Tc-99m sestamibi p study dose at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$47.45
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.
$73.00
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.
$15.51 with AETNA vs $2,038.00 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 |
|---|---|---|---|
| AETNA | MEDICARE ADVANTAGE | $15.51 | ↓ -67% |
| AVMED | EXCHANGE | $15.84 | ↓ -67% |
| AVMED | Select | $15.84 | ↓ -67% |
| CIGNA | Individual Family Plan | $16.96 | ↓ -64% |
| AVMED | BROAD | $20.46 | ↓ -57% |
| CIGNA | SUREFIT | $20.46 | ↓ -57% |
| CIGNA | ALL PRODUCTS | $20.99 | ↓ -56% |
| AETNA | QHP | $25.74 | ↓ -46% |
| Aetna | POS First Health | $32.85 | ↓ -31% |
| BMI | ALL PRODUCTS | $33.00 | ↓ -30% |
| AETNA | ALL PRODUCTS | $36.30 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $39.60 | ↓ -17% |
| The Legacy Companies | ALL PRODUCTS | $42.90 | ↓ -10% |
| Clarity Health | ALL PRODUCTS | $42.90 | ↓ -10% |
| Magellan | Medicare Advantage | $43.80 | ↓ -8% |
| Three Rivers | All Products | $47.45 | ↑ +0% |
| The Legacy Companies | All Products | $47.45 | ↑ +0% |
| Clarity Health | All Products | $47.45 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $49.50 | ↑ +4% |
| MULTIPLAN | ALL PRODUCTS | $52.80 | ↑ +11% |
| AETNA | All Products First Health | $52.80 | ↑ +11% |
| National Provider Network | All Products | $62.05 | ↑ +31% |
| Aetna | All Products First Health | $65.70 | ↑ +38% |
| Cigna | Surefit Mid-Level | $73.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $73.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $73.00 | ↑ +54% |
| Cigna | All Products Physician | $73.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $73.00 | ↑ +54% |
| Cigna | Surefit Physician | $73.00 | ↑ +54% |
| Aetna | All Products Specialist | $114.78 | ↑ +142% |
| Aetna | PPO First Health | $147.32 | ↑ +210% |
| United | All Products | $450.58 | ↑ +850% |
| BLUE CROSS | BSL | $1,575.00 | ↑ +3219% |
| BLUE CROSS | HMO | $1,575.00 | ↑ +3219% |
| BLUE CROSS | NWBI | $1,760.00 | ↑ +3609% |
| BLUE CROSS | NWB | $1,760.00 | ↑ +3609% |
| BLUE CROSS | PPO | $2,038.00 | ↑ +4195% |
| BLUE CROSS | PHS | $2,038.00 | ↑ +4195% |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Aetna | Medicare Advantage Behavioral Health | not published by hospital | — |
| Independent Living Systems | Managed Medicaid | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Independent Living Systems | Medicare Advantage | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Molina | Florida Kidcare | not published by hospital | — |
| AETNA | Managed Medicaid/CHIP | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Medicaid | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| WellMed | Medicare Advantage | not published by hospital | — |
| Carelon BH Strategies | Managed Medicaid | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| OPTUM | Managed Medicaid | not published by hospital | — |
| SUNSHINE HEALTH | Managed Medicaid | not published by hospital | — |
| Wellcare | Medicare Advantage | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Wellcare | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Value Options | Medicare Advantage | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| MOLINA | Florida KidCare | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m sestamibi p study dose at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $122.85 | $11.09 – $1,390.00 |
| martin north hospital | Stuart | $47.45 | $13.73 – $649.00 |
| Baptist Hospital | MIAMI | $172.25 | $45.85 – $238.50 |
| Bethesda Hospital East | BOYNTON BEACH | $172.25 | $53.27 – $265.00 |
| Boca Raton Regional Hospital | BOCA RATON | $321.75 | $178.20 – $476.00 |
| Doctors Hospital | CORAL GABLES | $172.25 | $46.38 – $238.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $172.25 | $46.11 – $238.50 |
| Fishermens Community Hospital | MARATHON | $172.25 | $44.26 – $238.50 |