Spleen imaging at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$114.40
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.
$176.00
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.
$12.56 with Aetna vs $923.67 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 | PPO First Health | $12.56 | ↓ -89% |
| United | Medicare Advantage | $15.77 | ↓ -86% |
| Blue Cross | Medicare Advantage HMO | $16.08 | ↓ -86% |
| Wellcare | Medicare Advantage | $16.08 | ↓ -86% |
| Blue Cross | Medicare Advantage PPO | $16.08 | ↓ -86% |
| Value Options | Medicare Advantage | $16.08 | ↓ -86% |
| Avmed | Medicare Advantage | $16.08 | ↓ -86% |
| Magellan | Medicare Advantage | $16.08 | ↓ -86% |
| Careplus | Medicare Advantage | $16.08 | ↓ -86% |
| Independent Living Systems | Medicare Advantage | $16.56 | ↓ -86% |
| WellMed | Medicare Advantage | $16.88 | ↓ -85% |
| Freedom Health | Medicare Advantage | $16.88 | ↓ -85% |
| Blue Cross | Health Options | $17.18 | ↓ -85% |
| Clear Spring Health | All Products | $17.37 | ↓ -85% |
| Blue Cross | Network Blue | $17.60 | ↓ -85% |
| Blue Cross | Perferred Patient Care | $18.02 | ↓ -84% |
| Blue Cross | Traditional (PPS) | $18.02 | ↓ -84% |
| Aetna | Medicare Advantage Behavioral Health | $19.30 | ↓ -83% |
| Aetna | Medicare Advantage PCP | $19.94 | ↓ -83% |
| Aetna | Medicare Advantage Specialist | $20.26 | ↓ -82% |
| United | All Products | $20.42 | ↓ -82% |
| Avmed | Exchange | $20.67 | ↓ -82% |
| Avmed | Select | $21.47 | ↓ -81% |
| Avmed | Broad | $23.06 | ↓ -80% |
| Aetna | POS First Health | $79.20 | ↓ -31% |
| Three Rivers | All Products | $114.40 | ↑ +0% |
| Clarity Health | All Products | $114.40 | ↑ +0% |
| The Legacy Companies | All Products | $114.40 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $132.00 | ↑ +15% |
| National Provider Network | All Products | $149.60 | ↑ +31% |
| Aetna | All Products First Health | $158.40 | ↑ +38% |
| Cigna | Surefit Physician | $176.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $176.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $176.00 | ↑ +54% |
| Cigna | All Products Physician | $176.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $176.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $176.00 | ↑ +54% |
| OPTUM | Managed Medicaid | $225.17 | ↑ +97% |
| Medicaid | Managed Medicaid | $237.02 | ↑ +107% |
| SUNSHINE HEALTH | Managed Medicaid | $237.02 | ↑ +107% |
| Wellcare | Managed Medicaid | $237.02 | ↑ +107% |
| Carelon BH Strategies | Managed Medicaid | $237.02 | ↑ +107% |
| MOLINA | Florida KidCare | $237.02 | ↑ +107% |
| AMERIHEALTH | Managed Medicaid | $237.02 | ↑ +107% |
| Molina | Florida Kidcare | $237.02 | ↑ +107% |
| MOLINA | Managed Medicaid | $248.87 | ↑ +118% |
| AETNA | Managed Medicaid/CHIP | $260.72 | ↑ +128% |
| Independent Living Systems | Managed Medicaid | $284.42 | ↑ +149% |
| UNITED | MEDICARE ADVANTAGE | $403.35 | ↑ +253% |
| BLUE CROSS | Medicare Advantage PPO | $403.35 | ↑ +253% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $403.35 | ↑ +253% |
| Freedom Health | MEDICARE ADVANTAGE | $403.35 | ↑ +253% |
| HUMANA | Medicare Advantage HMO | $403.35 | ↑ +253% |
| Careplus | MEDICARE ADVANTAGE | $403.35 | ↑ +253% |
| BLUE CROSS | Medicare Advantage HMO | $403.35 | ↑ +253% |
| Wellcare | MEDICARE ADVANTAGE | $417.47 | ↑ +265% |
| AETNA | MEDICARE ADVANTAGE | $417.47 | ↑ +265% |
| WellMed | MEDICARE ADVANTAGE | $417.47 | ↑ +265% |
| AVMED | MEDICARE ADVANTAGE | $419.48 | ↑ +267% |
| Independent Living Systems | MEDICARE ADVANTAGE | $423.52 | ↑ +270% |
| DEVOTED HEALTH | Medicare Advantage HMO | $459.22 | ↑ +301% |
| AVMED | EXCHANGE | $633.26 | ↑ +454% |
| AVMED | Select | $709.89 | ↑ +521% |
| AVMED | BROAD | $923.67 | ↑ +707% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Spleen imaging at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $4,229.00 | $848.52 – $2,068.60 |
| cleveland clinic florida weston hospital | Weston | $2,367.30 | $15.77 – $2,946.10 |
| martin north hospital | Stuart | $114.40 | $14.36 – $459.22 |
| Baptist Hospital | MIAMI | $1,203.80 | $173.17 – $1,666.80 |
| Bethesda Hospital East | BOYNTON BEACH | $1,203.80 | $234.02 – $1,666.80 |
| Doctors Hospital | CORAL GABLES | $1,203.80 | $226.86 – $1,666.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,203.80 | $226.86 – $1,666.80 |
| Fishermens Community Hospital | MARATHON | $1,203.80 | $226.86 – $1,666.80 |