Shoulder MRI (with contrast) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$4,429.10
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.
$6,814.00
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.
$72.36 with Blue Cross vs $5,451.20 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 | $72.36 | ↓ -98% |
| Blue Cross | Network Blue | $74.14 | ↓ -98% |
| United | Medicare Advantage | $75.78 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $75.92 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $75.92 | ↓ -98% |
| Value Options | Medicare Advantage | $77.95 | ↓ -98% |
| Avmed | Medicare Advantage | $77.95 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $77.95 | ↓ -98% |
| Careplus | Medicare Advantage | $77.95 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $77.95 | ↓ -98% |
| Wellcare | Medicare Advantage | $77.95 | ↓ -98% |
| Magellan | Medicare Advantage | $77.95 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $79.57 | ↓ -98% |
| Freedom Health | Medicare Advantage | $81.85 | ↓ -98% |
| WellMed | Medicare Advantage | $81.85 | ↓ -98% |
| Clear Spring Health | All Products | $84.19 | ↓ -98% |
| Aetna | Medicare Advantage Behavioral Health | $93.54 | ↓ -98% |
| Aetna | Medicare Advantage PCP | $96.66 | ↓ -98% |
| Aetna | Medicare Advantage Specialist | $98.22 | ↓ -98% |
| United | All Products | $100.46 | ↓ -98% |
| Avmed | Exchange | $101.71 | ↓ -98% |
| Avmed | Select | $105.62 | ↓ -98% |
| Avmed | Broad | $113.45 | ↓ -97% |
| OPTUM | Managed Medicaid | $241.90 | ↓ -95% |
| Carelon BH Strategies | Managed Medicaid | $254.63 | ↓ -94% |
| Wellcare | Managed Medicaid | $254.63 | ↓ -94% |
| AMERIHEALTH | Managed Medicaid | $254.63 | ↓ -94% |
| Medicaid | Managed Medicaid | $254.63 | ↓ -94% |
| Molina | Florida Kidcare | $254.63 | ↓ -94% |
| MOLINA | Florida KidCare | $254.63 | ↓ -94% |
| SUNSHINE HEALTH | Managed Medicaid | $254.63 | ↓ -94% |
| MOLINA | Managed Medicaid | $267.36 | ↓ -94% |
| AETNA | Managed Medicaid/CHIP | $280.09 | ↓ -94% |
| Aetna | POS First Health | $300.00 | ↓ -93% |
| Independent Living Systems | Managed Medicaid | $305.56 | ↓ -93% |
| Clarity Health | All Products | $421.20 | ↓ -90% |
| The Legacy Companies | All Products | $421.20 | ↓ -90% |
| Three Rivers | All Products | $421.20 | ↓ -90% |
| Aetna | PPO First Health | $425.00 | ↓ -90% |
| Clear Spring Health | ALL PRODUCTS | $464.37 | ↓ -90% |
| Consociate Health | ALL PRODUCTS | $486.00 | ↓ -89% |
| National Provider Network | All Products | $550.80 | ↓ -88% |
| Aetna | All Products First Health | $583.20 | ↓ -87% |
| BLUE CROSS | BSL | $616.00 | ↓ -86% |
| BLUE CROSS | HMO | $616.00 | ↓ -86% |
| BLUE CROSS | NWBI | $642.00 | ↓ -86% |
| BLUE CROSS | NWB | $642.00 | ↓ -86% |
| Cigna | All Products Mid-Level | $648.00 | ↓ -85% |
| Cigna | Individual Family Plan Mid-Level | $648.00 | ↓ -85% |
| Cigna | Individual Family Plan Physician | $648.00 | ↓ -85% |
| Cigna | Surefit Mid-Level | $648.00 | ↓ -85% |
| Cigna | Surefit Physician | $648.00 | ↓ -85% |
| Cigna | All Products Physician | $648.00 | ↓ -85% |
| BLUE CROSS | PHS | $697.00 | ↓ -84% |
| BLUE CROSS | PPO | $697.00 | ↓ -84% |
| HUMANA | Medicare Advantage HMO | $793.05 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $793.05 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $793.05 | ↓ -82% |
| BLUE CROSS | Medicare Advantage PPO | $793.05 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $793.05 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $793.05 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $793.05 | ↓ -82% |
| WellMed | MEDICARE ADVANTAGE | $818.63 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $818.63 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $818.63 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $824.77 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $832.70 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $900.50 | ↓ -80% |
| AETNA | QHP | $1,119.00 | ↓ -75% |
| AVMED | EXCHANGE | $1,245.08 | ↓ -72% |
| AVMED | Select | $1,395.76 | ↓ -68% |
| CIGNA | Individual Family Plan | $1,751.20 | ↓ -60% |
| AETNA | ALL PRODUCTS | $1,814.00 | ↓ -59% |
| AVMED | BROAD | $1,816.08 | ↓ -59% |
| CIGNA | SUREFIT | $2,112.34 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $2,166.85 | ↓ -51% |
| BMI | ALL PRODUCTS | $3,407.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $4,088.40 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $4,429.10 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $4,429.10 | ↑ +0% |
| AETNA | All Products First Health | $5,451.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $5,451.20 | ↑ +23% |
| Magellan | Pinnacle | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Consociate Health | Transplant | 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 | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $5,889.59 | $701.93 – $1,366.30 |
| Adventhealth Palm Coast Parkway | Palm Coast | $5,472.88 | $633.75 – $1,748.52 |
| Adventhealth Tampa | Tampa | $5,896.42 | $569.57 – $1,817.36 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $2,678.05 | $777.70 – $1,788.30 |
| Adventhealth Port Charlotte | Port Charlotte | $6,030.23 | $595.24 – $1,494.82 |
| cleveland clinic florida weston hospital | Weston | $4,850.30 | $67.61 – $5,791.90 |
| martin north hospital | Stuart | $4,429.10 | $60.50 – $3,407.00 |
| Baptist Hospital | MIAMI | $3,842.80 | $173.17 – $5,320.80 |