Scan proc spinal at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$975.00
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.
?
What you pay up front if you don't use insurance.
$1,500.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$112.60 with Optum vs $3,909.18 with Independent Living Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $112.60 | ↓ -88% |
| Value Options | Managed Medicaid | $177.96 | ↓ -82% |
| Medicaid | Managed Medicaid | $177.96 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $177.96 | ↓ -82% |
| Wellcare | Managed Medicaid | $177.96 | ↓ -82% |
| Molina | Managed Medicaid | $177.96 | ↓ -82% |
| Blue Cross | Health Options | $231.51 | ↓ -76% |
| Blue Cross | Network Blue | $237.20 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $242.89 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $242.89 | ↓ -75% |
| Careplus | Medicare Advantage | $244.53 | ↓ -75% |
| Value Options | Medicare Advantage | $244.53 | ↓ -75% |
| Magellan | Medicare Advantage | $244.53 | ↓ -75% |
| Wellcare | Medicare Advantage | $244.53 | ↓ -75% |
| Blue Cross | Medicare Advantage HMO | $244.53 | ↓ -75% |
| Blue Cross | Medicare Advantage PPO | $244.53 | ↓ -75% |
| Avmed | Medicare Advantage | $244.53 | ↓ -75% |
| WellMed | Medicare Advantage | $256.76 | ↓ -74% |
| Freedom Health | Medicare Advantage | $256.76 | ↓ -74% |
| Independent Living Systems | Medicare Advantage | $256.76 | ↓ -74% |
| United | Medicare Advantage | $258.71 | ↓ -73% |
| Clear Spring Health | All Products | $264.09 | ↓ -73% |
| Aetna | Medicare Advantage Behavioral Health | $293.44 | ↓ -70% |
| Aetna | Medicare Advantage PCP | $303.22 | ↓ -69% |
| Aetna | Medicare Advantage Specialist | $308.11 | ↓ -68% |
| Avmed | Exchange | $344.71 | ↓ -65% |
| Avmed | Select | $357.97 | ↓ -63% |
| Avmed | Broad | $384.48 | ↓ -61% |
| Aetna | PPO First Health | $403.79 | ↓ -59% |
| United | All Products | $501.71 | ↓ -49% |
| Aetna | POS First Health | $675.00 | ↓ -31% |
| The Legacy Companies | All Products | $975.00 | ↑ +0% |
| Clarity Health | All Products | $975.00 | ↑ +0% |
| Three Rivers | All Products | $975.00 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,125.00 | ↑ +15% |
| National Provider Network | All Products | $1,275.00 | ↑ +31% |
| Aetna | All Products First Health | $1,350.00 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $1,500.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $1,500.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $1,500.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,500.00 | ↑ +54% |
| Cigna | All Products Physician | $1,500.00 | ↑ +54% |
| Cigna | Surefit Physician | $1,500.00 | ↑ +54% |
| OPTUM | Managed Medicaid | $3,094.77 | ↑ +217% |
| AMERIHEALTH | Managed Medicaid | $3,257.65 | ↑ +234% |
| Molina | Florida Kidcare | $3,257.65 | ↑ +234% |
| SUNSHINE HEALTH | Managed Medicaid | $3,257.65 | ↑ +234% |
| MOLINA | Florida KidCare | $3,257.65 | ↑ +234% |
| Carelon BH Strategies | Managed Medicaid | $3,257.65 | ↑ +234% |
| MOLINA | Managed Medicaid | $3,420.53 | ↑ +251% |
| AETNA | Managed Medicaid/CHIP | $3,583.42 | ↑ +268% |
| Independent Living Systems | Managed Medicaid | $3,909.18 | ↑ +301% |
| Aetna | All Products Anesthesia | 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 | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Scan proc spinal at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $975.00 | $112.60 – $5,678.00 |
| martin north hospital | Stuart | $975.00 | $177.96 – $9,687.00 |
| AdventHealth Orlando | Orlando | $9,317.00 | not published |
| Adventhealth Carrollwood | Tampa | $5,822.09 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,224.69 – $1,250.48 |
| Baptist Hospital | MIAMI | not published | not published |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |