Unlisted px hands/fingers at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$423.80
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.
$652.00
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.
$167.56 with CIGNA vs $8,858.00 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 |
|---|---|---|---|
| CIGNA | Individual Family Plan | $167.56 | ↓ -60% |
| CIGNA | SUREFIT | $202.12 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $207.34 | ↓ -51% |
| Freedom Health | MEDICARE ADVANTAGE | $240.79 | ↓ -43% |
| BLUE CROSS | Medicare Advantage HMO | $240.79 | ↓ -43% |
| BLUE CROSS | Medicare Advantage PPO | $240.79 | ↓ -43% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $240.79 | ↓ -43% |
| HUMANA | Medicare Advantage HMO | $240.79 | ↓ -43% |
| Careplus | MEDICARE ADVANTAGE | $240.79 | ↓ -43% |
| UNITED | MEDICARE ADVANTAGE | $240.79 | ↓ -43% |
| AVMED | MEDICARE ADVANTAGE | $250.42 | ↓ -41% |
| Independent Living Systems | MEDICARE ADVANTAGE | $252.83 | ↓ -40% |
| WellMed | MEDICARE ADVANTAGE | $257.59 | ↓ -39% |
| Wellcare | MEDICARE ADVANTAGE | $257.59 | ↓ -39% |
| AETNA | MEDICARE ADVANTAGE | $257.59 | ↓ -39% |
| DEVOTED HEALTH | Medicare Advantage HMO | $283.35 | ↓ -33% |
| OPTUM | Managed Medicaid | $310.03 | ↓ -27% |
| BMI | ALL PRODUCTS | $326.00 | ↓ -23% |
| MOLINA | Florida KidCare | $326.35 | ↓ -23% |
| Medicaid | Managed Medicaid | $326.35 | ↓ -23% |
| Molina | Florida Kidcare | $326.35 | ↓ -23% |
| Carelon BH Strategies | Managed Medicaid | $326.35 | ↓ -23% |
| AMERIHEALTH | Managed Medicaid | $326.35 | ↓ -23% |
| SUNSHINE HEALTH | Managed Medicaid | $326.35 | ↓ -23% |
| Wellcare | Managed Medicaid | $326.35 | ↓ -23% |
| MOLINA | Managed Medicaid | $342.67 | ↓ -19% |
| AETNA | Managed Medicaid/CHIP | $358.99 | ↓ -15% |
| AVMED | EXCHANGE | $378.04 | ↓ -11% |
| MAGELLAN | ALL PRODUCTS | $391.20 | ↓ -8% |
| Independent Living Systems | Managed Medicaid | $391.62 | ↓ -8% |
| AVMED | Select | $423.78 | ↓ -0% |
| The Legacy Companies | ALL PRODUCTS | $423.80 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $423.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $489.00 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $521.60 | ↑ +23% |
| AETNA | All Products First Health | $521.60 | ↑ +23% |
| AVMED | BROAD | $551.40 | ↑ +30% |
| AETNA | QHP | $554.00 | ↑ +31% |
| UNITED | NHP | $850.00 | ↑ +101% |
| AETNA | ALL PRODUCTS | $874.00 | ↑ +106% |
| UNITED | ALL PRODUCTS | $1,151.00 | ↑ +172% |
| UNITED | International | $1,151.00 | ↑ +172% |
| BLUE CROSS | BSL | $5,233.00 | ↑ +1135% |
| BLUE CROSS | HMO | $5,233.00 | ↑ +1135% |
| BLUE CROSS | NWB | $6,391.00 | ↑ +1408% |
| BLUE CROSS | NWBI | $6,391.00 | ↑ +1408% |
| BLUE CROSS | PPO | $8,858.00 | ↑ +1990% |
| BLUE CROSS | PHS | $8,858.00 | ↑ +1990% |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px hands/fingers at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $423.15 | $125.00 – $5,678.00 |
| martin north hospital | Stuart | $923.65 | $184.23 – $1,421.00 |
| 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 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,995.71 – $3,058.78 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $257.59 – $470.36 |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |