Unlisted px accessory sinus at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$6,248.45
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.
$9,613.00
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.
$233.10 with HUMANA vs $9,613.00 with Cigna — 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 |
|---|---|---|---|
| HUMANA | Medicare Advantage HMO | $233.10 | ↓ -96% |
| BLUE CROSS | Medicare Advantage HMO | $233.10 | ↓ -96% |
| BLUE CROSS | Medicare Advantage PPO | $233.10 | ↓ -96% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $233.10 | ↓ -96% |
| Careplus | MEDICARE ADVANTAGE | $233.10 | ↓ -96% |
| UNITED | MEDICARE ADVANTAGE | $233.10 | ↓ -96% |
| Freedom Health | MEDICARE ADVANTAGE | $233.10 | ↓ -96% |
| AVMED | MEDICARE ADVANTAGE | $242.42 | ↓ -96% |
| Independent Living Systems | MEDICARE ADVANTAGE | $244.75 | ↓ -96% |
| WellMed | MEDICARE ADVANTAGE | $247.34 | ↓ -96% |
| Wellcare | MEDICARE ADVANTAGE | $247.34 | ↓ -96% |
| AETNA | MEDICARE ADVANTAGE | $247.34 | ↓ -96% |
| DEVOTED HEALTH | Medicare Advantage HMO | $272.07 | ↓ -96% |
| Medicaid | Managed Medicaid | $344.78 | ↓ -94% |
| Molina | Managed Medicaid | $344.78 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $344.78 | ↓ -94% |
| Value Options | Managed Medicaid | $344.78 | ↓ -94% |
| Wellcare | Managed Medicaid | $344.78 | ↓ -94% |
| AVMED | EXCHANGE | $365.96 | ↓ -94% |
| AVMED | Select | $410.25 | ↓ -93% |
| AVMED | BROAD | $533.79 | ↓ -91% |
| OPTUM | Managed Medicaid | $839.72 | ↓ -87% |
| MOLINA | Florida KidCare | $883.92 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $883.92 | ↓ -86% |
| Carelon BH Strategies | Managed Medicaid | $883.92 | ↓ -86% |
| Molina | Florida Kidcare | $883.92 | ↓ -86% |
| SUNSHINE HEALTH | Managed Medicaid | $883.92 | ↓ -86% |
| MOLINA | Managed Medicaid | $928.12 | ↓ -85% |
| AETNA | Managed Medicaid/CHIP | $972.31 | ↓ -84% |
| Independent Living Systems | Managed Medicaid | $1,060.70 | ↓ -83% |
| Aetna | PPO First Health | $4,325.85 | ↓ -31% |
| Aetna | POS First Health | $4,325.85 | ↓ -31% |
| Magellan | Medicare Advantage | $5,767.80 | ↓ -8% |
| Clarity Health | All Products | $6,248.45 | ↑ +0% |
| The Legacy Companies | All Products | $6,248.45 | ↑ +0% |
| Three Rivers | All Products | $6,248.45 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $7,209.75 | ↑ +15% |
| National Provider Network | All Products | $8,171.05 | ↑ +31% |
| Aetna | All Products First Health | $8,651.70 | ↑ +38% |
| Cigna | Individual Family Plan Physician | $9,613.00 | ↑ +54% |
| Cigna | Surefit Mid-Level | $9,613.00 | ↑ +54% |
| Cigna | Individual Family Plan Mid-Level | $9,613.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $9,613.00 | ↑ +54% |
| Cigna | Surefit Physician | $9,613.00 | ↑ +54% |
| Cigna | All Products Physician | $9,613.00 | ↑ +54% |
| Aetna | Medicare Advantage Behavioral Health | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Value Options | Medicare Advantage | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Wellcare | Medicare Advantage | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| Freedom Health | 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 | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| WellMed | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px accessory sinus at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $6,248.45 | $233.10 – $9,613.00 |
| martin north hospital | Stuart | $8,941.40 | $233.10 – $9,613.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $234.97 – $528.29 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $446.48 – $455.88 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $247.34 – $451.64 |
| Bethesda Hospital East | BOYNTON BEACH | not published | not published |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $468.79 – $478.66 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $223.78 – $477.85 |