Transfusion blood/blood component(s) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$2,042.95
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.
$3,143.00
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.
$27.55 with Optum vs $4,027.00 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $27.55 | ↓ -99% |
| Blue Cross | Health Options | $31.19 | ↓ -98% |
| Blue Cross | Network Blue | $31.96 | ↓ -98% |
| Blue Cross | Perferred Patient Care | $32.73 | ↓ -98% |
| Blue Cross | Traditional (PPS) | $32.73 | ↓ -98% |
| Molina | Managed Medicaid | $32.81 | ↓ -98% |
| Medicaid | Managed Medicaid | $32.81 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $32.81 | ↓ -98% |
| Wellcare | Managed Medicaid | $32.81 | ↓ -98% |
| Value Options | Managed Medicaid | $32.81 | ↓ -98% |
| United | Medicare Advantage | $42.39 | ↓ -98% |
| Independent Living Systems | Medicare Advantage | $44.51 | ↓ -98% |
| Value Options | Medicare Advantage | $49.09 | ↓ -98% |
| Careplus | Medicare Advantage | $49.09 | ↓ -98% |
| Magellan | Medicare Advantage | $49.09 | ↓ -98% |
| Wellcare | Medicare Advantage | $49.09 | ↓ -98% |
| Blue Cross | Medicare Advantage PPO | $49.09 | ↓ -98% |
| Avmed | Medicare Advantage | $49.09 | ↓ -98% |
| Blue Cross | Medicare Advantage HMO | $49.09 | ↓ -98% |
| Freedom Health | Medicare Advantage | $51.54 | ↓ -97% |
| WellMed | Medicare Advantage | $51.54 | ↓ -97% |
| Aetna | PPO First Health | $52.29 | ↓ -97% |
| Clear Spring Health | All Products | $53.02 | ↓ -97% |
| Avmed | Exchange | $55.85 | ↓ -97% |
| Avmed | Select | $58.00 | ↓ -97% |
| Aetna | Medicare Advantage Behavioral Health | $58.91 | ↓ -97% |
| Aetna | Medicare Advantage PCP | $60.87 | ↓ -97% |
| Aetna | Medicare Advantage Specialist | $61.85 | ↓ -97% |
| Avmed | Broad | $62.29 | ↓ -97% |
| Clear Spring Health | ALL PRODUCTS | $72.89 | ↓ -96% |
| United | All Products | $81.28 | ↓ -96% |
| OPTUM | Managed Medicaid | $275.45 | ↓ -87% |
| Molina | Florida Kidcare | $289.95 | ↓ -86% |
| SUNSHINE HEALTH | Managed Medicaid | $289.95 | ↓ -86% |
| Carelon BH Strategies | Managed Medicaid | $289.95 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $289.95 | ↓ -86% |
| MOLINA | Florida KidCare | $289.95 | ↓ -86% |
| MOLINA | Managed Medicaid | $304.45 | ↓ -85% |
| AETNA | Managed Medicaid/CHIP | $318.95 | ↓ -84% |
| Independent Living Systems | Managed Medicaid | $347.94 | ↓ -83% |
| BLUE CROSS | Medicare Advantage HMO | $438.83 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $438.83 | ↓ -79% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $438.83 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $438.83 | ↓ -79% |
| Freedom Health | MEDICARE ADVANTAGE | $438.83 | ↓ -79% |
| Careplus | MEDICARE ADVANTAGE | $438.83 | ↓ -79% |
| BLUE CROSS | Medicare Advantage PPO | $438.83 | ↓ -79% |
| AVMED | MEDICARE ADVANTAGE | $456.39 | ↓ -78% |
| WellMed | MEDICARE ADVANTAGE | $460.71 | ↓ -77% |
| AETNA | MEDICARE ADVANTAGE | $460.71 | ↓ -77% |
| Wellcare | MEDICARE ADVANTAGE | $460.71 | ↓ -77% |
| Independent Living Systems | MEDICARE ADVANTAGE | $460.77 | ↓ -77% |
| Aetna | POS First Health | $475.65 | ↓ -77% |
| DEVOTED HEALTH | Medicare Advantage HMO | $506.78 | ↓ -75% |
| UNITED | NHP | $562.00 | ↓ -72% |
| Clarity Health | All Products | $687.05 | ↓ -66% |
| Three Rivers | All Products | $687.05 | ↓ -66% |
| The Legacy Companies | All Products | $687.05 | ↓ -66% |
| AVMED | EXCHANGE | $688.97 | ↓ -66% |
| UNITED | International | $730.00 | ↓ -64% |
| UNITED | ALL PRODUCTS | $730.00 | ↓ -64% |
| AETNA | QHP | $735.46 | ↓ -64% |
| AVMED | Select | $772.35 | ↓ -62% |
| Consociate Health | ALL PRODUCTS | $792.75 | ↓ -61% |
| CIGNA | Individual Family Plan | $807.75 | ↓ -60% |
| National Provider Network | All Products | $898.45 | ↓ -56% |
| Aetna | All Products First Health | $951.30 | ↓ -53% |
| CIGNA | SUREFIT | $974.33 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $999.47 | ↓ -51% |
| AVMED | BROAD | $1,004.93 | ↓ -51% |
| Cigna | Surefit Mid-Level | $1,057.00 | ↓ -48% |
| Cigna | All Products Mid-Level | $1,057.00 | ↓ -48% |
| Cigna | All Products Physician | $1,057.00 | ↓ -48% |
| Cigna | Individual Family Plan Mid-Level | $1,057.00 | ↓ -48% |
| Cigna | Individual Family Plan Physician | $1,057.00 | ↓ -48% |
| Cigna | Surefit Physician | $1,057.00 | ↓ -48% |
| AETNA | ALL PRODUCTS | $1,118.91 | ↓ -45% |
| BMI | ALL PRODUCTS | $1,571.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $1,885.80 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $2,042.95 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $2,042.95 | ↑ +0% |
| BLUE CROSS | HMO | $2,467.00 | ↑ +21% |
| BLUE CROSS | BSL | $2,467.00 | ↑ +21% |
| MULTIPLAN | ALL PRODUCTS | $2,514.40 | ↑ +23% |
| AETNA | All Products First Health | $2,514.40 | ↑ +23% |
| BLUE CROSS | NWBI | $3,264.00 | ↑ +60% |
| BLUE CROSS | NWB | $3,264.00 | ↑ +60% |
| BLUE CROSS | PHS | $4,027.00 | ↑ +97% |
| BLUE CROSS | PPO | $4,027.00 | ↑ +97% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | 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 Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Transfusion blood/blood component(s) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $2,115.35 | $437.67 – $768.92 |
| Adventhealth Lake Wales | Lake Wales | $3,375.26 | $460.71 – $1,022.77 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,931.76 | $437.67 – $984.03 |
| Adventhealth Tampa | Tampa | $2,082.72 | $460.71 – $1,022.77 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,278.35 | $437.67 – $1,006.42 |
| Adventhealth Port Charlotte | Port Charlotte | $3,283.02 | $460.71 – $841.25 |
| cleveland clinic florida weston hospital | Weston | $2,042.95 | $27.55 – $2,671.55 |
| martin north hospital | Stuart | $2,042.95 | $26.08 – $1,571.50 |