Ther/proph/diag inj ia at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$48.75
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.
$75.00
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.
$13.47 with Optum vs $484.30 with AVMED — 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 | $13.47 | ↓ -72% |
| AmeriHealth | Managed Medicaid | $14.55 | ↓ -70% |
| Medicaid | Managed Medicaid | $14.55 | ↓ -70% |
| Value Options | Managed Medicaid | $14.55 | ↓ -70% |
| Wellcare | Managed Medicaid | $14.55 | ↓ -70% |
| Molina | Managed Medicaid | $14.55 | ↓ -70% |
| Blue Cross | Health Options | $17.90 | ↓ -63% |
| Blue Cross | Network Blue | $18.34 | ↓ -62% |
| United | Medicare Advantage | $18.66 | ↓ -62% |
| Blue Cross | Perferred Patient Care | $18.78 | ↓ -61% |
| Blue Cross | Traditional (PPS) | $18.78 | ↓ -61% |
| Independent Living Systems | Medicare Advantage | $19.59 | ↓ -60% |
| Careplus | Medicare Advantage | $20.25 | ↓ -58% |
| Magellan | Medicare Advantage | $20.25 | ↓ -58% |
| Value Options | Medicare Advantage | $20.25 | ↓ -58% |
| Wellcare | Medicare Advantage | $20.25 | ↓ -58% |
| Blue Cross | Medicare Advantage HMO | $20.25 | ↓ -58% |
| Blue Cross | Medicare Advantage PPO | $20.25 | ↓ -58% |
| Avmed | Medicare Advantage | $20.25 | ↓ -58% |
| WellMed | Medicare Advantage | $21.26 | ↓ -56% |
| Freedom Health | Medicare Advantage | $21.26 | ↓ -56% |
| Clear Spring Health | All Products | $21.87 | ↓ -55% |
| Aetna | Medicare Advantage Behavioral Health | $24.30 | ↓ -50% |
| Avmed | Exchange | $24.53 | ↓ -50% |
| Aetna | Medicare Advantage PCP | $25.11 | ↓ -48% |
| Avmed | Select | $25.47 | ↓ -48% |
| Aetna | Medicare Advantage Specialist | $25.52 | ↓ -48% |
| Avmed | Broad | $27.36 | ↓ -44% |
| Aetna | PPO First Health | $27.86 | ↓ -43% |
| OPTUM | Managed Medicaid | $30.69 | ↓ -37% |
| Molina | Florida Kidcare | $32.31 | ↓ -34% |
| SUNSHINE HEALTH | Managed Medicaid | $32.31 | ↓ -34% |
| MOLINA | Florida KidCare | $32.31 | ↓ -34% |
| AMERIHEALTH | Managed Medicaid | $32.31 | ↓ -34% |
| Carelon BH Strategies | Managed Medicaid | $32.31 | ↓ -34% |
| United | All Products | $32.80 | ↓ -33% |
| Aetna | POS First Health | $33.75 | ↓ -31% |
| MOLINA | Managed Medicaid | $33.93 | ↓ -30% |
| AETNA | Managed Medicaid/CHIP | $35.54 | ↓ -27% |
| Independent Living Systems | Managed Medicaid | $38.77 | ↓ -20% |
| The Legacy Companies | All Products | $48.75 | ↑ +0% |
| Clarity Health | All Products | $48.75 | ↑ +0% |
| Three Rivers | All Products | $48.75 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $56.25 | ↑ +15% |
| National Provider Network | All Products | $63.75 | ↑ +31% |
| Aetna | All Products First Health | $67.50 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $75.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $75.00 | ↑ +54% |
| Cigna | All Products Physician | $75.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $75.00 | ↑ +54% |
| Cigna | Surefit Physician | $75.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $75.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $211.49 | ↑ +334% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $211.49 | ↑ +334% |
| BLUE CROSS | Medicare Advantage PPO | $211.49 | ↑ +334% |
| Freedom Health | MEDICARE ADVANTAGE | $211.49 | ↑ +334% |
| BLUE CROSS | Medicare Advantage HMO | $211.49 | ↑ +334% |
| HUMANA | Medicare Advantage HMO | $211.49 | ↑ +334% |
| Careplus | MEDICARE ADVANTAGE | $211.49 | ↑ +334% |
| AVMED | MEDICARE ADVANTAGE | $219.95 | ↑ +351% |
| Independent Living Systems | MEDICARE ADVANTAGE | $222.06 | ↑ +356% |
| WellMed | MEDICARE ADVANTAGE | $222.12 | ↑ +356% |
| AETNA | MEDICARE ADVANTAGE | $222.12 | ↑ +356% |
| Wellcare | MEDICARE ADVANTAGE | $222.12 | ↑ +356% |
| DEVOTED HEALTH | Medicare Advantage HMO | $244.33 | ↑ +401% |
| AVMED | EXCHANGE | $332.03 | ↑ +581% |
| AVMED | Select | $372.22 | ↑ +664% |
| AVMED | BROAD | $484.30 | ↑ +893% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Ther/proph/diag inj ia at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $725.59 | $211.02 – $370.72 |
| Adventhealth Tampa | Tampa | $329.02 | $222.12 – $493.11 |
| cleveland clinic florida weston hospital | Weston | $1,181.70 | $13.47 – $1,545.30 |
| martin north hospital | Stuart | $1,181.70 | $14.55 – $909.00 |
| Boca Raton Regional Hospital | BOCA RATON | $275.60 | $127.62 – $424.00 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | $333.83 | $44.58 – $433.55 |
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH | $1,221.00 | $20.90 – $21.34 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE | $229.55 | $19.00 – $20.00 |