Rmvl icd gen w/rplc icd gen mlt lead sys at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$42,838.90
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.
$65,906.00
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.
$197.26 with Optum vs $73,698.55 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 | $197.26 | ↓ -100% |
| AmeriHealth | Managed Medicaid | $304.86 | ↓ -99% |
| Value Options | Managed Medicaid | $304.86 | ↓ -99% |
| Molina | Managed Medicaid | $304.86 | ↓ -99% |
| Wellcare | Managed Medicaid | $304.86 | ↓ -99% |
| Medicaid | Managed Medicaid | $304.86 | ↓ -99% |
| Blue Cross | Health Options | $380.70 | ↓ -99% |
| Blue Cross | Network Blue | $390.07 | ↓ -99% |
| Careplus | Medicare Advantage | $398.06 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $398.06 | ↓ -99% |
| Wellcare | Medicare Advantage | $398.06 | ↓ -99% |
| Value Options | Medicare Advantage | $398.06 | ↓ -99% |
| Magellan | Medicare Advantage | $398.06 | ↓ -99% |
| Avmed | Medicare Advantage | $398.06 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $398.06 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $399.43 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $399.43 | ↓ -99% |
| WellMed | Medicare Advantage | $417.96 | ↓ -99% |
| Freedom Health | Medicare Advantage | $417.96 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $417.96 | ↓ -99% |
| United | Medicare Advantage | $422.06 | ↓ -99% |
| Clear Spring Health | All Products | $429.90 | ↓ -99% |
| Aetna | Medicare Advantage Behavioral Health | $477.67 | ↓ -99% |
| Clear Spring Health | ALL PRODUCTS | $478.83 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $493.59 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $501.56 | ↓ -99% |
| Avmed | Exchange | $563.68 | ↓ -99% |
| Avmed | Select | $585.36 | ↓ -99% |
| Avmed | Broad | $628.72 | ↓ -99% |
| Aetna | PPO First Health | $667.01 | ↓ -98% |
| United | All Products | $820.41 | ↓ -98% |
| Aetna | POS First Health | $1,143.00 | ↓ -97% |
| Three Rivers | All Products | $1,651.00 | ↓ -96% |
| Clarity Health | All Products | $1,651.00 | ↓ -96% |
| The Legacy Companies | All Products | $1,651.00 | ↓ -96% |
| Consociate Health | ALL PRODUCTS | $1,905.00 | ↓ -96% |
| National Provider Network | All Products | $2,159.00 | ↓ -95% |
| Aetna | All Products First Health | $2,286.00 | ↓ -95% |
| Cigna | Surefit Physician | $2,540.00 | ↓ -94% |
| Cigna | All Products Mid-Level | $2,540.00 | ↓ -94% |
| Cigna | Individual Family Plan Physician | $2,540.00 | ↓ -94% |
| Cigna | Surefit Mid-Level | $2,540.00 | ↓ -94% |
| Cigna | All Products Physician | $2,540.00 | ↓ -94% |
| Cigna | Individual Family Plan Mid-Level | $2,540.00 | ↓ -94% |
| AETNA | QHP | $4,863.00 | ↓ -89% |
| AETNA | ALL PRODUCTS | $7,917.00 | ↓ -82% |
| OPTUM | Managed Medicaid | $13,248.30 | ↓ -69% |
| SUNSHINE HEALTH | Managed Medicaid | $13,945.58 | ↓ -67% |
| Carelon BH Strategies | Managed Medicaid | $13,945.58 | ↓ -67% |
| MOLINA | Florida KidCare | $13,945.58 | ↓ -67% |
| Molina | Florida Kidcare | $13,945.58 | ↓ -67% |
| AMERIHEALTH | Managed Medicaid | $13,945.58 | ↓ -67% |
| MOLINA | Managed Medicaid | $14,642.86 | ↓ -66% |
| AETNA | Managed Medicaid/CHIP | $15,340.14 | ↓ -64% |
| Independent Living Systems | Managed Medicaid | $16,734.70 | ↓ -61% |
| CIGNA | Individual Family Plan | $16,937.84 | ↓ -60% |
| CIGNA | SUREFIT | $20,430.86 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $20,958.11 | ↓ -51% |
| UNITED | NHP | $25,171.00 | ↓ -41% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $32,182.77 | ↓ -25% |
| Freedom Health | MEDICARE ADVANTAGE | $32,182.77 | ↓ -25% |
| Careplus | MEDICARE ADVANTAGE | $32,182.77 | ↓ -25% |
| UNITED | MEDICARE ADVANTAGE | $32,182.77 | ↓ -25% |
| BLUE CROSS | Medicare Advantage PPO | $32,182.77 | ↓ -25% |
| BLUE CROSS | Medicare Advantage HMO | $32,182.77 | ↓ -25% |
| HUMANA | Medicare Advantage HMO | $32,182.77 | ↓ -25% |
| AETNA | MEDICARE ADVANTAGE | $32,778.73 | ↓ -23% |
| Wellcare | MEDICARE ADVANTAGE | $32,778.73 | ↓ -23% |
| WellMed | MEDICARE ADVANTAGE | $32,778.73 | ↓ -23% |
| UNITED | International | $32,797.00 | ↓ -23% |
| BMI | ALL PRODUCTS | $32,953.00 | ↓ -23% |
| AVMED | MEDICARE ADVANTAGE | $33,470.08 | ↓ -22% |
| Independent Living Systems | MEDICARE ADVANTAGE | $33,791.91 | ↓ -21% |
| DEVOTED HEALTH | Medicare Advantage HMO | $36,056.60 | ↓ -16% |
| MAGELLAN | ALL PRODUCTS | $39,543.60 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $42,838.90 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $42,838.90 | ↑ +0% |
| AVMED | EXCHANGE | $50,526.95 | ↑ +18% |
| AETNA | All Products First Health | $52,724.80 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $52,724.80 | ↑ +23% |
| AVMED | Select | $56,641.68 | ↑ +32% |
| UNITED | ALL PRODUCTS | $67,311.00 | ↑ +57% |
| AVMED | BROAD | $73,698.55 | ↑ +72% |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen mlt lead sys at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $103,893.83 | $31,139.80 – $54,707.70 |
| Adventhealth Palm Coast Parkway | Palm Coast | $116,504.64 | not published |
| Adventhealth Tampa | Tampa | $77,751.98 | $32,778.73 – $72,768.78 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $40,789.17 | $31,139.80 – $71,605.14 |
| Adventhealth Port Charlotte | Port Charlotte | $73,864.38 | $32,778.73 – $59,853.96 |
| cleveland clinic florida weston hospital | Weston | $42,838.90 | $197.26 – $56,020.10 |
| martin north hospital | Stuart | $42,838.90 | $304.86 – $36,056.60 |
| Baptist Hospital | MIAMI | $29,779.75 | $173.17 – $41,233.50 |