St evaluation swallow function at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$463.45
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.
$713.00
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.
$47.66 with Optum vs $723.00 with BLUE CROSS — 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $47.66 | ↓ -90% |
| Aetna | POS First Health | $54.38 | ↓ -88% |
| Careplus | Medicare Advantage | $58.53 | ↓ -87% |
| Avmed | Medicare Advantage | $58.53 | ↓ -87% |
| Wellcare | Medicare Advantage | $58.53 | ↓ -87% |
| Magellan | Medicare Advantage | $58.53 | ↓ -87% |
| Blue Cross | Medicare Advantage HMO | $58.53 | ↓ -87% |
| Blue Cross | Medicare Advantage PPO | $58.53 | ↓ -87% |
| Value Options | Medicare Advantage | $58.53 | ↓ -87% |
| Blue Cross | Health Options | $60.99 | ↓ -87% |
| WellMed | Medicare Advantage | $61.46 | ↓ -87% |
| Freedom Health | Medicare Advantage | $61.46 | ↓ -87% |
| Independent Living Systems | Medicare Advantage | $61.46 | ↓ -87% |
| Blue Cross | Network Blue | $62.49 | ↓ -87% |
| Clear Spring Health | All Products | $63.21 | ↓ -86% |
| Blue Cross | Perferred Patient Care | $63.99 | ↓ -86% |
| Blue Cross | Traditional (PPS) | $63.99 | ↓ -86% |
| Aetna | PPO First Health | $64.53 | ↓ -86% |
| Wellcare | Managed Medicaid | $65.87 | ↓ -86% |
| Value Options | Managed Medicaid | $65.87 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $65.87 | ↓ -86% |
| Molina | Managed Medicaid | $65.87 | ↓ -86% |
| Medicaid | Managed Medicaid | $65.87 | ↓ -86% |
| United | Medicare Advantage | $69.84 | ↓ -85% |
| Aetna | Medicare Advantage Behavioral Health | $70.24 | ↓ -85% |
| Aetna | Medicare Advantage PCP | $72.58 | ↓ -84% |
| Aetna | Medicare Advantage Specialist | $73.75 | ↓ -84% |
| WellMed | MEDICARE ADVANTAGE | $80.26 | ↓ -83% |
| AETNA | MEDICARE ADVANTAGE | $80.26 | ↓ -83% |
| Wellcare | MEDICARE ADVANTAGE | $80.26 | ↓ -83% |
| Clear Spring Health | ALL PRODUCTS | $86.68 | ↓ -81% |
| DEVOTED HEALTH | Medicare Advantage HMO | $88.29 | ↓ -81% |
| HUMANA | Medicare Advantage HMO | $91.47 | ↓ -80% |
| UNITED | MEDICARE ADVANTAGE | $91.47 | ↓ -80% |
| BLUE CROSS | Medicare Advantage HMO | $91.47 | ↓ -80% |
| BLUE CROSS | Medicare Advantage PPO | $91.47 | ↓ -80% |
| Freedom Health | MEDICARE ADVANTAGE | $91.47 | ↓ -80% |
| Careplus | MEDICARE ADVANTAGE | $91.47 | ↓ -80% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $91.47 | ↓ -80% |
| Avmed | Exchange | $92.14 | ↓ -80% |
| AVMED | MEDICARE ADVANTAGE | $95.13 | ↓ -79% |
| Avmed | Select | $95.69 | ↓ -79% |
| Independent Living Systems | MEDICARE ADVANTAGE | $96.04 | ↓ -79% |
| Avmed | Broad | $102.78 | ↓ -78% |
| Cigna | Individual Family Plan Mid-Level | $106.20 | ↓ -77% |
| Cigna | Surefit Mid-Level | $108.23 | ↓ -77% |
| Cigna | All Products Mid-Level | $116.88 | ↓ -75% |
| United | All Products | $123.21 | ↓ -73% |
| Cigna | Individual Family Plan Physician | $124.94 | ↓ -73% |
| Cigna | Surefit Physician | $127.33 | ↓ -73% |
| Cigna | All Products Physician | $137.52 | ↓ -70% |
| AETNA | QHP | $146.00 | ↓ -68% |
| UNITED | NHP | $168.00 | ↓ -64% |
| AVMED | EXCHANGE | $171.12 | ↓ -63% |
| AVMED | Select | $171.12 | ↓ -63% |
| OPTUM | Managed Medicaid | $179.21 | ↓ -61% |
| MOLINA | Florida KidCare | $188.64 | ↓ -59% |
| Carelon BH Strategies | Managed Medicaid | $188.64 | ↓ -59% |
| SUNSHINE HEALTH | Managed Medicaid | $188.64 | ↓ -59% |
| Molina | Florida Kidcare | $188.64 | ↓ -59% |
| AMERIHEALTH | Managed Medicaid | $188.64 | ↓ -59% |
| CIGNA | Individual Family Plan | $195.32 | ↓ -58% |
| MOLINA | Managed Medicaid | $198.07 | ↓ -57% |
| AETNA | Managed Medicaid/CHIP | $207.50 | ↓ -55% |
| UNITED | International | $213.00 | ↓ -54% |
| UNITED | ALL PRODUCTS | $213.00 | ↓ -54% |
| AVMED | BROAD | $221.03 | ↓ -52% |
| Independent Living Systems | Managed Medicaid | $226.37 | ↓ -51% |
| AETNA | ALL PRODUCTS | $235.00 | ↓ -49% |
| CIGNA | SUREFIT | $236.38 | ↓ -49% |
| CIGNA | ALL PRODUCTS | $250.16 | ↓ -46% |
| Three Rivers | All Products | $338.00 | ↓ -27% |
| The Legacy Companies | All Products | $338.00 | ↓ -27% |
| Clarity Health | All Products | $338.00 | ↓ -27% |
| BMI | ALL PRODUCTS | $356.50 | ↓ -23% |
| Consociate Health | ALL PRODUCTS | $390.00 | ↓ -16% |
| BLUE CROSS | BSL | $394.00 | ↓ -15% |
| BLUE CROSS | HMO | $394.00 | ↓ -15% |
| MAGELLAN | ALL PRODUCTS | $427.80 | ↓ -8% |
| National Provider Network | All Products | $442.00 | ↓ -5% |
| BLUE CROSS | NWB | $458.00 | ↓ -1% |
| BLUE CROSS | NWBI | $458.00 | ↓ -1% |
| Clarity Health | ALL PRODUCTS | $463.45 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $463.45 | ↑ +0% |
| Aetna | All Products First Health | $468.00 | ↑ +1% |
| MULTIPLAN | ALL PRODUCTS | $570.40 | ↑ +23% |
| AETNA | All Products First Health | $570.40 | ↑ +23% |
| BLUE CROSS | PPO | $656.00 | ↑ +42% |
| BLUE CROSS | PHS | $723.00 | ↑ +56% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Anesthesia | 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 | — |
Visitor-reported prices
Comments
St evaluation swallow function at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $426.39 | $55.93 – $98.25 |
| Adventhealth Lake Wales | Lake Wales | $615.21 | $58.87 – $130.69 |
| Adventhealth Palm Coast Parkway | Palm Coast | $575.86 | not published |
| Adventhealth Tampa | Tampa | $612.12 | $58.87 – $130.69 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $443.24 | $55.93 – $128.60 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,544.00 | $66.56 – $99.84 |
| Adventhealth Port Charlotte | Port Charlotte | $829.68 | not published |
| cleveland clinic florida weston hospital | Weston | $463.45 | $47.66 – $606.05 |