Strapping of knee at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$481.65
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.
$741.00
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.
$23.45 with Clear Spring Health vs $4,027.00 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 |
|---|---|---|---|
| Clear Spring Health | ALL PRODUCTS | $23.45 | ↓ -95% |
| OPTUM | Managed Medicaid | $47.31 | ↓ -90% |
| Carelon BH Strategies | Managed Medicaid | $49.80 | ↓ -90% |
| SUNSHINE HEALTH | Managed Medicaid | $49.80 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $49.80 | ↓ -90% |
| Molina | Florida Kidcare | $49.80 | ↓ -90% |
| MOLINA | Florida KidCare | $49.80 | ↓ -90% |
| Wellcare | Managed Medicaid | $49.80 | ↓ -90% |
| Medicaid | Managed Medicaid | $49.80 | ↓ -90% |
| MOLINA | Managed Medicaid | $52.29 | ↓ -89% |
| AETNA | Managed Medicaid/CHIP | $54.78 | ↓ -89% |
| Independent Living Systems | Managed Medicaid | $59.76 | ↓ -88% |
| HUMANA | Medicare Advantage HMO | $129.39 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $129.39 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $129.39 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $129.39 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $129.39 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $129.39 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $129.39 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $134.56 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $135.86 | ↓ -72% |
| AETNA | MEDICARE ADVANTAGE | $138.94 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $138.94 | ↓ -71% |
| WellMed | MEDICARE ADVANTAGE | $138.94 | ↓ -71% |
| DEVOTED HEALTH | Medicare Advantage HMO | $152.83 | ↓ -68% |
| CIGNA | Individual Family Plan | $190.44 | ↓ -60% |
| AVMED | EXCHANGE | $203.14 | ↓ -58% |
| AVMED | Select | $227.72 | ↓ -53% |
| CIGNA | SUREFIT | $229.71 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $235.64 | ↓ -51% |
| AVMED | BROAD | $296.30 | ↓ -38% |
| BMI | ALL PRODUCTS | $370.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $444.60 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $481.65 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $481.65 | ↑ +0% |
| AETNA | QHP | $554.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $555.75 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $592.80 | ↑ +23% |
| AETNA | All Products First Health | $592.80 | ↑ +23% |
| UNITED | NHP | $850.00 | ↑ +76% |
| AETNA | ALL PRODUCTS | $874.00 | ↑ +81% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↑ +139% |
| UNITED | International | $1,151.00 | ↑ +139% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +412% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +412% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +578% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +578% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +736% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +736% |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Strapping of knee at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $268.95 | $131.99 – $231.89 |
| Adventhealth Lake Wales | Lake Wales | $399.93 | $138.94 – $308.45 |
| Adventhealth Palm Coast Parkway | Palm Coast | $273.98 | $131.99 – $296.76 |
| Adventhealth Tampa | Tampa | $1,252.04 | $138.94 – $308.45 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $203.90 | $131.99 – $303.51 |
| Adventhealth Port Charlotte | Port Charlotte | $498.62 | $138.94 – $253.70 |
| cleveland clinic florida weston hospital | Weston | $481.65 | $15.74 – $629.85 |
| martin north hospital | Stuart | $481.65 | $15.74 – $370.50 |