVANTAGE | $3,285.77 | ↑ +284% |
| WellMed | MEDICARE ADVANTAGE | $3,297.29 | ↑ +285% |
| AETNA | MEDICARE ADVANTAGE | $3,297.29 | ↑ +285% |
| Wellcare | MEDICARE ADVANTAGE | $3,297.29 | ↑ +285% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,317.37 | ↑ +288% |
| DEVOTED HEALTH | Medicare Advantage HMO | $3,627.02 | ↑ +324% |
| AVMED | EXCHANGE | $4,960.25 | ↑ +480% |
| AVMED | Select | $5,560.54 | ↑ +550% |
| AVMED | BROAD | $7,235.02 | ↑ +746% |
| Value Options | All Products | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Replace tunneled cv cath at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $14,704.95 | $98.31 – $19,229.55 |
| martin north hospital | Stuart | $14,704.95 | $171.78 – $11,311.50 |
| Baptist Hospital | MIAMI | $2,373.80 | $173.17 – $3,692.97 |
| Bethesda Hospital East | BOYNTON BEACH | $2,373.80 | $468.04 – $3,429.18 |
| Doctors Hospital | CORAL GABLES | $2,373.80 | $453.72 – $3,692.97 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $2,373.80 | $453.72 – $3,627.02 |
| Homestead Hospital | HOMESTEAD | $2,373.80 | $167.89 – $3,627.02 |
| West Kendall Baptist Hospital | MIAMI | $2,373.80 | $453.72 – $3,692.97 |