Shoulder MRI (with and without contrast) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,002.00
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.
$3,080.00
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.
$95.47 with Blue Cross vs $2,464.00 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 |
|---|---|---|---|
| Blue Cross | Health Options | $95.47 | ↓ -95% |
| Blue Cross | Network Blue | $97.81 | ↓ -95% |
| Blue Cross | Perferred Patient Care | $100.16 | ↓ -95% |
| Blue Cross | Traditional (PPS) | $100.16 | ↓ -95% |
| United | Medicare Advantage | $101.60 | ↓ -95% |
| Careplus | Medicare Advantage | $103.62 | ↓ -95% |
| Wellcare | Medicare Advantage | $103.62 | ↓ -95% |
| Magellan | Medicare Advantage | $103.62 | ↓ -95% |
| Avmed | Medicare Advantage | $103.62 | ↓ -95% |
| Value Options | Medicare Advantage | $103.62 | ↓ -95% |
| Blue Cross | Medicare Advantage PPO | $103.62 | ↓ -95% |
| Blue Cross | Medicare Advantage HMO | $103.62 | ↓ -95% |
| Independent Living Systems | Medicare Advantage | $106.68 | ↓ -95% |
| WellMed | Medicare Advantage | $108.80 | ↓ -95% |
| Freedom Health | Medicare Advantage | $108.80 | ↓ -95% |
| Clear Spring Health | All Products | $111.91 | ↓ -94% |
| Aetna | Medicare Advantage Behavioral Health | $124.34 | ↓ -94% |
| Aetna | Medicare Advantage PCP | $128.49 | ↓ -94% |
| Aetna | Medicare Advantage Specialist | $130.56 | ↓ -93% |
| United | All Products | $133.06 | ↓ -93% |
| Avmed | Exchange | $134.72 | ↓ -93% |
| Avmed | Select | $139.90 | ↓ -93% |
| Avmed | Broad | $150.26 | ↓ -92% |
| OPTUM | Managed Medicaid | $241.90 | ↓ -88% |
| Carelon BH Strategies | Managed Medicaid | $254.63 | ↓ -87% |
| Wellcare | Managed Medicaid | $254.63 | ↓ -87% |
| Medicaid | Managed Medicaid | $254.63 | ↓ -87% |
| Molina | Florida Kidcare | $254.63 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $254.63 | ↓ -87% |
| SUNSHINE HEALTH | Managed Medicaid | $254.63 | ↓ -87% |
| MOLINA | Florida KidCare | $254.63 | ↓ -87% |
| MOLINA | Managed Medicaid | $267.36 | ↓ -87% |
| AETNA | Managed Medicaid/CHIP | $280.09 | ↓ -86% |
| Aetna | POS First Health | $300.00 | ↓ -85% |
| Independent Living Systems | Managed Medicaid | $305.56 | ↓ -85% |
| BLUE CROSS | Medicare Advantage PPO | $358.48 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $358.48 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $358.48 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $358.48 | ↓ -82% |
| WellMed | MEDICARE ADVANTAGE | $364.32 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $364.32 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $364.32 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $372.82 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $376.40 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $400.75 | ↓ -80% |
| Aetna | PPO First Health | $425.00 | ↓ -79% |
| Three Rivers | All Products | $559.00 | ↓ -72% |
| Clarity Health | All Products | $559.00 | ↓ -72% |
| The Legacy Companies | All Products | $559.00 | ↓ -72% |
| AVMED | EXCHANGE | $562.81 | ↓ -72% |
| Clear Spring Health | ALL PRODUCTS | $566.59 | ↓ -72% |
| BLUE CROSS | HMO | $616.00 | ↓ -69% |
| BLUE CROSS | BSL | $616.00 | ↓ -69% |
| AVMED | Select | $630.92 | ↓ -68% |
| BLUE CROSS | NWBI | $642.00 | ↓ -68% |
| BLUE CROSS | NWB | $642.00 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $645.00 | ↓ -68% |
| BLUE CROSS | PHS | $697.00 | ↓ -65% |
| BLUE CROSS | PPO | $697.00 | ↓ -65% |
| National Provider Network | All Products | $731.00 | ↓ -63% |
| Aetna | All Products First Health | $774.00 | ↓ -61% |
| CIGNA | Individual Family Plan | $791.56 | ↓ -60% |
| AVMED | BROAD | $820.92 | ↓ -59% |
| Cigna | Individual Family Plan Mid-Level | $860.00 | ↓ -57% |
| Cigna | Surefit Physician | $860.00 | ↓ -57% |
| Cigna | Surefit Mid-Level | $860.00 | ↓ -57% |
| Cigna | Individual Family Plan Physician | $860.00 | ↓ -57% |
| Cigna | All Products Physician | $860.00 | ↓ -57% |
| Cigna | All Products Mid-Level | $860.00 | ↓ -57% |
| CIGNA | SUREFIT | $954.80 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $979.44 | ↓ -51% |
| AETNA | QHP | $1,119.00 | ↓ -44% |
| BMI | ALL PRODUCTS | $1,540.00 | ↓ -23% |
| AETNA | ALL PRODUCTS | $1,814.00 | ↓ -9% |
| MAGELLAN | ALL PRODUCTS | $1,848.00 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $2,002.00 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $2,002.00 | ↑ +0% |
| AETNA | All Products First Health | $2,464.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $2,464.00 | ↑ +23% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | 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 | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder MRI (with and without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $6,880.03 | $346.11 – $865.63 |
| Adventhealth Lake Wales | Lake Wales | $1,306.11 | $364.32 – $958.38 |
| Adventhealth Palm Coast Parkway | Palm Coast | $6,349.80 | $346.11 – $1,177.02 |
| Adventhealth Tampa | Tampa | $7,607.01 | $364.32 – $808.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $3,322.09 | $346.11 – $1,130.31 |
| Adventhealth Port Charlotte | Port Charlotte | $9,436.68 | $364.32 – $687.95 |
| cleveland clinic florida weston hospital | Weston | $2,561.00 | $89.21 – $2,618.00 |
| martin north hospital | Stuart | $2,002.00 | $79.82 – $1,540.00 |