Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$547.93
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.
$842.97
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.
$17.89 with OPTUM vs $423.00 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid | $17.89 | ↓ -97% |
| Wellcare | Managed Medicaid | $18.83 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $18.83 | ↓ -97% |
| SUNSHINE HEALTH | Managed Medicaid | $18.83 | ↓ -97% |
| Medicaid | Managed Medicaid | $18.83 | ↓ -97% |
| Carelon BH Strategies | Managed Medicaid | $18.83 | ↓ -97% |
| Molina | Florida Kidcare | $18.83 | ↓ -97% |
| MOLINA | Florida KidCare | $18.83 | ↓ -97% |
| MOLINA | Managed Medicaid | $19.77 | ↓ -96% |
| AETNA | Managed Medicaid/CHIP | $20.71 | ↓ -96% |
| Independent Living Systems | Managed Medicaid | $22.60 | ↓ -96% |
| AETNA | QHP | $98.98 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $99.41 | ↓ -82% |
| AVMED | Select | $101.52 | ↓ -81% |
| AVMED | EXCHANGE | $101.52 | ↓ -81% |
| United | All Products | $117.08 | ↓ -79% |
| AVMED | BROAD | $131.13 | ↓ -76% |
| Aetna | PPO First Health | $131.34 | ↓ -76% |
| AETNA | ALL PRODUCTS | $150.59 | ↓ -73% |
| Aetna | POS First Health | $190.35 | ↓ -65% |
| BMI | ALL PRODUCTS | $211.50 | ↓ -61% |
| CIGNA | Individual Family Plan | $242.27 | ↓ -56% |
| BLUE CROSS | NWBI | $253.59 | ↓ -54% |
| BLUE CROSS | BSL | $253.59 | ↓ -54% |
| BLUE CROSS | HMO | $253.59 | ↓ -54% |
| BLUE CROSS | PPO | $253.59 | ↓ -54% |
| BLUE CROSS | PHS | $253.59 | ↓ -54% |
| BLUE CROSS | NWB | $253.59 | ↓ -54% |
| MAGELLAN | ALL PRODUCTS | $253.80 | ↓ -54% |
| Magellan | Medicare Advantage | $253.80 | ↓ -54% |
| Clarity Health | ALL PRODUCTS | $274.95 | ↓ -50% |
| The Legacy Companies | All Products | $274.95 | ↓ -50% |
| The Legacy Companies | ALL PRODUCTS | $274.95 | ↓ -50% |
| Three Rivers | All Products | $274.95 | ↓ -50% |
| Clarity Health | All Products | $274.95 | ↓ -50% |
| CIGNA | SUREFIT | $293.34 | ↓ -46% |
| CIGNA | ALL PRODUCTS | $306.71 | ↓ -44% |
| Consociate Health | ALL PRODUCTS | $317.25 | ↓ -42% |
| MULTIPLAN | ALL PRODUCTS | $338.40 | ↓ -38% |
| AETNA | All Products First Health | $338.40 | ↓ -38% |
| National Provider Network | All Products | $359.55 | ↓ -34% |
| Aetna | All Products First Health | $380.70 | ↓ -31% |
| Cigna | Surefit Mid-Level | $423.00 | ↓ -23% |
| Cigna | All Products Mid-Level | $423.00 | ↓ -23% |
| Cigna | All Products Physician | $423.00 | ↓ -23% |
| Cigna | Individual Family Plan Mid-Level | $423.00 | ↓ -23% |
| Cigna | Individual Family Plan Physician | $423.00 | ↓ -23% |
| Cigna | Surefit Physician | $423.00 | ↓ -23% |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| WellMed | Medicare Advantage | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Freedom Health | Medicare Advantage | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| Independent Living Systems | Medicare Advantage | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| Molina | Managed Medicaid | 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 | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Aetna | Medicare Advantage Specialist | not published by hospital | — |
| Aetna | Medicare Advantage PCP | not published by hospital | — |
| Aetna | Medicare Advantage Behavioral Health | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Aetna | All Products PCP | 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 | MEDICARE ADVANTAGE | 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 | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| Careplus | Medicare Advantage | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Wellcare | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $286.28 | not published |
| Adventhealth Lake Wales | Lake Wales | $2,515.85 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $577.02 | not published |
| Adventhealth Tampa | Tampa | $887.58 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $506.47 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $278.00 | $133.47 – $220.23 |
| Adventhealth Port Charlotte | Port Charlotte | $2,008.84 | not published |
| cleveland clinic florida weston hospital | Weston | $547.93 | $17.89 – $423.00 |