Single energy x-ray study at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$63.05
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.
$97.00
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.
$30.93 with Blue Cross vs $461.06 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 |
|---|---|---|---|
| Blue Cross | Health Options | $30.93 | ↓ -51% |
| Blue Cross | Network Blue | $31.69 | ↓ -50% |
| Blue Cross | Traditional (PPS) | $32.45 | ↓ -49% |
| Blue Cross | Perferred Patient Care | $32.45 | ↓ -49% |
| United | Medicare Advantage | $37.31 | ↓ -41% |
| Independent Living Systems | Medicare Advantage | $39.18 | ↓ -38% |
| Careplus | Medicare Advantage | $40.91 | ↓ -35% |
| Value Options | Medicare Advantage | $40.91 | ↓ -35% |
| Avmed | Medicare Advantage | $40.91 | ↓ -35% |
| Wellcare | Medicare Advantage | $40.91 | ↓ -35% |
| Blue Cross | Medicare Advantage PPO | $40.91 | ↓ -35% |
| Blue Cross | Medicare Advantage HMO | $40.91 | ↓ -35% |
| Magellan | Medicare Advantage | $40.91 | ↓ -35% |
| Freedom Health | Medicare Advantage | $42.96 | ↓ -32% |
| WellMed | Medicare Advantage | $42.96 | ↓ -32% |
| Aetna | POS First Health | $43.65 | ↓ -31% |
| Clear Spring Health | All Products | $44.18 | ↓ -30% |
| OPTUM | Managed Medicaid | $44.50 | ↓ -29% |
| SUNSHINE HEALTH | Managed Medicaid | $46.84 | ↓ -26% |
| MOLINA | Florida KidCare | $46.84 | ↓ -26% |
| Molina | Florida Kidcare | $46.84 | ↓ -26% |
| Wellcare | Managed Medicaid | $46.84 | ↓ -26% |
| Carelon BH Strategies | Managed Medicaid | $46.84 | ↓ -26% |
| AMERIHEALTH | Managed Medicaid | $46.84 | ↓ -26% |
| Medicaid | Managed Medicaid | $46.84 | ↓ -26% |
| United | All Products | $47.60 | ↓ -25% |
| Avmed | Exchange | $48.19 | ↓ -24% |
| Aetna | Medicare Advantage Behavioral Health | $49.09 | ↓ -22% |
| MOLINA | Managed Medicaid | $49.18 | ↓ -22% |
| Avmed | Select | $50.04 | ↓ -21% |
| Aetna | Medicare Advantage PCP | $50.73 | ↓ -20% |
| AETNA | Managed Medicaid/CHIP | $51.52 | ↓ -18% |
| Aetna | Medicare Advantage Specialist | $51.55 | ↓ -18% |
| Avmed | Broad | $53.75 | ↓ -15% |
| Independent Living Systems | Managed Medicaid | $56.21 | ↓ -11% |
| The Legacy Companies | All Products | $63.05 | ↑ +0% |
| Three Rivers | All Products | $63.05 | ↑ +0% |
| Clarity Health | All Products | $63.05 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $72.75 | ↑ +15% |
| National Provider Network | All Products | $82.45 | ↑ +31% |
| Aetna | All Products First Health | $87.30 | ↑ +38% |
| Cigna | All Products Mid-Level | $97.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $97.00 | ↑ +54% |
| Cigna | Surefit Physician | $97.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $97.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $97.00 | ↑ +54% |
| Cigna | All Products Physician | $97.00 | ↑ +54% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $106.74 | ↑ +69% |
| BLUE CROSS | Medicare Advantage PPO | $106.74 | ↑ +69% |
| BLUE CROSS | Medicare Advantage HMO | $106.74 | ↑ +69% |
| Freedom Health | MEDICARE ADVANTAGE | $106.74 | ↑ +69% |
| Careplus | MEDICARE ADVANTAGE | $106.74 | ↑ +69% |
| HUMANA | Medicare Advantage HMO | $106.74 | ↑ +69% |
| UNITED | MEDICARE ADVANTAGE | $106.74 | ↑ +69% |
| Wellcare | MEDICARE ADVANTAGE | $109.17 | ↑ +73% |
| AETNA | MEDICARE ADVANTAGE | $109.17 | ↑ +73% |
| WellMed | MEDICARE ADVANTAGE | $109.17 | ↑ +73% |
| AVMED | MEDICARE ADVANTAGE | $111.01 | ↑ +76% |
| Independent Living Systems | MEDICARE ADVANTAGE | $112.08 | ↑ +78% |
| DEVOTED HEALTH | Medicare Advantage HMO | $120.09 | ↑ +90% |
| AVMED | EXCHANGE | $167.58 | ↑ +166% |
| AVMED | Select | $187.87 | ↑ +198% |
| AVMED | BROAD | $244.44 | ↑ +288% |
| Aetna | PPO First Health | $461.06 | ↑ +631% |
| Optum | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Single energy x-ray study at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| martin north hospital | Stuart | $63.05 | $25.86 – $120.09 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $103.72 – $182.21 |
| Adventhealth Lake Wales | Lake Wales | not published | $109.17 – $242.37 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $103.72 – $286.15 |
| Adventhealth Tampa | Tampa | not published | $109.17 – $242.37 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $103.72 – $238.49 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $245.18 – $245.18 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $109.17 – $199.35 |