Tc-99m exametazime diag at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,236.65
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.
$3,441.00
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.
$802.34 with Careplus vs $2,502.40 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 |
|---|---|---|---|
| Careplus | MEDICARE ADVANTAGE | $802.34 | ↓ -64% |
| BLUE CROSS | Medicare Advantage HMO | $802.34 | ↓ -64% |
| BLUE CROSS | Medicare Advantage PPO | $802.34 | ↓ -64% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $802.34 | ↓ -64% |
| UNITED | MEDICARE ADVANTAGE | $802.34 | ↓ -64% |
| Freedom Health | MEDICARE ADVANTAGE | $802.34 | ↓ -64% |
| HUMANA | Medicare Advantage HMO | $802.34 | ↓ -64% |
| AVMED | MEDICARE ADVANTAGE | $834.43 | ↓ -63% |
| Independent Living Systems | MEDICARE ADVANTAGE | $842.46 | ↓ -62% |
| Wellcare | MEDICARE ADVANTAGE | $927.71 | ↓ -59% |
| AETNA | MEDICARE ADVANTAGE | $927.71 | ↓ -59% |
| WellMed | MEDICARE ADVANTAGE | $927.71 | ↓ -59% |
| DEVOTED HEALTH | Medicare Advantage HMO | $1,020.48 | ↓ -54% |
| AVMED | EXCHANGE | $1,259.67 | ↓ -44% |
| AVMED | Select | $1,412.12 | ↓ -37% |
| CIGNA | Individual Family Plan | $1,427.10 | ↓ -36% |
| BMI | ALL PRODUCTS | $1,564.00 | ↓ -30% |
| BLUE CROSS | BSL | $1,575.00 | ↓ -30% |
| BLUE CROSS | HMO | $1,575.00 | ↓ -30% |
| CIGNA | SUREFIT | $1,726.64 | ↓ -23% |
| BLUE CROSS | NWB | $1,760.00 | ↓ -21% |
| BLUE CROSS | NWBI | $1,760.00 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $1,804.46 | ↓ -19% |
| AVMED | BROAD | $1,837.36 | ↓ -18% |
| MAGELLAN | ALL PRODUCTS | $1,876.80 | ↓ -16% |
| Clarity Health | ALL PRODUCTS | $2,033.20 | ↓ -9% |
| The Legacy Companies | ALL PRODUCTS | $2,033.20 | ↓ -9% |
| BLUE CROSS | PPO | $2,038.00 | ↓ -9% |
| BLUE CROSS | PHS | $2,038.00 | ↓ -9% |
| Consociate Health | ALL PRODUCTS | $2,346.00 | ↑ +5% |
| MULTIPLAN | ALL PRODUCTS | $2,502.40 | ↑ +12% |
| AETNA | All Products First Health | $2,502.40 | ↑ +12% |
| Medicaid | Managed Medicaid | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| MOLINA | Florida KidCare | not published by hospital | — |
| Carelon BH Strategies | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | not published by hospital | — |
| AETNA | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AETNA | QHP | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| OPTUM | Managed Medicaid | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | Managed Medicaid | not published by hospital | — |
| Wellcare | Managed Medicaid | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,236.65 | $802.34 – $2,658.80 |
| martin north hospital | Stuart | $2,236.65 | $649.00 – $2,346.00 |
| Baptist Hospital | MIAMI | $2,306.20 | $173.17 – $3,193.20 |
| Bethesda Hospital East | BOYNTON BEACH | $2,306.20 | $713.15 – $3,193.20 |
| Doctors Hospital | CORAL GABLES | $2,306.20 | $620.90 – $3,193.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $2,306.20 | $617.35 – $3,193.20 |
| Fishermens Community Hospital | MARATHON | $2,306.20 | $592.52 – $3,193.20 |
| Homestead Hospital | HOMESTEAD | $2,306.20 | $167.89 – $3,193.20 |