Sinus CT scan (with and without contrast) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$997.75
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.
$1,535.00
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.
$59.04 with United vs $1,360.00 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 |
|---|---|---|---|
| United | Medicare Advantage | $59.04 | ↓ -94% |
| Magellan | Medicare Advantage | $60.83 | ↓ -94% |
| Blue Cross | Medicare Advantage HMO | $60.83 | ↓ -94% |
| Blue Cross | Medicare Advantage PPO | $60.83 | ↓ -94% |
| Careplus | Medicare Advantage | $60.83 | ↓ -94% |
| Value Options | Medicare Advantage | $60.83 | ↓ -94% |
| Wellcare | Medicare Advantage | $60.83 | ↓ -94% |
| Avmed | Medicare Advantage | $60.83 | ↓ -94% |
| Independent Living Systems | Medicare Advantage | $61.99 | ↓ -94% |
| Blue Cross | Health Options | $62.93 | ↓ -94% |
| WellMed | Medicare Advantage | $63.87 | ↓ -94% |
| Freedom Health | Medicare Advantage | $63.87 | ↓ -94% |
| Blue Cross | Network Blue | $64.48 | ↓ -94% |
| Clear Spring Health | All Products | $65.70 | ↓ -93% |
| Blue Cross | Traditional (PPS) | $66.03 | ↓ -93% |
| Blue Cross | Perferred Patient Care | $66.03 | ↓ -93% |
| Aetna | Medicare Advantage Behavioral Health | $73.00 | ↓ -93% |
| Aetna | Medicare Advantage PCP | $75.43 | ↓ -92% |
| Aetna | Medicare Advantage Specialist | $76.65 | ↓ -92% |
| United | All Products | $78.35 | ↓ -92% |
| Avmed | Exchange | $79.33 | ↓ -92% |
| Avmed | Select | $82.38 | ↓ -92% |
| Avmed | Broad | $88.48 | ↓ -91% |
| BLUE CROSS | Medicare Advantage PPO | $178.69 | ↓ -82% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $178.69 | ↓ -82% |
| Freedom Health | MEDICARE ADVANTAGE | $178.69 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $178.69 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $178.69 | ↓ -82% |
| Careplus | MEDICARE ADVANTAGE | $178.69 | ↓ -82% |
| BLUE CROSS | Medicare Advantage HMO | $178.69 | ↓ -82% |
| WellMed | MEDICARE ADVANTAGE | $183.17 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $183.17 | ↓ -82% |
| Wellcare | MEDICARE ADVANTAGE | $183.17 | ↓ -82% |
| AVMED | MEDICARE ADVANTAGE | $185.84 | ↓ -81% |
| Independent Living Systems | MEDICARE ADVANTAGE | $187.63 | ↓ -81% |
| OPTUM | Managed Medicaid | $196.56 | ↓ -80% |
| DEVOTED HEALTH | Medicare Advantage HMO | $201.48 | ↓ -80% |
| MOLINA | Florida KidCare | $206.90 | ↓ -79% |
| Wellcare | Managed Medicaid | $206.90 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $206.90 | ↓ -79% |
| SUNSHINE HEALTH | Managed Medicaid | $206.90 | ↓ -79% |
| Carelon BH Strategies | Managed Medicaid | $206.90 | ↓ -79% |
| Molina | Florida Kidcare | $206.90 | ↓ -79% |
| Medicaid | Managed Medicaid | $206.90 | ↓ -79% |
| MOLINA | Managed Medicaid | $217.25 | ↓ -78% |
| AETNA | Managed Medicaid/CHIP | $227.59 | ↓ -77% |
| Independent Living Systems | Managed Medicaid | $248.28 | ↓ -75% |
| Clear Spring Health | ALL PRODUCTS | $268.82 | ↓ -73% |
| AVMED | EXCHANGE | $280.55 | ↓ -72% |
| Aetna | POS First Health | $300.00 | ↓ -70% |
| AVMED | Select | $314.50 | ↓ -68% |
| Clarity Health | All Products | $363.35 | ↓ -64% |
| Three Rivers | All Products | $363.35 | ↓ -64% |
| The Legacy Companies | All Products | $363.35 | ↓ -64% |
| CIGNA | Individual Family Plan | $394.50 | ↓ -60% |
| AVMED | BROAD | $409.21 | ↓ -59% |
| Consociate Health | ALL PRODUCTS | $419.25 | ↓ -58% |
| Aetna | PPO First Health | $425.00 | ↓ -57% |
| BLUE CROSS | HMO | $462.00 | ↓ -54% |
| BLUE CROSS | BSL | $462.00 | ↓ -54% |
| National Provider Network | All Products | $475.15 | ↓ -52% |
| CIGNA | SUREFIT | $475.85 | ↓ -52% |
| BLUE CROSS | NWBI | $482.00 | ↓ -52% |
| BLUE CROSS | NWB | $482.00 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $488.13 | ↓ -51% |
| Aetna | All Products First Health | $503.10 | ↓ -50% |
| BLUE CROSS | PHS | $524.00 | ↓ -47% |
| BLUE CROSS | PPO | $524.00 | ↓ -47% |
| Cigna | Individual Family Plan Mid-Level | $559.00 | ↓ -44% |
| Cigna | Surefit Mid-Level | $559.00 | ↓ -44% |
| Cigna | Individual Family Plan Physician | $559.00 | ↓ -44% |
| Cigna | All Products Mid-Level | $559.00 | ↓ -44% |
| Cigna | All Products Physician | $559.00 | ↓ -44% |
| Cigna | Surefit Physician | $559.00 | ↓ -44% |
| BMI | ALL PRODUCTS | $767.50 | ↓ -23% |
| AETNA | QHP | $839.00 | ↓ -16% |
| MAGELLAN | ALL PRODUCTS | $921.00 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $997.75 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $997.75 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $1,228.00 | ↑ +23% |
| AETNA | All Products First Health | $1,228.00 | ↑ +23% |
| AETNA | ALL PRODUCTS | $1,360.00 | ↑ +36% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AmeriHealth | Managed Medicaid | 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 | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Sinus CT scan (with and without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $2,879.32 | $174.01 – $492.42 |
| Adventhealth Lake Wales | Lake Wales | $9,097.55 | $183.17 – $530.75 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,318.66 | $174.01 – $669.56 |
| Adventhealth Tampa | Tampa | $9,590.02 | $183.17 – $429.66 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $4,279.12 | $174.01 – $642.98 |
| Adventhealth Port Charlotte | Port Charlotte | $7,097.60 | $183.17 – $391.35 |
| cleveland clinic florida weston hospital | Weston | $1,361.10 | $58.81 – $1,304.75 |
| martin north hospital | Stuart | $997.75 | $52.62 – $767.50 |