Treat thigh fracture at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,255.80
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.
$1,932.00
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.
$240.79 with Carelon BH Strategies vs $6,062.00 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 |
|---|---|---|---|
| Carelon BH Strategies | MEDICARE ADVANTAGE | $240.79 | ↓ -81% |
| Careplus | MEDICARE ADVANTAGE | $240.79 | ↓ -81% |
| HUMANA | Medicare Advantage HMO | $240.79 | ↓ -81% |
| Freedom Health | MEDICARE ADVANTAGE | $240.79 | ↓ -81% |
| UNITED | MEDICARE ADVANTAGE | $240.79 | ↓ -81% |
| BLUE CROSS | Medicare Advantage HMO | $240.79 | ↓ -81% |
| BLUE CROSS | Medicare Advantage PPO | $240.79 | ↓ -81% |
| Optum | Managed Medicaid | $241.11 | ↓ -81% |
| AVMED | MEDICARE ADVANTAGE | $250.42 | ↓ -80% |
| Independent Living Systems | MEDICARE ADVANTAGE | $252.83 | ↓ -80% |
| Wellcare | MEDICARE ADVANTAGE | $257.59 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $257.59 | ↓ -79% |
| WellMed | MEDICARE ADVANTAGE | $257.59 | ↓ -79% |
| DEVOTED HEALTH | Medicare Advantage HMO | $283.35 | ↓ -77% |
| Value Options | Managed Medicaid | $309.96 | ↓ -75% |
| Wellcare | Managed Medicaid | $309.96 | ↓ -75% |
| AmeriHealth | Managed Medicaid | $309.96 | ↓ -75% |
| Molina | Managed Medicaid | $309.96 | ↓ -75% |
| Medicaid | Managed Medicaid | $309.96 | ↓ -75% |
| OPTUM | Managed Medicaid | $310.03 | ↓ -75% |
| AETNA | QHP | $322.69 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $326.35 | ↓ -74% |
| Molina | Florida Kidcare | $326.35 | ↓ -74% |
| Carelon BH Strategies | Managed Medicaid | $326.35 | ↓ -74% |
| SUNSHINE HEALTH | Managed Medicaid | $326.35 | ↓ -74% |
| MOLINA | Florida KidCare | $326.35 | ↓ -74% |
| MOLINA | Managed Medicaid | $342.67 | ↓ -73% |
| CIGNA | Individual Family Plan | $354.40 | ↓ -72% |
| Blue Cross | Health Options | $358.38 | ↓ -71% |
| AETNA | Managed Medicaid/CHIP | $358.99 | ↓ -71% |
| Blue Cross | Network Blue | $367.19 | ↓ -71% |
| Blue Cross | Perferred Patient Care | $376.01 | ↓ -70% |
| Blue Cross | Traditional (PPS) | $376.01 | ↓ -70% |
| AVMED | EXCHANGE | $378.04 | ↓ -70% |
| Independent Living Systems | Managed Medicaid | $391.62 | ↓ -69% |
| Careplus | Medicare Advantage | $409.14 | ↓ -67% |
| Wellcare | Medicare Advantage | $409.14 | ↓ -67% |
| Avmed | Medicare Advantage | $409.14 | ↓ -67% |
| Magellan | Medicare Advantage | $409.14 | ↓ -67% |
| Blue Cross | Medicare Advantage HMO | $409.14 | ↓ -67% |
| Blue Cross | Medicare Advantage PPO | $409.14 | ↓ -67% |
| Value Options | Medicare Advantage | $409.14 | ↓ -67% |
| United | Medicare Advantage | $413.46 | ↓ -67% |
| AVMED | Select | $423.78 | ↓ -66% |
| CIGNA | SUREFIT | $427.49 | ↓ -66% |
| Independent Living Systems | Medicare Advantage | $429.60 | ↓ -66% |
| Freedom Health | Medicare Advantage | $429.60 | ↓ -66% |
| WellMed | Medicare Advantage | $429.60 | ↓ -66% |
| CIGNA | ALL PRODUCTS | $438.52 | ↓ -65% |
| Clear Spring Health | All Products | $441.87 | ↓ -65% |
| AETNA | ALL PRODUCTS | $490.92 | ↓ -61% |
| Aetna | Medicare Advantage Behavioral Health | $490.97 | ↓ -61% |
| Clear Spring Health | ALL PRODUCTS | $498.38 | ↓ -60% |
| Aetna | Medicare Advantage PCP | $507.33 | ↓ -60% |
| Aetna | Medicare Advantage Specialist | $515.52 | ↓ -59% |
| Avmed | Exchange | $548.29 | ↓ -56% |
| AVMED | BROAD | $551.40 | ↓ -56% |
| Cigna | Individual Family Plan Mid-Level | $564.02 | ↓ -55% |
| Avmed | Select | $569.38 | ↓ -55% |
| Cigna | Surefit Mid-Level | $574.83 | ↓ -54% |
| Avmed | Broad | $611.55 | ↓ -51% |
| Aetna | POS First Health | $611.71 | ↓ -51% |
| Aetna | PPO First Health | $613.28 | ↓ -51% |
| Cigna | All Products Mid-Level | $620.75 | ↓ -51% |
| Cigna | Individual Family Plan Physician | $663.60 | ↓ -47% |
| Cigna | Surefit Physician | $676.28 | ↓ -46% |
| BMI | ALL PRODUCTS | $689.50 | ↓ -45% |
| Cigna | All Products Physician | $730.36 | ↓ -42% |
| United | All Products | $798.01 | ↓ -36% |
| MAGELLAN | ALL PRODUCTS | $827.40 | ↓ -34% |
| UNITED | NHP | $850.00 | ↓ -32% |
| The Legacy Companies | ALL PRODUCTS | $896.35 | ↓ -29% |
| Clarity Health | ALL PRODUCTS | $896.35 | ↓ -29% |
| Consociate Health | ALL PRODUCTS | $1,034.25 | ↓ -18% |
| AETNA | All Products First Health | $1,103.20 | ↓ -12% |
| MULTIPLAN | ALL PRODUCTS | $1,103.20 | ↓ -12% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↓ -8% |
| UNITED | International | $1,151.00 | ↓ -8% |
| The Legacy Companies | All Products | $1,255.80 | ↑ +0% |
| Clarity Health | All Products | $1,255.80 | ↑ +0% |
| Three Rivers | All Products | $1,255.80 | ↑ +0% |
| National Provider Network | All Products | $1,642.20 | ↑ +31% |
| Aetna | All Products First Health | $1,738.80 | ↑ +38% |
| BLUE CROSS | HMO | $3,163.00 | ↑ +152% |
| BLUE CROSS | BSL | $3,163.00 | ↑ +152% |
| BLUE CROSS | PPO | $4,075.00 | ↑ +224% |
| BLUE CROSS | NWBI | $4,194.00 | ↑ +234% |
| BLUE CROSS | NWB | $4,194.00 | ↑ +234% |
| BLUE CROSS | PHS | $6,062.00 | ↑ +383% |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Treat thigh fracture at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,255.80 | $240.79 – $1,172.15 |
| martin north hospital | Stuart | $1,255.80 | $240.79 – $1,034.25 |
| AdventHealth Orlando | Orlando | $777.00 | $257.59 – $682.61 |
| Adventhealth Carrollwood | Tampa | $2,536.71 | $257.59 – $571.85 |
| Adventhealth Ocala | Ocala | $1,844.88 | $257.59 – $571.85 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $244.71 – $429.92 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $244.71 – $550.19 |
| Adventhealth Tampa | Tampa | not published | $257.59 – $571.85 |