Trim nail(s) 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.
$5.88 with Aetna vs $136.54 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 |
|---|---|---|---|
| Aetna | POS First Health | $5.88 | ↓ -88% |
| Blue Cross | Medicare Advantage HMO | $6.99 | ↓ -86% |
| Avmed | Medicare Advantage | $6.99 | ↓ -86% |
| Careplus | Medicare Advantage | $6.99 | ↓ -86% |
| Magellan | Medicare Advantage | $6.99 | ↓ -86% |
| Value Options | Medicare Advantage | $6.99 | ↓ -86% |
| Wellcare | Medicare Advantage | $6.99 | ↓ -86% |
| Blue Cross | Medicare Advantage PPO | $6.99 | ↓ -86% |
| Blue Cross | Health Options | $7.14 | ↓ -85% |
| Blue Cross | Network Blue | $7.32 | ↓ -85% |
| WellMed | Medicare Advantage | $7.34 | ↓ -85% |
| Freedom Health | Medicare Advantage | $7.34 | ↓ -85% |
| Independent Living Systems | Medicare Advantage | $7.34 | ↓ -85% |
| United | Medicare Advantage | $7.36 | ↓ -85% |
| Blue Cross | Perferred Patient Care | $7.49 | ↓ -85% |
| Blue Cross | Traditional (PPS) | $7.49 | ↓ -85% |
| Clear Spring Health | All Products | $7.55 | ↓ -85% |
| Aetna | Medicare Advantage Behavioral Health | $8.39 | ↓ -83% |
| Aetna | Medicare Advantage PCP | $8.67 | ↓ -82% |
| Aetna | Medicare Advantage Specialist | $8.81 | ↓ -82% |
| Avmed | Exchange | $9.85 | ↓ -80% |
| Avmed | Select | $10.23 | ↓ -79% |
| Avmed | Broad | $10.99 | ↓ -77% |
| United | All Products | $14.34 | ↓ -71% |
| AmeriHealth | Managed Medicaid | $18.38 | ↓ -62% |
| Wellcare | Managed Medicaid | $18.38 | ↓ -62% |
| Medicaid | Managed Medicaid | $18.38 | ↓ -62% |
| Molina | Managed Medicaid | $18.38 | ↓ -62% |
| Value Options | Managed Medicaid | $18.38 | ↓ -62% |
| Aetna | PPO First Health | $30.64 | ↓ -37% |
| OPTUM | Managed Medicaid | $40.61 | ↓ -17% |
| SUNSHINE HEALTH | Managed Medicaid | $42.75 | ↓ -12% |
| Molina | Florida Kidcare | $42.75 | ↓ -12% |
| Carelon BH Strategies | Managed Medicaid | $42.75 | ↓ -12% |
| AMERIHEALTH | Managed Medicaid | $42.75 | ↓ -12% |
| MOLINA | Florida KidCare | $42.75 | ↓ -12% |
| MOLINA | Managed Medicaid | $44.89 | ↓ -8% |
| AETNA | Managed Medicaid/CHIP | $47.03 | ↓ -4% |
| The Legacy Companies | All Products | $48.75 | ↑ +0% |
| Clarity Health | All Products | $48.75 | ↑ +0% |
| Three Rivers | All Products | $48.75 | ↑ +0% |
| Independent Living Systems | Managed Medicaid | $51.30 | ↑ +5% |
| Consociate Health | ALL PRODUCTS | $56.25 | ↑ +15% |
| Careplus | MEDICARE ADVANTAGE | $59.62 | ↑ +22% |
| Freedom Health | MEDICARE ADVANTAGE | $59.62 | ↑ +22% |
| UNITED | MEDICARE ADVANTAGE | $59.62 | ↑ +22% |
| HUMANA | Medicare Advantage HMO | $59.62 | ↑ +22% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $59.62 | ↑ +22% |
| BLUE CROSS | Medicare Advantage PPO | $59.62 | ↑ +22% |
| BLUE CROSS | Medicare Advantage HMO | $59.62 | ↑ +22% |
| AETNA | MEDICARE ADVANTAGE | $61.60 | ↑ +26% |
| WellMed | MEDICARE ADVANTAGE | $61.60 | ↑ +26% |
| Wellcare | MEDICARE ADVANTAGE | $61.60 | ↑ +26% |
| AVMED | MEDICARE ADVANTAGE | $62.01 | ↑ +27% |
| Independent Living Systems | MEDICARE ADVANTAGE | $62.61 | ↑ +28% |
| National Provider Network | All Products | $63.75 | ↑ +31% |
| Aetna | All Products First Health | $67.50 | ↑ +38% |
| DEVOTED HEALTH | Medicare Advantage HMO | $67.76 | ↑ +39% |
| Cigna | All Products Mid-Level | $75.00 | ↑ +54% |
| Cigna | Surefit Physician | $75.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $75.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $75.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $75.00 | ↑ +54% |
| Cigna | All Products Physician | $75.00 | ↑ +54% |
| AVMED | EXCHANGE | $93.61 | ↑ +92% |
| AVMED | Select | $104.94 | ↑ +115% |
| AVMED | BROAD | $136.54 | ↑ +180% |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
Visitor-reported prices
Comments
Trim nail(s) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $48.75 | $6.67 – $75.00 |
| martin north hospital | Stuart | $48.75 | $5.97 – $75.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $58.52 – $102.82 |
| Adventhealth Lake Wales | Lake Wales | not published | $61.60 – $136.76 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $58.52 – $131.58 |
| Adventhealth Tampa | Tampa | not published | $61.60 – $136.76 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $58.52 – $134.57 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $61.60 – $112.49 |