Tubal Ligation (Laparoscopic) at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$1,536.60
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.
$2,364.00
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.
$284.53 with Optum vs $13,411.19 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $284.53 | ↓ -81% |
| Molina | Managed Medicaid | $286.47 | ↓ -81% |
| Medicaid | Managed Medicaid | $286.47 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $286.47 | ↓ -81% |
| Value Options | Managed Medicaid | $286.47 | ↓ -81% |
| Wellcare | Managed Medicaid | $286.47 | ↓ -81% |
| Blue Cross | Health Options | $348.01 | ↓ -77% |
| Blue Cross | Network Blue | $356.57 | ↓ -77% |
| Magellan | Medicare Advantage | $363.73 | ↓ -76% |
| Blue Cross | Medicare Advantage PPO | $363.73 | ↓ -76% |
| Wellcare | Medicare Advantage | $363.73 | ↓ -76% |
| Blue Cross | Medicare Advantage HMO | $363.73 | ↓ -76% |
| Careplus | Medicare Advantage | $363.73 | ↓ -76% |
| Value Options | Medicare Advantage | $363.73 | ↓ -76% |
| Avmed | Medicare Advantage | $363.73 | ↓ -76% |
| Blue Cross | Perferred Patient Care | $365.13 | ↓ -76% |
| Blue Cross | Traditional (PPS) | $365.13 | ↓ -76% |
| WellMed | Medicare Advantage | $381.92 | ↓ -75% |
| Freedom Health | Medicare Advantage | $381.92 | ↓ -75% |
| Independent Living Systems | Medicare Advantage | $381.92 | ↓ -75% |
| United | Medicare Advantage | $387.56 | ↓ -75% |
| Clear Spring Health | All Products | $392.83 | ↓ -74% |
| Aetna | Medicare Advantage Behavioral Health | $436.48 | ↓ -72% |
| Aetna | Medicare Advantage PCP | $451.03 | ↓ -71% |
| Aetna | Medicare Advantage Specialist | $458.30 | ↓ -70% |
| Avmed | Exchange | $520.10 | ↓ -66% |
| Avmed | Select | $540.11 | ↓ -65% |
| Aetna | PPO First Health | $561.03 | ↓ -63% |
| Avmed | Broad | $580.12 | ↓ -62% |
| United | All Products | $756.99 | ↓ -51% |
| Aetna | POS First Health | $1,063.80 | ↓ -31% |
| The Legacy Companies | All Products | $1,536.60 | ↑ +0% |
| Three Rivers | All Products | $1,536.60 | ↑ +0% |
| Clarity Health | All Products | $1,536.60 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $1,773.00 | ↑ +15% |
| National Provider Network | All Products | $2,009.40 | ↑ +31% |
| Aetna | All Products First Health | $2,127.60 | ↑ +38% |
| Cigna | Individual Family Plan Mid-Level | $2,364.00 | ↑ +54% |
| Cigna | Individual Family Plan Physician | $2,364.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $2,364.00 | ↑ +54% |
| Cigna | Surefit Physician | $2,364.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $2,364.00 | ↑ +54% |
| Cigna | All Products Physician | $2,364.00 | ↑ +54% |
| OPTUM | Managed Medicaid | $2,714.31 | ↑ +77% |
| MOLINA | Florida KidCare | $2,857.17 | ↑ +86% |
| AMERIHEALTH | Managed Medicaid | $2,857.17 | ↑ +86% |
| Carelon BH Strategies | Managed Medicaid | $2,857.17 | ↑ +86% |
| Molina | Florida Kidcare | $2,857.17 | ↑ +86% |
| SUNSHINE HEALTH | Managed Medicaid | $2,857.17 | ↑ +86% |
| MOLINA | Managed Medicaid | $3,000.03 | ↑ +95% |
| AETNA | Managed Medicaid/CHIP | $3,142.89 | ↑ +105% |
| Independent Living Systems | Managed Medicaid | $3,428.60 | ↑ +123% |
| Freedom Health | MEDICARE ADVANTAGE | $5,856.41 | ↑ +281% |
| Careplus | MEDICARE ADVANTAGE | $5,856.41 | ↑ +281% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $5,856.41 | ↑ +281% |
| BLUE CROSS | Medicare Advantage PPO | $5,856.41 | ↑ +281% |
| BLUE CROSS | Medicare Advantage HMO | $5,856.41 | ↑ +281% |
| UNITED | MEDICARE ADVANTAGE | $5,856.41 | ↑ +281% |
| HUMANA | Medicare Advantage HMO | $5,856.41 | ↑ +281% |
| AVMED | MEDICARE ADVANTAGE | $6,090.67 | ↑ +296% |
| Independent Living Systems | MEDICARE ADVANTAGE | $6,149.23 | ↑ +300% |
| AETNA | MEDICARE ADVANTAGE | $6,313.22 | ↑ +311% |
| WellMed | MEDICARE ADVANTAGE | $6,313.22 | ↑ +311% |
| Wellcare | MEDICARE ADVANTAGE | $6,313.22 | ↑ +311% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,944.54 | ↑ +352% |
| AVMED | EXCHANGE | $9,194.57 | ↑ +498% |
| AVMED | Select | $10,307.29 | ↑ +571% |
| AVMED | BROAD | $13,411.19 | ↑ +773% |
| Magellan | Pinnacle | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Tubal Ligation (Laparoscopic) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,536.60 | $284.53 – $6,944.54 |
| martin north hospital | Stuart | $1,536.60 | $286.47 – $6,944.54 |
| AdventHealth Orlando | Orlando | $19,100.00 | $6,313.22 – $16,730.03 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,997.56 – $10,536.76 |
| Adventhealth Lake Wales | Lake Wales | not published | $6,313.22 – $14,015.34 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $5,997.56 – $13,484.40 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $14,015.34 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $5,997.56 – $13,791.22 |