Total Hip Replacement at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$5,605.60
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.
$8,624.00
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.
$993.98 with Wellcare vs $29,576.40 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 |
|---|---|---|---|
| Wellcare | Managed Medicaid | $993.98 | ↓ -82% |
| Molina | Managed Medicaid | $993.98 | ↓ -82% |
| Value Options | Managed Medicaid | $993.98 | ↓ -82% |
| Medicaid | Managed Medicaid | $993.98 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $993.98 | ↓ -82% |
| Optum | Managed Medicaid | $1,096.59 | ↓ -80% |
| Blue Cross | Medicare Advantage HMO | $1,282.73 | ↓ -77% |
| Careplus | Medicare Advantage | $1,282.73 | ↓ -77% |
| Magellan | Medicare Advantage | $1,282.73 | ↓ -77% |
| Value Options | Medicare Advantage | $1,282.73 | ↓ -77% |
| Avmed | Medicare Advantage | $1,282.73 | ↓ -77% |
| Wellcare | Medicare Advantage | $1,282.73 | ↓ -77% |
| Blue Cross | Medicare Advantage PPO | $1,282.73 | ↓ -77% |
| WellMed | Medicare Advantage | $1,346.87 | ↓ -76% |
| Freedom Health | Medicare Advantage | $1,346.87 | ↓ -76% |
| Independent Living Systems | Medicare Advantage | $1,346.87 | ↓ -76% |
| United | Medicare Advantage | $1,357.64 | ↓ -76% |
| Blue Cross | Health Options | $1,359.46 | ↓ -76% |
| Clear Spring Health | All Products | $1,385.35 | ↓ -75% |
| Blue Cross | Network Blue | $1,392.89 | ↓ -75% |
| Blue Cross | Traditional (PPS) | $1,426.32 | ↓ -75% |
| Blue Cross | Perferred Patient Care | $1,426.32 | ↓ -75% |
| Aetna | Medicare Advantage Behavioral Health | $1,539.28 | ↓ -73% |
| Aetna | Medicare Advantage PCP | $1,590.59 | ↓ -72% |
| Aetna | Medicare Advantage Specialist | $1,616.24 | ↓ -71% |
| Avmed | Exchange | $1,804.65 | ↓ -68% |
| Avmed | Select | $1,874.06 | ↓ -67% |
| Avmed | Broad | $2,012.88 | ↓ -64% |
| Aetna | PPO First Health | $2,182.80 | ↓ -61% |
| United | All Products | $2,626.59 | ↓ -53% |
| Aetna | POS First Health | $3,880.80 | ↓ -31% |
| The Legacy Companies | All Products | $5,605.60 | ↑ +0% |
| Clarity Health | All Products | $5,605.60 | ↑ +0% |
| Three Rivers | All Products | $5,605.60 | ↑ +0% |
| OPTUM | Managed Medicaid | $5,660.06 | ↑ +1% |
| AMERIHEALTH | Managed Medicaid | $5,957.96 | ↑ +6% |
| MOLINA | Florida KidCare | $5,957.96 | ↑ +6% |
| SUNSHINE HEALTH | Managed Medicaid | $5,957.96 | ↑ +6% |
| Molina | Florida Kidcare | $5,957.96 | ↑ +6% |
| Carelon BH Strategies | Managed Medicaid | $5,957.96 | ↑ +6% |
| MOLINA | Managed Medicaid | $6,255.86 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $6,468.00 | ↑ +15% |
| AETNA | Managed Medicaid/CHIP | $6,553.76 | ↑ +17% |
| Independent Living Systems | Managed Medicaid | $7,149.55 | ↑ +28% |
| National Provider Network | All Products | $7,330.40 | ↑ +31% |
| Aetna | All Products First Health | $7,761.60 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $8,624.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $8,624.00 | ↑ +54% |
| Cigna | All Products Physician | $8,624.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $8,624.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $8,624.00 | ↑ +54% |
| Cigna | Surefit Physician | $8,624.00 | ↑ +54% |
| AETNA | ALL PRODUCTS | $10,786.00 | ↑ +92% |
| UNITED | MEDICARE ADVANTAGE | $12,915.46 | ↑ +130% |
| BLUE CROSS | Medicare Advantage HMO | $12,915.46 | ↑ +130% |
| BLUE CROSS | Medicare Advantage PPO | $12,915.46 | ↑ +130% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $12,915.46 | ↑ +130% |
| Careplus | MEDICARE ADVANTAGE | $12,915.46 | ↑ +130% |
| Freedom Health | MEDICARE ADVANTAGE | $12,915.46 | ↑ +130% |
| HUMANA | Medicare Advantage HMO | $12,915.46 | ↑ +130% |
| Wellcare | MEDICARE ADVANTAGE | $13,407.17 | ↑ +139% |
| AETNA | MEDICARE ADVANTAGE | $13,407.17 | ↑ +139% |
| WellMed | MEDICARE ADVANTAGE | $13,407.17 | ↑ +139% |
| AVMED | MEDICARE ADVANTAGE | $13,432.07 | ↑ +140% |
| Independent Living Systems | MEDICARE ADVANTAGE | $13,561.23 | ↑ +142% |
| DEVOTED HEALTH | Medicare Advantage HMO | $14,747.88 | ↑ +163% |
| UNITED | NHP | $15,469.00 | ↑ +176% |
| UNITED | ALL PRODUCTS | $18,361.00 | ↑ +228% |
| AVMED | EXCHANGE | $20,277.27 | ↑ +262% |
| AVMED | Select | $22,731.20 | ↑ +306% |
| AVMED | BROAD | $29,576.40 | ↑ +428% |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Total Hip Replacement at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5,605.60 | $993.98 – $14,747.88 |
| martin north hospital | Stuart | $5,605.60 | $993.98 – $14,747.88 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $12,736.81 – $22,376.56 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $12,736.81 – $28,636.36 |
| Adventhealth Tampa | Tampa | not published | $13,407.17 – $29,763.91 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $12,736.81 – $29,287.95 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,057.63 – $17,429.32 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $13,407.17 – $24,481.48 |