Sipuleucel-t - su at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$585.96
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.
$901.47
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.
$210.94 with AETNA vs $125,984.88 with AVMED — 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 |
|---|---|---|---|
| AETNA | QHP | $210.94 | ↓ -64% |
| AETNA | ALL PRODUCTS | $320.92 | ↓ -45% |
| BMI | ALL PRODUCTS | $450.74 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $540.88 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $585.96 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $585.96 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $676.10 | ↑ +15% |
| AETNA | All Products First Health | $721.18 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $721.18 | ↑ +23% |
| BLUE CROSS | HMO | $901.47 | ↑ +54% |
| CIGNA | Individual Family Plan | $901.47 | ↑ +54% |
| CIGNA | ALL PRODUCTS | $901.47 | ↑ +54% |
| BLUE CROSS | NWB | $901.47 | ↑ +54% |
| BLUE CROSS | NWBI | $901.47 | ↑ +54% |
| BLUE CROSS | PHS | $901.47 | ↑ +54% |
| BLUE CROSS | PPO | $901.47 | ↑ +54% |
| CIGNA | SUREFIT | $901.47 | ↑ +54% |
| BLUE CROSS | BSL | $901.47 | ↑ +54% |
| OPTUM | Managed Medicaid | $14,450.94 | ↑ +2366% |
| Carelon BH Strategies | Managed Medicaid | $15,211.52 | ↑ +2496% |
| AMERIHEALTH | Managed Medicaid | $15,211.52 | ↑ +2496% |
| Medicaid | Managed Medicaid | $15,211.52 | ↑ +2496% |
| Molina | Florida Kidcare | $15,211.52 | ↑ +2496% |
| MOLINA | Florida KidCare | $15,211.52 | ↑ +2496% |
| SUNSHINE HEALTH | Managed Medicaid | $15,211.52 | ↑ +2496% |
| Wellcare | Managed Medicaid | $15,211.52 | ↑ +2496% |
| MOLINA | Managed Medicaid | $15,972.10 | ↑ +2626% |
| AETNA | Managed Medicaid/CHIP | $16,732.67 | ↑ +2756% |
| Independent Living Systems | Managed Medicaid | $18,253.82 | ↑ +3015% |
| Wellcare | MEDICARE ADVANTAGE | $54,404.10 | ↑ +9185% |
| AETNA | MEDICARE ADVANTAGE | $54,404.10 | ↑ +9185% |
| WellMed | MEDICARE ADVANTAGE | $54,404.10 | ↑ +9185% |
| HUMANA | Medicare Advantage HMO | $55,015.23 | ↑ +9289% |
| UNITED | MEDICARE ADVANTAGE | $55,015.23 | ↑ +9289% |
| BLUE CROSS | Medicare Advantage PPO | $55,015.23 | ↑ +9289% |
| BLUE CROSS | Medicare Advantage HMO | $55,015.23 | ↑ +9289% |
| Careplus | MEDICARE ADVANTAGE | $55,015.23 | ↑ +9289% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $55,015.23 | ↑ +9289% |
| Freedom Health | MEDICARE ADVANTAGE | $55,015.23 | ↑ +9289% |
| AVMED | MEDICARE ADVANTAGE | $57,215.84 | ↑ +9664% |
| Independent Living Systems | MEDICARE ADVANTAGE | $57,765.99 | ↑ +9758% |
| DEVOTED HEALTH | Medicare Advantage HMO | $59,844.51 | ↑ +10113% |
| AVMED | EXCHANGE | $86,373.91 | ↑ +14641% |
| AVMED | Select | $96,826.80 | ↑ +16424% |
| AVMED | BROAD | $125,984.88 | ↑ +21401% |
| Consociate Health | Transplant | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
Visitor-reported prices
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Sipuleucel-t - su at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $109,596.50 | $233.48 – $168,610.00 |
| martin north hospital | Stuart | $109,596.50 | $264.13 – $168,610.00 |
| Baptist Hospital | MIAMI | $173,460.30 | $173.17 – $240,175.80 |
| Bethesda Hospital East | BOYNTON BEACH | $173,460.30 | $15,211.53 – $240,175.80 |
| Doctors Hospital | CORAL GABLES | $173,460.30 | $14,745.97 – $240,175.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $173,460.30 | $14,745.97 – $240,175.80 |
| Fishermens Community Hospital | MARATHON | $173,460.30 | $14,745.97 – $240,175.80 |
| Homestead Hospital | HOMESTEAD | $173,460.30 | $14,745.97 – $240,175.80 |