Unlisted fluoroscopic px at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$30,872.40
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.
$47,496.00
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.
$16.28 with Aetna vs $3,872.80 with MULTIPLAN — 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 | PPO First Health | $16.28 | ↓ -100% |
| Blue Cross | Health Options | $21.99 | ↓ -100% |
| Blue Cross | Network Blue | $22.56 | ↓ -100% |
| Blue Cross | Perferred Patient Care | $23.13 | ↓ -100% |
| Blue Cross | Traditional (PPS) | $23.13 | ↓ -100% |
| OPTUM | Managed Medicaid | $33.81 | ↓ -100% |
| SUNSHINE HEALTH | Managed Medicaid | $35.59 | ↓ -100% |
| Carelon BH Strategies | Managed Medicaid | $35.59 | ↓ -100% |
| Wellcare | Managed Medicaid | $35.59 | ↓ -100% |
| AMERIHEALTH | Managed Medicaid | $35.59 | ↓ -100% |
| MOLINA | Florida KidCare | $35.59 | ↓ -100% |
| Molina | Florida Kidcare | $35.59 | ↓ -100% |
| Medicaid | Managed Medicaid | $35.59 | ↓ -100% |
| MOLINA | Managed Medicaid | $37.37 | ↓ -100% |
| AETNA | Managed Medicaid/CHIP | $39.15 | ↓ -100% |
| Independent Living Systems | Managed Medicaid | $42.71 | ↓ -100% |
| Aetna | POS First Health | $70.65 | ↓ -100% |
| Optum | Managed Medicaid | $72.18 | ↓ -100% |
| Freedom Health | MEDICARE ADVANTAGE | $88.38 | ↓ -100% |
| BLUE CROSS | Medicare Advantage HMO | $88.38 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $88.38 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $88.38 | ↓ -100% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $88.38 | ↓ -100% |
| Careplus | MEDICARE ADVANTAGE | $88.38 | ↓ -100% |
| BLUE CROSS | Medicare Advantage PPO | $88.38 | ↓ -100% |
| AETNA | MEDICARE ADVANTAGE | $90.88 | ↓ -100% |
| WellMed | MEDICARE ADVANTAGE | $90.88 | ↓ -100% |
| Wellcare | MEDICARE ADVANTAGE | $90.88 | ↓ -100% |
| AVMED | MEDICARE ADVANTAGE | $91.92 | ↓ -100% |
| Independent Living Systems | MEDICARE ADVANTAGE | $92.80 | ↓ -100% |
| Magellan | Medicare Advantage | $94.20 | ↓ -100% |
| Aetna | All Products Behavioral Health | $96.12 | ↓ -100% |
| Aetna | All Products Anesthesia | $99.32 | ↓ -100% |
| DEVOTED HEALTH | Medicare Advantage HMO | $99.97 | ↓ -100% |
| The Legacy Companies | All Products | $102.05 | ↓ -100% |
| Clarity Health | All Products | $102.05 | ↓ -100% |
| Three Rivers | All Products | $102.05 | ↓ -100% |
| Consociate Health | ALL PRODUCTS | $117.75 | ↓ -100% |
| Aetna | Medical Rental | $122.46 | ↓ -100% |
| Aetna | All Products PCP | $128.29 | ↓ -100% |
| National Provider Network | All Products | $133.45 | ↓ -100% |
| AVMED | EXCHANGE | $138.76 | ↓ -100% |
| Aetna | All Products First Health | $141.30 | ↓ -100% |
| AVMED | Select | $155.55 | ↓ -99% |
| Cigna | All Products Physician | $157.00 | ↓ -99% |
| Cigna | Individual Family Plan Mid-Level | $157.00 | ↓ -99% |
| Cigna | Individual Family Plan Physician | $157.00 | ↓ -99% |
| Cigna | Surefit Mid-Level | $157.00 | ↓ -99% |
| Cigna | Surefit Physician | $157.00 | ↓ -99% |
| Cigna | All Products Mid-Level | $157.00 | ↓ -99% |
| Aetna | All Products Specialist | $157.80 | ↓ -99% |
| AVMED | BROAD | $202.40 | ↓ -99% |
| BLUE CROSS | HMO | $212.00 | ↓ -99% |
| BLUE CROSS | BSL | $212.00 | ↓ -99% |
| BLUE CROSS | NWBI | $237.00 | ↓ -99% |
| BLUE CROSS | NWB | $237.00 | ↓ -99% |
| BLUE CROSS | PHS | $265.00 | ↓ -99% |
| BLUE CROSS | PPO | $265.00 | ↓ -99% |
| AETNA | QHP | $1,132.79 | ↓ -96% |
| CIGNA | Individual Family Plan | $1,244.14 | ↓ -96% |
| CIGNA | SUREFIT | $1,500.71 | ↓ -95% |
| CIGNA | ALL PRODUCTS | $1,539.44 | ↓ -95% |
| AETNA | ALL PRODUCTS | $1,723.40 | ↓ -94% |
| BMI | ALL PRODUCTS | $2,420.50 | ↓ -92% |
| MAGELLAN | ALL PRODUCTS | $2,904.60 | ↓ -91% |
| The Legacy Companies | ALL PRODUCTS | $3,146.65 | ↓ -90% |
| Clarity Health | ALL PRODUCTS | $3,146.65 | ↓ -90% |
| AETNA | All Products First Health | $3,872.80 | ↓ -87% |
| MULTIPLAN | ALL PRODUCTS | $3,872.80 | ↓ -87% |
| Avmed | Select | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Value Options | Managed Medicaid | not published by hospital | — |
| Value Options | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| Wellcare | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| WellMed | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage Behavioral Health | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| Independent Living Systems | Medicare Advantage | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted fluoroscopic px at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $286.89 | $86.33 – $275.14 |
| Adventhealth Tampa | Tampa | $986.70 | $90.88 – $218.66 |
| Adventhealth Port Charlotte | Port Charlotte | $360.61 | $90.88 – $218.66 |
| Boca Raton Regional Hospital | BOCA RATON | $350.35 | $89.25 – $351.97 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $95.80 | $88.38 – $194.81 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $95.80 | $94.66 – $194.81 |
| AdventHealth Orlando | Orlando | $1,862.00 | $90.88 – $381.43 |
| Adventhealth Riverview | Riverview | $986.70 | $366.89 – $366.89 |