Rmvl icd pulse gen only at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$17,002.70
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.
$26,158.00
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.
$157.74 with Optum vs $20,926.40 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $157.74 | ↓ -99% |
| Medicaid | Managed Medicaid | $163.41 | ↓ -99% |
| Value Options | Managed Medicaid | $163.41 | ↓ -99% |
| Molina | Managed Medicaid | $163.41 | ↓ -99% |
| Wellcare | Managed Medicaid | $163.41 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $163.41 | ↓ -99% |
| Blue Cross | Health Options | $215.34 | ↓ -99% |
| Avmed | Medicare Advantage | $218.69 | ↓ -99% |
| Wellcare | Medicare Advantage | $218.69 | ↓ -99% |
| Careplus | Medicare Advantage | $218.69 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $218.69 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $218.69 | ↓ -99% |
| Value Options | Medicare Advantage | $218.69 | ↓ -99% |
| Magellan | Medicare Advantage | $218.69 | ↓ -99% |
| Blue Cross | Network Blue | $220.63 | ↓ -99% |
| United | Medicare Advantage | $224.03 | ↓ -99% |
| Blue Cross | Perferred Patient Care | $225.93 | ↓ -99% |
| Blue Cross | Traditional (PPS) | $225.93 | ↓ -99% |
| Freedom Health | Medicare Advantage | $229.62 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $229.62 | ↓ -99% |
| WellMed | Medicare Advantage | $229.62 | ↓ -99% |
| Clear Spring Health | All Products | $236.19 | ↓ -99% |
| Clear Spring Health | ALL PRODUCTS | $260.91 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $262.43 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $271.18 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $275.55 | ↓ -98% |
| Avmed | Exchange | $298.75 | ↓ -98% |
| Avmed | Select | $310.24 | ↓ -98% |
| Avmed | Broad | $333.22 | ↓ -98% |
| Aetna | PPO First Health | $351.29 | ↓ -98% |
| United | All Products | $434.82 | ↓ -97% |
| Aetna | POS First Health | $547.20 | ↓ -97% |
| The Legacy Companies | All Products | $790.40 | ↓ -95% |
| Three Rivers | All Products | $790.40 | ↓ -95% |
| Clarity Health | All Products | $790.40 | ↓ -95% |
| Consociate Health | ALL PRODUCTS | $912.00 | ↓ -95% |
| National Provider Network | All Products | $1,033.60 | ↓ -94% |
| Aetna | All Products First Health | $1,094.40 | ↓ -94% |
| Cigna | Surefit Mid-Level | $1,216.00 | ↓ -93% |
| Cigna | All Products Physician | $1,216.00 | ↓ -93% |
| Cigna | Surefit Physician | $1,216.00 | ↓ -93% |
| Cigna | All Products Mid-Level | $1,216.00 | ↓ -93% |
| Cigna | Individual Family Plan Mid-Level | $1,216.00 | ↓ -93% |
| Cigna | Individual Family Plan Physician | $1,216.00 | ↓ -93% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $3,653.06 | ↓ -79% |
| Freedom Health | MEDICARE ADVANTAGE | $3,653.06 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $3,653.06 | ↓ -79% |
| BLUE CROSS | Medicare Advantage HMO | $3,653.06 | ↓ -79% |
| BLUE CROSS | Medicare Advantage PPO | $3,653.06 | ↓ -79% |
| Careplus | MEDICARE ADVANTAGE | $3,653.06 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $3,653.06 | ↓ -79% |
| AVMED | MEDICARE ADVANTAGE | $3,799.18 | ↓ -78% |
| Independent Living Systems | MEDICARE ADVANTAGE | $3,835.71 | ↓ -77% |
| AETNA | MEDICARE ADVANTAGE | $3,902.43 | ↓ -77% |
| Wellcare | MEDICARE ADVANTAGE | $3,902.43 | ↓ -77% |
| WellMed | MEDICARE ADVANTAGE | $3,902.43 | ↓ -77% |
| OPTUM | Managed Medicaid | $4,041.02 | ↓ -76% |
| Carelon BH Strategies | Managed Medicaid | $4,253.71 | ↓ -75% |
| SUNSHINE HEALTH | Managed Medicaid | $4,253.71 | ↓ -75% |
| Molina | Florida Kidcare | $4,253.71 | ↓ -75% |
| MOLINA | Florida KidCare | $4,253.71 | ↓ -75% |
| AMERIHEALTH | Managed Medicaid | $4,253.71 | ↓ -75% |
| DEVOTED HEALTH | Medicare Advantage HMO | $4,292.67 | ↓ -75% |
| BLUE CROSS | BSL | $4,383.00 | ↓ -74% |
| BLUE CROSS | HMO | $4,383.00 | ↓ -74% |
| MOLINA | Managed Medicaid | $4,466.40 | ↓ -74% |
| AETNA | Managed Medicaid/CHIP | $4,679.08 | ↓ -72% |
| Independent Living Systems | Managed Medicaid | $5,104.45 | ↓ -70% |
| AETNA | QHP | $5,359.00 | ↓ -68% |
| AVMED | EXCHANGE | $5,735.30 | ↓ -66% |
| BLUE CROSS | NWB | $5,843.00 | ↓ -66% |
| BLUE CROSS | NWBI | $5,843.00 | ↓ -66% |
| UNITED | NHP | $6,386.00 | ↓ -62% |
| AVMED | Select | $6,429.38 | ↓ -62% |
| CIGNA | Individual Family Plan | $6,722.61 | ↓ -60% |
| UNITED | ALL PRODUCTS | $7,578.00 | ↓ -55% |
| BLUE CROSS | PHS | $8,031.00 | ↓ -53% |
| BLUE CROSS | PPO | $8,031.00 | ↓ -53% |
| CIGNA | SUREFIT | $8,108.98 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $8,318.24 | ↓ -51% |
| UNITED | International | $8,320.00 | ↓ -51% |
| AVMED | BROAD | $8,365.50 | ↓ -51% |
| AETNA | ALL PRODUCTS | $8,724.00 | ↓ -49% |
| BMI | ALL PRODUCTS | $13,079.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $15,694.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $17,002.70 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $17,002.70 | ↑ +0% |
| AETNA | All Products First Health | $20,926.40 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $20,926.40 | ↑ +23% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd pulse gen only at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $10,030.45 | $3,707.31 – $6,513.15 |
| Adventhealth Tampa | Tampa | $9,153.58 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $38,358.95 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $8,695.90 | not published |
| cleveland clinic florida weston hospital | Weston | $17,002.70 | $157.74 – $22,234.30 |
| martin north hospital | Stuart | $17,002.70 | $163.41 – $13,079.00 |
| Baptist Hospital | MIAMI | $8,445.45 | $173.17 – $11,693.70 |
| Bethesda Hospital East | BOYNTON BEACH | $8,445.45 | $3,651.00 – $11,693.70 |