Tcd emboli detect w/inj at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$496.60
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.
$764.00
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.
$66.35 with OPTUM vs $703.68 with United — 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 | $66.35 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $69.84 | ↓ -86% |
| Carelon BH Strategies | Managed Medicaid | $69.84 | ↓ -86% |
| Molina | Florida Kidcare | $69.84 | ↓ -86% |
| Medicaid | Managed Medicaid | $69.84 | ↓ -86% |
| SUNSHINE HEALTH | Managed Medicaid | $69.84 | ↓ -86% |
| Wellcare | Managed Medicaid | $69.84 | ↓ -86% |
| MOLINA | Florida KidCare | $69.84 | ↓ -86% |
| MOLINA | Managed Medicaid | $73.33 | ↓ -85% |
| AETNA | Managed Medicaid/CHIP | $76.82 | ↓ -85% |
| Independent Living Systems | Managed Medicaid | $83.81 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $106.74 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $106.74 | ↓ -79% |
| Careplus | MEDICARE ADVANTAGE | $106.74 | ↓ -79% |
| BLUE CROSS | Medicare Advantage HMO | $106.74 | ↓ -79% |
| BLUE CROSS | Medicare Advantage PPO | $106.74 | ↓ -79% |
| Freedom Health | MEDICARE ADVANTAGE | $106.74 | ↓ -79% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $106.74 | ↓ -79% |
| Wellcare | MEDICARE ADVANTAGE | $109.17 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $109.17 | ↓ -78% |
| WellMed | MEDICARE ADVANTAGE | $109.17 | ↓ -78% |
| AVMED | MEDICARE ADVANTAGE | $111.01 | ↓ -78% |
| Independent Living Systems | MEDICARE ADVANTAGE | $112.08 | ↓ -77% |
| DEVOTED HEALTH | Medicare Advantage HMO | $120.09 | ↓ -76% |
| AVMED | EXCHANGE | $167.58 | ↓ -66% |
| AETNA | QHP | $178.78 | ↓ -64% |
| AVMED | Select | $187.87 | ↓ -62% |
| Optum | Managed Medicaid | $192.33 | ↓ -61% |
| CIGNA | Individual Family Plan | $196.35 | ↓ -60% |
| Aetna | POS First Health | $207.00 | ↓ -58% |
| CIGNA | SUREFIT | $236.84 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $242.95 | ↓ -51% |
| AVMED | BROAD | $244.44 | ↓ -51% |
| Aetna | PPO First Health | $253.71 | ↓ -49% |
| AETNA | ALL PRODUCTS | $271.98 | ↓ -45% |
| AmeriHealth | Managed Medicaid | $273.61 | ↓ -45% |
| Molina | Managed Medicaid | $273.61 | ↓ -45% |
| Value Options | Managed Medicaid | $273.61 | ↓ -45% |
| BLUE CROSS | HMO | $284.00 | ↓ -43% |
| BLUE CROSS | BSL | $284.00 | ↓ -43% |
| Blue Cross | Health Options | $298.50 | ↓ -40% |
| The Legacy Companies | All Products | $299.00 | ↓ -40% |
| Three Rivers | All Products | $299.00 | ↓ -40% |
| Clarity Health | All Products | $299.00 | ↓ -40% |
| Blue Cross | Network Blue | $305.84 | ↓ -38% |
| Blue Cross | Perferred Patient Care | $313.18 | ↓ -37% |
| Blue Cross | Traditional (PPS) | $313.18 | ↓ -37% |
| BLUE CROSS | NWBI | $317.00 | ↓ -36% |
| BLUE CROSS | NWB | $317.00 | ↓ -36% |
| United | Medicare Advantage | $325.71 | ↓ -34% |
| Independent Living Systems | Medicare Advantage | $342.00 | ↓ -31% |
| Consociate Health | ALL PRODUCTS | $345.00 | ↓ -31% |
| BLUE CROSS | PPO | $353.00 | ↓ -29% |
| BLUE CROSS | PHS | $353.00 | ↓ -29% |
| Magellan | Medicare Advantage | $374.52 | ↓ -25% |
| Blue Cross | Medicare Advantage HMO | $374.52 | ↓ -25% |
| Careplus | Medicare Advantage | $374.52 | ↓ -25% |
| Value Options | Medicare Advantage | $374.52 | ↓ -25% |
| Avmed | Medicare Advantage | $374.52 | ↓ -25% |
| Wellcare | Medicare Advantage | $374.52 | ↓ -25% |
| Blue Cross | Medicare Advantage PPO | $374.52 | ↓ -25% |
| BMI | ALL PRODUCTS | $382.00 | ↓ -23% |
| National Provider Network | All Products | $391.00 | ↓ -21% |
| Freedom Health | Medicare Advantage | $393.25 | ↓ -21% |
| WellMed | Medicare Advantage | $393.25 | ↓ -21% |
| Clear Spring Health | All Products | $404.48 | ↓ -19% |
| Aetna | All Products First Health | $414.00 | ↓ -17% |
| Aetna | Medicare Advantage Behavioral Health | $449.42 | ↓ -10% |
| MAGELLAN | ALL PRODUCTS | $458.40 | ↓ -8% |
| Cigna | All Products Mid-Level | $460.00 | ↓ -7% |
| Cigna | Surefit Physician | $460.00 | ↓ -7% |
| Cigna | Surefit Mid-Level | $460.00 | ↓ -7% |
| Cigna | Individual Family Plan Physician | $460.00 | ↓ -7% |
| Cigna | Individual Family Plan Mid-Level | $460.00 | ↓ -7% |
| Cigna | All Products Physician | $460.00 | ↓ -7% |
| Aetna | Medicare Advantage PCP | $464.40 | ↓ -6% |
| Aetna | Medicare Advantage Specialist | $471.90 | ↓ -5% |
| UNITED | NHP | $472.00 | ↓ -5% |
| Clarity Health | ALL PRODUCTS | $496.60 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $496.60 | ↑ +0% |
| Avmed | Exchange | $526.24 | ↑ +6% |
| Avmed | Select | $546.48 | ↑ +10% |
| Clear Spring Health | ALL PRODUCTS | $552.91 | ↑ +11% |
| Avmed | Broad | $586.96 | ↑ +18% |
| UNITED | ALL PRODUCTS | $610.00 | ↑ +23% |
| UNITED | International | $610.00 | ↑ +23% |
| AETNA | All Products First Health | $611.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $611.20 | ↑ +23% |
| United | All Products | $703.68 | ↑ +42% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
Visitor-reported prices
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Tcd emboli detect w/inj at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $795.60 | $48.16 – $649.40 |
| martin north hospital | Stuart | $496.60 | $69.84 – $561.78 |
| Baptist Hospital | MIAMI | $475.80 | $69.11 – $658.80 |
| Bethesda Hospital East | BOYNTON BEACH | $475.80 | $69.11 – $658.80 |
| Doctors Hospital | CORAL GABLES | $475.80 | $66.99 – $658.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $475.80 | $66.99 – $658.80 |
| Fishermens Community Hospital | MARATHON | $475.80 | $66.99 – $658.80 |
| Homestead Hospital | HOMESTEAD | $475.80 | $66.99 – $658.80 |