Tprnl plmt biodegrdabl matrl at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$19,000.15
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.
$29,231.00
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.
$127.67 with Optum vs $23,384.80 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $127.67 | ↓ -99% |
| Careplus | Medicare Advantage | $152.72 | ↓ -99% |
| Value Options | Medicare Advantage | $152.72 | ↓ -99% |
| Avmed | Medicare Advantage | $152.72 | ↓ -99% |
| Magellan | Medicare Advantage | $152.72 | ↓ -99% |
| Wellcare | Medicare Advantage | $152.72 | ↓ -99% |
| Blue Cross | Medicare Advantage PPO | $152.72 | ↓ -99% |
| Blue Cross | Medicare Advantage HMO | $152.72 | ↓ -99% |
| WellMed | Medicare Advantage | $160.36 | ↓ -99% |
| Freedom Health | Medicare Advantage | $160.36 | ↓ -99% |
| Independent Living Systems | Medicare Advantage | $160.36 | ↓ -99% |
| Clear Spring Health | All Products | $164.94 | ↓ -99% |
| United | Medicare Advantage | $166.19 | ↓ -99% |
| Aetna | Medicare Advantage Behavioral Health | $183.26 | ↓ -99% |
| Aetna | Medicare Advantage PCP | $189.37 | ↓ -99% |
| Aetna | Medicare Advantage Specialist | $192.43 | ↓ -99% |
| Clear Spring Health | ALL PRODUCTS | $204.22 | ↓ -99% |
| Avmed | Exchange | $221.27 | ↓ -99% |
| Avmed | Select | $229.78 | ↓ -99% |
| Avmed | Broad | $246.80 | ↓ -99% |
| Aetna | POS First Health | $262.69 | ↓ -99% |
| United | All Products | $322.05 | ↓ -98% |
| Clarity Health | All Products | $787.80 | ↓ -96% |
| The Legacy Companies | All Products | $787.80 | ↓ -96% |
| Three Rivers | All Products | $787.80 | ↓ -96% |
| Consociate Health | ALL PRODUCTS | $909.00 | ↓ -95% |
| National Provider Network | All Products | $1,030.20 | ↓ -95% |
| Aetna | All Products First Health | $1,090.80 | ↓ -94% |
| OPTUM | Managed Medicaid | $2,889.05 | ↓ -85% |
| Carelon BH Strategies | Managed Medicaid | $3,041.11 | ↓ -84% |
| Molina | Florida Kidcare | $3,041.11 | ↓ -84% |
| MOLINA | Florida KidCare | $3,041.11 | ↓ -84% |
| AMERIHEALTH | Managed Medicaid | $3,041.11 | ↓ -84% |
| Medicaid | Managed Medicaid | $3,041.11 | ↓ -84% |
| Wellcare | Managed Medicaid | $3,041.11 | ↓ -84% |
| SUNSHINE HEALTH | Managed Medicaid | $3,041.11 | ↓ -84% |
| MOLINA | Managed Medicaid | $3,193.17 | ↓ -83% |
| AETNA | Managed Medicaid/CHIP | $3,345.22 | ↓ -82% |
| Independent Living Systems | Managed Medicaid | $3,649.33 | ↓ -81% |
| Cigna | Individual Family Plan Mid-Level | $4,597.82 | ↓ -76% |
| Cigna | Surefit Mid-Level | $4,685.75 | ↓ -75% |
| Cigna | All Products Mid-Level | $5,060.05 | ↓ -73% |
| BLUE CROSS | Medicare Advantage PPO | $5,102.84 | ↓ -73% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $5,102.84 | ↓ -73% |
| Freedom Health | MEDICARE ADVANTAGE | $5,102.84 | ↓ -73% |
| BLUE CROSS | Medicare Advantage HMO | $5,102.84 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $5,102.84 | ↓ -73% |
| Careplus | MEDICARE ADVANTAGE | $5,102.84 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $5,102.84 | ↓ -73% |
| Aetna | PPO First Health | $5,143.17 | ↓ -73% |
| AVMED | MEDICARE ADVANTAGE | $5,306.95 | ↓ -72% |
| Independent Living Systems | MEDICARE ADVANTAGE | $5,357.98 | ↓ -72% |
| Cigna | Individual Family Plan Physician | $5,408.67 | ↓ -72% |
| Cigna | Surefit Physician | $5,512.56 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $5,599.21 | ↓ -71% |
| Wellcare | MEDICARE ADVANTAGE | $5,599.21 | ↓ -71% |
| WellMed | MEDICARE ADVANTAGE | $5,599.21 | ↓ -71% |
| Cigna | All Products Physician | $5,953.00 | ↓ -69% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,159.13 | ↓ -68% |
| AETNA | QHP | $6,840.05 | ↓ -64% |
| CIGNA | Individual Family Plan | $7,512.37 | ↓ -60% |
| AVMED | EXCHANGE | $8,011.45 | ↓ -58% |
| AVMED | Select | $8,980.99 | ↓ -53% |
| CIGNA | SUREFIT | $9,061.61 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $9,295.46 | ↓ -51% |
| AETNA | ALL PRODUCTS | $10,406.24 | ↓ -45% |
| AVMED | BROAD | $11,685.49 | ↓ -38% |
| BMI | ALL PRODUCTS | $14,615.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $17,538.60 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $19,000.15 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $19,000.15 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $23,384.80 | ↑ +23% |
| AETNA | All Products First Health | $23,384.80 | ↑ +23% |
| Aetna | All Products PCP | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| BLUE CROSS | PPO | not published by hospital | — |
| BLUE CROSS | NWBI | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| BLUE CROSS | BSL | not published by hospital | — |
| BLUE CROSS | NWB | not published by hospital | — |
| BLUE CROSS | HMO | not published by hospital | — |
| BLUE CROSS | PHS | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Tprnl plmt biodegrdabl matrl at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $12,446.60 | $5,319.25 – $9,345.08 |
| Adventhealth Palm Coast Parkway | Palm Coast | $11,956.84 | $5,319.25 – $11,959.36 |
| cleveland clinic florida weston hospital | Weston | $787.80 | $127.67 – $6,159.13 |
| martin north hospital | Stuart | $19,000.15 | $152.72 – $14,615.50 |
| Baptist Hospital | MIAMI | $13,211.90 | $173.17 – $18,293.40 |
| Boca Raton Regional Hospital | BOCA RATON | $10,057.45 | $4,587.00 – $10,103.87 |
| Adventhealth Palm Coast | Palm Coast | $11,956.84 | $5,319.25 – $11,959.36 |
| AdventHealth Orlando | Orlando | $17,510.00 | $5,599.21 – $14,837.91 |