Vaginal bx at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$11,883.95
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.
$18,283.00
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.
$123.54 with AmeriHealth vs $8,326.00 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 |
|---|---|---|---|
| AmeriHealth | Managed Medicaid | $123.54 | ↓ -99% |
| Medicaid | Managed Medicaid | $123.54 | ↓ -99% |
| Wellcare | Managed Medicaid | $123.54 | ↓ -99% |
| Molina | Managed Medicaid | $123.54 | ↓ -99% |
| Value Options | Managed Medicaid | $123.54 | ↓ -99% |
| Aetna | PPO First Health | $179.10 | ↓ -98% |
| Aetna | POS First Health | $179.10 | ↓ -98% |
| HUMANA | Medicare Advantage HMO | $201.93 | ↓ -98% |
| BLUE CROSS | Medicare Advantage HMO | $201.93 | ↓ -98% |
| Careplus | MEDICARE ADVANTAGE | $201.93 | ↓ -98% |
| UNITED | MEDICARE ADVANTAGE | $201.93 | ↓ -98% |
| BLUE CROSS | Medicare Advantage PPO | $201.93 | ↓ -98% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $201.93 | ↓ -98% |
| Freedom Health | MEDICARE ADVANTAGE | $201.93 | ↓ -98% |
| AVMED | MEDICARE ADVANTAGE | $210.01 | ↓ -98% |
| WellMed | MEDICARE ADVANTAGE | $211.12 | ↓ -98% |
| Wellcare | MEDICARE ADVANTAGE | $211.12 | ↓ -98% |
| AETNA | MEDICARE ADVANTAGE | $211.12 | ↓ -98% |
| Independent Living Systems | MEDICARE ADVANTAGE | $212.03 | ↓ -98% |
| DEVOTED HEALTH | Medicare Advantage HMO | $232.24 | ↓ -98% |
| Magellan | Medicare Advantage | $238.80 | ↓ -98% |
| Three Rivers | All Products | $258.70 | ↓ -98% |
| The Legacy Companies | All Products | $258.70 | ↓ -98% |
| Clarity Health | All Products | $258.70 | ↓ -98% |
| Consociate Health | ALL PRODUCTS | $298.50 | ↓ -97% |
| AVMED | EXCHANGE | $317.03 | ↓ -97% |
| OPTUM | Managed Medicaid | $325.92 | ↓ -97% |
| National Provider Network | All Products | $338.30 | ↓ -97% |
| MOLINA | Florida KidCare | $343.07 | ↓ -97% |
| Molina | Florida Kidcare | $343.07 | ↓ -97% |
| SUNSHINE HEALTH | Managed Medicaid | $343.07 | ↓ -97% |
| Carelon BH Strategies | Managed Medicaid | $343.07 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $343.07 | ↓ -97% |
| AVMED | Select | $355.40 | ↓ -97% |
| Aetna | All Products First Health | $358.20 | ↓ -97% |
| MOLINA | Managed Medicaid | $360.22 | ↓ -97% |
| AETNA | Managed Medicaid/CHIP | $377.38 | ↓ -97% |
| Cigna | Surefit Physician | $398.00 | ↓ -97% |
| Cigna | Surefit Mid-Level | $398.00 | ↓ -97% |
| Cigna | All Products Physician | $398.00 | ↓ -97% |
| Cigna | All Products Mid-Level | $398.00 | ↓ -97% |
| Cigna | Individual Family Plan Physician | $398.00 | ↓ -97% |
| Cigna | Individual Family Plan Mid-Level | $398.00 | ↓ -97% |
| Independent Living Systems | Managed Medicaid | $411.68 | ↓ -97% |
| AVMED | BROAD | $462.42 | ↓ -96% |
| UNITED | NHP | $668.00 | ↓ -94% |
| UNITED | ALL PRODUCTS | $792.00 | ↓ -93% |
| UNITED | International | $870.00 | ↓ -93% |
| CIGNA | Individual Family Plan | $1,286.54 | ↓ -89% |
| CIGNA | SUREFIT | $1,551.86 | ↓ -87% |
| CIGNA | ALL PRODUCTS | $1,591.91 | ↓ -87% |
| BMI | ALL PRODUCTS | $2,503.00 | ↓ -79% |
| AETNA | QHP | $2,579.00 | ↓ -78% |
| MAGELLAN | ALL PRODUCTS | $3,003.60 | ↓ -75% |
| Clarity Health | ALL PRODUCTS | $3,253.90 | ↓ -73% |
| The Legacy Companies | ALL PRODUCTS | $3,253.90 | ↓ -73% |
| AETNA | All Products First Health | $4,004.80 | ↓ -66% |
| MULTIPLAN | ALL PRODUCTS | $4,004.80 | ↓ -66% |
| AETNA | ALL PRODUCTS | $4,198.00 | ↓ -65% |
| BLUE CROSS | BSL | $4,536.00 | ↓ -62% |
| BLUE CROSS | HMO | $4,536.00 | ↓ -62% |
| BLUE CROSS | NWB | $6,003.00 | ↓ -49% |
| BLUE CROSS | NWBI | $6,003.00 | ↓ -49% |
| BLUE CROSS | PPO | $8,326.00 | ↓ -30% |
| BLUE CROSS | PHS | $8,326.00 | ↓ -30% |
| Magellan | Summit | 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 | — |
| Blue Cross | Medicare Advantage PPO | not published by hospital | — |
| Blue Cross | Medicare Advantage HMO | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Avmed | Select | not published by hospital | — |
| Optum | Managed Medicaid | not published by hospital | — |
| Avmed | Medicare Advantage | not published by hospital | — |
| Avmed | Exchange | not published by hospital | — |
| Avmed | Broad | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | Medicare Advantage | 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 | — |
| Value Options | All Products | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Value Options | Medicare Advantage | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| Wellcare | Medicare Advantage | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| WellMed | Medicare Advantage | not published by hospital | — |
| Clear Spring Health | ALL PRODUCTS | not published by hospital | — |
| Clear Spring Health | All Products | not published by hospital | — |
| Careplus | Medicare Advantage | 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 | — |
| Independent Living Systems | Medicare Advantage | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
Visitor-reported prices
Comments
Vaginal bx at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $1,473.55 | $211.12 – $2,040.30 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $200.57 – $352.36 |
| Adventhealth Tampa | Tampa | not published | $211.12 – $468.69 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $211.12 – $385.51 |
| Boca Raton Regional Hospital | BOCA RATON | not published | not published |
| Doctors Hospital | CORAL GABLES | not published | not published |
| Baptist Health Hospital Doral | SOUTH MIAMI | not published | not published |
| West Kendall Baptist Hospital | MIAMI | not published | not published |