Screening Mammogram at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$637.00
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.
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What you pay up front if you don't use insurance.
$980.00
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.
$27.88 with OPTUM vs $608.80 with AETNA — 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 | $27.88 | ↓ -96% |
| Aetna | PPO First Health | $28.66 | ↓ -96% |
| SUNSHINE HEALTH | Managed Medicaid | $29.35 | ↓ -95% |
| Medicaid | Managed Medicaid | $29.35 | ↓ -95% |
| Molina | Florida Kidcare | $29.35 | ↓ -95% |
| Carelon BH Strategies | Managed Medicaid | $29.35 | ↓ -95% |
| MOLINA | Florida KidCare | $29.35 | ↓ -95% |
| Wellcare | Managed Medicaid | $29.35 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $29.35 | ↓ -95% |
| MOLINA | Managed Medicaid | $30.82 | ↓ -95% |
| AETNA | Managed Medicaid/CHIP | $32.29 | ↓ -95% |
| Independent Living Systems | Managed Medicaid | $35.22 | ↓ -94% |
| United | Medicare Advantage | $35.91 | ↓ -94% |
| Value Options | Medicare Advantage | $36.45 | ↓ -94% |
| Careplus | Medicare Advantage | $36.45 | ↓ -94% |
| Blue Cross | Medicare Advantage HMO | $36.45 | ↓ -94% |
| Avmed | Medicare Advantage | $36.45 | ↓ -94% |
| Wellcare | Medicare Advantage | $36.45 | ↓ -94% |
| Blue Cross | Medicare Advantage PPO | $36.45 | ↓ -94% |
| Magellan | Medicare Advantage | $36.45 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $37.71 | ↓ -94% |
| Freedom Health | Medicare Advantage | $38.27 | ↓ -94% |
| WellMed | Medicare Advantage | $38.27 | ↓ -94% |
| Clear Spring Health | All Products | $39.37 | ↓ -94% |
| Aetna | Medicare Advantage Behavioral Health | $43.74 | ↓ -93% |
| Blue Cross | Health Options | $45.19 | ↓ -93% |
| Aetna | Medicare Advantage PCP | $45.20 | ↓ -93% |
| Aetna | Medicare Advantage Specialist | $45.93 | ↓ -93% |
| Blue Cross | Network Blue | $46.36 | ↓ -93% |
| United | All Products | $47.02 | ↓ -93% |
| Blue Cross | Perferred Patient Care | $47.53 | ↓ -93% |
| Blue Cross | Traditional (PPS) | $47.53 | ↓ -93% |
| Avmed | Exchange | $47.61 | ↓ -93% |
| Avmed | Select | $49.44 | ↓ -92% |
| Avmed | Broad | $53.10 | ↓ -92% |
| Optum | Managed Medicaid | $57.72 | ↓ -91% |
| Aetna | All Products Behavioral Health | $100.85 | ↓ -84% |
| Aetna | All Products Anesthesia | $104.21 | ↓ -84% |
| Aetna | Medical Rental | $128.48 | ↓ -80% |
| Aetna | All Products PCP | $134.60 | ↓ -79% |
| Aetna | POS First Health | $136.80 | ↓ -79% |
| BLUE CROSS | HMO | $152.00 | ↓ -76% |
| BLUE CROSS | BSL | $152.00 | ↓ -76% |
| Aetna | All Products Specialist | $165.56 | ↓ -74% |
| CIGNA | Individual Family Plan | $165.67 | ↓ -74% |
| BLUE CROSS | NWB | $169.00 | ↓ -73% |
| BLUE CROSS | NWBI | $169.00 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $169.06 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $169.06 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $169.06 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $169.06 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $169.06 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $169.06 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $169.06 | ↓ -73% |
| WellMed | MEDICARE ADVANTAGE | $172.34 | ↓ -73% |
| AETNA | MEDICARE ADVANTAGE | $172.34 | ↓ -73% |
| Wellcare | MEDICARE ADVANTAGE | $172.34 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $175.82 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $177.51 | ↓ -72% |
| AETNA | QHP | $178.07 | ↓ -72% |
| AVMED | Select | $182.64 | ↓ -71% |
| AVMED | EXCHANGE | $182.64 | ↓ -71% |
| Clear Spring Health | ALL PRODUCTS | $186.13 | ↓ -71% |
| BLUE CROSS | PHS | $189.00 | ↓ -70% |
| BLUE CROSS | PPO | $189.00 | ↓ -70% |
| DEVOTED HEALTH | Medicare Advantage HMO | $189.57 | ↓ -70% |
| The Legacy Companies | All Products | $197.60 | ↓ -69% |
| Clarity Health | All Products | $197.60 | ↓ -69% |
| Three Rivers | All Products | $197.60 | ↓ -69% |
| CIGNA | SUREFIT | $200.59 | ↓ -69% |
| CIGNA | ALL PRODUCTS | $209.74 | ↓ -67% |
| Consociate Health | ALL PRODUCTS | $228.00 | ↓ -64% |
| AVMED | BROAD | $235.91 | ↓ -63% |
| National Provider Network | All Products | $258.40 | ↓ -59% |
| AETNA | ALL PRODUCTS | $270.92 | ↓ -57% |
| Aetna | All Products First Health | $273.60 | ↓ -57% |
| Cigna | All Products Physician | $304.00 | ↓ -52% |
| Cigna | Surefit Physician | $304.00 | ↓ -52% |
| Cigna | Surefit Mid-Level | $304.00 | ↓ -52% |
| Cigna | Individual Family Plan Physician | $304.00 | ↓ -52% |
| Cigna | Individual Family Plan Mid-Level | $304.00 | ↓ -52% |
| Cigna | All Products Mid-Level | $304.00 | ↓ -52% |
| BMI | ALL PRODUCTS | $380.50 | ↓ -40% |
| MAGELLAN | ALL PRODUCTS | $456.60 | ↓ -28% |
| The Legacy Companies | ALL PRODUCTS | $494.65 | ↓ -22% |
| Clarity Health | ALL PRODUCTS | $494.65 | ↓ -22% |
| MULTIPLAN | ALL PRODUCTS | $608.80 | ↓ -4% |
| AETNA | All Products First Health | $608.80 | ↓ -4% |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
Visitor-reported prices
Comments
Screening Mammogram at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $496.13 | $82.99 – $168.30 |
| Adventhealth Lake Wales | Lake Wales | $1,448.74 | $87.36 – $213.19 |
| Adventhealth Palm Coast Parkway | Palm Coast | $452.08 | $82.99 – $253.80 |
| Adventhealth Tampa | Tampa | $525.15 | $87.36 – $193.94 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $435.29 | $82.99 – $190.84 |
| Adventhealth Port Charlotte | Port Charlotte | $933.81 | $87.36 – $159.52 |
| cleveland clinic florida weston hospital | Weston | $692.25 | $27.88 – $646.85 |
| martin north hospital | Stuart | $637.00 | $29.35 – $380.50 |