Valvuloplasty aortic at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$17,029.35
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.
?
What you pay up front if you don't use insurance.
$26,199.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$888.29 with Optum vs $20,959.20 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $888.29 | ↓ -95% |
| Medicaid | Managed Medicaid | $998.06 | ↓ -94% |
| Value Options | Managed Medicaid | $998.06 | ↓ -94% |
| Molina | Managed Medicaid | $998.06 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $998.06 | ↓ -94% |
| Wellcare | Managed Medicaid | $998.06 | ↓ -94% |
| Blue Cross | Health Options | $1,316.13 | ↓ -92% |
| Careplus | Medicare Advantage | $1,317.47 | ↓ -92% |
| Blue Cross | Medicare Advantage PPO | $1,317.47 | ↓ -92% |
| Magellan | Medicare Advantage | $1,317.47 | ↓ -92% |
| Wellcare | Medicare Advantage | $1,317.47 | ↓ -92% |
| Value Options | Medicare Advantage | $1,317.47 | ↓ -92% |
| Blue Cross | Medicare Advantage HMO | $1,317.47 | ↓ -92% |
| Avmed | Medicare Advantage | $1,317.47 | ↓ -92% |
| Blue Cross | Network Blue | $1,348.49 | ↓ -92% |
| Blue Cross | Perferred Patient Care | $1,380.85 | ↓ -92% |
| Blue Cross | Traditional (PPS) | $1,380.85 | ↓ -92% |
| WellMed | Medicare Advantage | $1,383.34 | ↓ -92% |
| Independent Living Systems | Medicare Advantage | $1,383.34 | ↓ -92% |
| Freedom Health | Medicare Advantage | $1,383.34 | ↓ -92% |
| United | Medicare Advantage | $1,390.71 | ↓ -92% |
| Clear Spring Health | All Products | $1,422.87 | ↓ -92% |
| Aetna | Medicare Advantage Behavioral Health | $1,580.96 | ↓ -91% |
| Clear Spring Health | ALL PRODUCTS | $1,593.45 | ↓ -91% |
| Aetna | Medicare Advantage PCP | $1,633.66 | ↓ -90% |
| Aetna | Medicare Advantage Specialist | $1,660.01 | ↓ -90% |
| Avmed | Exchange | $1,857.78 | ↓ -89% |
| Avmed | Select | $1,929.23 | ↓ -89% |
| Avmed | Broad | $2,072.14 | ↓ -88% |
| Aetna | PPO First Health | $2,192.34 | ↓ -87% |
| United | All Products | $2,484.22 | ↓ -85% |
| Aetna | POS First Health | $4,068.00 | ↓ -76% |
| BLUE CROSS | BSL | $4,602.00 | ↓ -73% |
| OPTUM | Managed Medicaid | $5,298.24 | ↓ -69% |
| AMERIHEALTH | Managed Medicaid | $5,577.09 | ↓ -67% |
| SUNSHINE HEALTH | Managed Medicaid | $5,577.09 | ↓ -67% |
| Molina | Florida Kidcare | $5,577.09 | ↓ -67% |
| MOLINA | Florida KidCare | $5,577.09 | ↓ -67% |
| Carelon BH Strategies | Managed Medicaid | $5,577.09 | ↓ -67% |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $5,723.07 | ↓ -66% |
| HUMANA | Medicare Advantage HMO | $5,723.07 | ↓ -66% |
| Freedom Health | MEDICARE ADVANTAGE | $5,723.07 | ↓ -66% |
| BLUE CROSS | Medicare Advantage PPO | $5,723.07 | ↓ -66% |
| BLUE CROSS | Medicare Advantage HMO | $5,723.07 | ↓ -66% |
| Careplus | MEDICARE ADVANTAGE | $5,723.07 | ↓ -66% |
| UNITED | MEDICARE ADVANTAGE | $5,723.07 | ↓ -66% |
| MOLINA | Managed Medicaid | $5,855.94 | ↓ -66% |
| The Legacy Companies | All Products | $5,876.00 | ↓ -65% |
| Clarity Health | All Products | $5,876.00 | ↓ -65% |
| Three Rivers | All Products | $5,876.00 | ↓ -65% |
| AETNA | MEDICARE ADVANTAGE | $5,943.58 | ↓ -65% |
| Wellcare | MEDICARE ADVANTAGE | $5,943.58 | ↓ -65% |
| WellMed | MEDICARE ADVANTAGE | $5,943.58 | ↓ -65% |
| AVMED | MEDICARE ADVANTAGE | $5,951.99 | ↓ -65% |
| Independent Living Systems | MEDICARE ADVANTAGE | $6,009.23 | ↓ -65% |
| BLUE CROSS | HMO | $6,113.00 | ↓ -64% |
| AETNA | Managed Medicaid/CHIP | $6,134.80 | ↓ -64% |
| DEVOTED HEALTH | Medicare Advantage HMO | $6,537.94 | ↓ -62% |
| Independent Living Systems | Managed Medicaid | $6,692.51 | ↓ -61% |
| CIGNA | Individual Family Plan | $6,733.14 | ↓ -60% |
| Consociate Health | ALL PRODUCTS | $6,780.00 | ↓ -60% |
| AETNA | QHP | $7,009.00 | ↓ -59% |
| National Provider Network | All Products | $7,684.00 | ↓ -55% |
| BLUE CROSS | NWBI | $8,048.00 | ↓ -53% |
| BLUE CROSS | NWB | $8,048.00 | ↓ -53% |
| CIGNA | SUREFIT | $8,121.69 | ↓ -52% |
| Aetna | All Products First Health | $8,136.00 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $8,331.28 | ↓ -51% |
| AVMED | EXCHANGE | $8,985.22 | ↓ -47% |
| Cigna | Individual Family Plan Physician | $9,040.00 | ↓ -47% |
| Cigna | Surefit Physician | $9,040.00 | ↓ -47% |
| Cigna | Surefit Mid-Level | $9,040.00 | ↓ -47% |
| Cigna | All Products Mid-Level | $9,040.00 | ↓ -47% |
| Cigna | All Products Physician | $9,040.00 | ↓ -47% |
| Cigna | Individual Family Plan Mid-Level | $9,040.00 | ↓ -47% |
| AVMED | Select | $10,072.61 | ↓ -41% |
| UNITED | NHP | $10,701.00 | ↓ -37% |
| BLUE CROSS | PHS | $10,952.00 | ↓ -36% |
| BLUE CROSS | PPO | $10,952.00 | ↓ -36% |
| AETNA | ALL PRODUCTS | $11,411.00 | ↓ -33% |
| UNITED | ALL PRODUCTS | $12,702.00 | ↓ -25% |
| BMI | ALL PRODUCTS | $13,099.50 | ↓ -23% |
| AVMED | BROAD | $13,105.83 | ↓ -23% |
| UNITED | International | $13,944.00 | ↓ -18% |
| MAGELLAN | ALL PRODUCTS | $15,719.40 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $17,029.35 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $17,029.35 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $20,959.20 | ↑ +23% |
| AETNA | All Products First Health | $20,959.20 | ↑ +23% |
| Aetna | All Products Specialist | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
Visitor-reported prices
Comments
Valvuloplasty aortic at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $14,076.08 | not published |
| Adventhealth Tampa | Tampa | $16,776.71 | $5,943.58 – $13,194.75 |
| Adventhealth Port Charlotte | Port Charlotte | $15,937.87 | $5,943.58 – $10,852.98 |
| cleveland clinic florida weston hospital | Weston | $17,029.35 | $888.29 – $22,269.15 |
| martin north hospital | Stuart | $17,029.35 | $998.06 – $13,099.50 |
| Baptist Hospital | MIAMI | $6,938.10 | $173.17 – $9,606.60 |
| Bethesda Hospital East | BOYNTON BEACH | $6,938.10 | $1,617.00 – $9,606.60 |
| Boca Raton Regional Hospital | BOCA RATON | $10,247.90 | $4,587.00 – $10,295.20 |