Revasc lith-sten-ath tib/per at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$31,556.85
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.
$48,549.00
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.
$5,359.00 with AETNA vs $41,276.33 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 |
|---|---|---|---|
| AETNA | QHP | $5,359.00 | ↓ -83% |
| OPTUM | Managed Medicaid | $6,649.91 | ↓ -79% |
| MOLINA | Florida KidCare | $6,999.90 | ↓ -78% |
| Carelon BH Strategies | Managed Medicaid | $6,999.90 | ↓ -78% |
| Wellcare | Managed Medicaid | $6,999.90 | ↓ -78% |
| Molina | Florida Kidcare | $6,999.90 | ↓ -78% |
| SUNSHINE HEALTH | Managed Medicaid | $6,999.90 | ↓ -78% |
| Medicaid | Managed Medicaid | $6,999.90 | ↓ -78% |
| AMERIHEALTH | Managed Medicaid | $6,999.90 | ↓ -78% |
| MOLINA | Managed Medicaid | $7,349.90 | ↓ -77% |
| AETNA | Managed Medicaid/CHIP | $7,699.89 | ↓ -76% |
| Independent Living Systems | Managed Medicaid | $8,399.88 | ↓ -73% |
| AETNA | ALL PRODUCTS | $8,724.00 | ↓ -72% |
| CIGNA | Individual Family Plan | $12,477.09 | ↓ -60% |
| CIGNA | SUREFIT | $15,050.19 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $15,438.58 | ↓ -51% |
| UNITED | NHP | $15,469.00 | ↓ -51% |
| BLUE CROSS | Medicare Advantage HMO | $18,024.60 | ↓ -43% |
| UNITED | MEDICARE ADVANTAGE | $18,024.60 | ↓ -43% |
| Freedom Health | MEDICARE ADVANTAGE | $18,024.60 | ↓ -43% |
| Careplus | MEDICARE ADVANTAGE | $18,024.60 | ↓ -43% |
| HUMANA | Medicare Advantage HMO | $18,024.60 | ↓ -43% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $18,024.60 | ↓ -43% |
| BLUE CROSS | Medicare Advantage PPO | $18,024.60 | ↓ -43% |
| UNITED | ALL PRODUCTS | $18,361.00 | ↓ -42% |
| AVMED | MEDICARE ADVANTAGE | $18,745.58 | ↓ -41% |
| Independent Living Systems | MEDICARE ADVANTAGE | $18,925.83 | ↓ -40% |
| WellMed | MEDICARE ADVANTAGE | $19,143.34 | ↓ -39% |
| AETNA | MEDICARE ADVANTAGE | $19,143.34 | ↓ -39% |
| Wellcare | MEDICARE ADVANTAGE | $19,143.34 | ↓ -39% |
| UNITED | International | $20,156.00 | ↓ -36% |
| DEVOTED HEALTH | Medicare Advantage HMO | $21,057.68 | ↓ -33% |
| BMI | ALL PRODUCTS | $24,274.50 | ↓ -23% |
| AVMED | EXCHANGE | $28,298.62 | ↓ -10% |
| MAGELLAN | ALL PRODUCTS | $29,129.40 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $31,556.85 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $31,556.85 | ↑ +0% |
| AVMED | Select | $31,723.29 | ↑ +1% |
| Consociate Health | ALL PRODUCTS | $36,411.75 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $38,839.20 | ↑ +23% |
| AETNA | All Products First Health | $38,839.20 | ↑ +23% |
| AVMED | BROAD | $41,276.33 | ↑ +31% |
| BLUE CROSS | BSL | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
Visitor-reported prices
Comments
Revasc lith-sten-ath tib/per at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $92,656.53 | $19,143.34 – $42,498.22 |
| cleveland clinic florida weston hospital | Weston | $31,556.85 | $2,345.00 – $41,266.65 |
| martin north hospital | Stuart | $31,556.85 | $6,289.00 – $36,411.75 |
| Baptist Hospital | MIAMI | $52,478.40 | $173.17 – $72,662.40 |
| Bethesda Hospital East | BOYNTON BEACH | $52,478.40 | $6,960.73 – $72,662.40 |
| Doctors Hospital | CORAL GABLES | $52,478.40 | $6,747.69 – $72,662.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $52,478.40 | $6,747.69 – $72,662.40 |
| Homestead Hospital | HOMESTEAD | $52,478.40 | $167.89 – $72,662.40 |