Vngrph chd vnvn cltrl below at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$48,376.90
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.
$74,426.00
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.
$74.86 with Optum vs $59,540.80 with AETNA — 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 | $74.86 | ↓ -100% |
| AmeriHealth | Managed Medicaid | $78.38 | ↓ -100% |
| Value Options | Managed Medicaid | $78.38 | ↓ -100% |
| Medicaid | Managed Medicaid | $78.38 | ↓ -100% |
| Wellcare | Managed Medicaid | $78.38 | ↓ -100% |
| Molina | Managed Medicaid | $78.38 | ↓ -100% |
| Careplus | Medicare Advantage | $91.85 | ↓ -100% |
| Wellcare | Medicare Advantage | $91.85 | ↓ -100% |
| Value Options | Medicare Advantage | $91.85 | ↓ -100% |
| Avmed | Medicare Advantage | $91.85 | ↓ -100% |
| Magellan | Medicare Advantage | $91.85 | ↓ -100% |
| Blue Cross | Medicare Advantage HMO | $91.85 | ↓ -100% |
| Blue Cross | Medicare Advantage PPO | $91.85 | ↓ -100% |
| Freedom Health | Medicare Advantage | $96.44 | ↓ -100% |
| WellMed | Medicare Advantage | $96.44 | ↓ -100% |
| Independent Living Systems | Medicare Advantage | $96.44 | ↓ -100% |
| Clear Spring Health | All Products | $99.20 | ↓ -100% |
| United | Medicare Advantage | $103.74 | ↓ -100% |
| Aetna | Medicare Advantage Behavioral Health | $110.22 | ↓ -100% |
| Aetna | Medicare Advantage PCP | $113.89 | ↓ -100% |
| Aetna | Medicare Advantage Specialist | $115.73 | ↓ -100% |
| Clear Spring Health | ALL PRODUCTS | $130.13 | ↓ -100% |
| Avmed | Exchange | $138.79 | ↓ -100% |
| Avmed | Select | $144.13 | ↓ -100% |
| Avmed | Broad | $154.80 | ↓ -100% |
| United | All Products | $185.59 | ↓ -100% |
| Aetna | POS First Health | $421.65 | ↓ -99% |
| Aetna | PPO First Health | $421.65 | ↓ -99% |
| Three Rivers | All Products | $609.05 | ↓ -99% |
| Clarity Health | All Products | $609.05 | ↓ -99% |
| The Legacy Companies | All Products | $609.05 | ↓ -99% |
| Consociate Health | ALL PRODUCTS | $702.75 | ↓ -99% |
| National Provider Network | All Products | $796.45 | ↓ -98% |
| Aetna | All Products First Health | $843.30 | ↓ -98% |
| Cigna | Surefit Mid-Level | $937.00 | ↓ -98% |
| Cigna | All Products Mid-Level | $937.00 | ↓ -98% |
| Cigna | All Products Physician | $937.00 | ↓ -98% |
| Cigna | Individual Family Plan Mid-Level | $937.00 | ↓ -98% |
| Cigna | Individual Family Plan Physician | $937.00 | ↓ -98% |
| Cigna | Surefit Physician | $937.00 | ↓ -98% |
| OPTUM | Managed Medicaid | $2,928.25 | ↓ -94% |
| Carelon BH Strategies | Managed Medicaid | $3,082.37 | ↓ -94% |
| SUNSHINE HEALTH | Managed Medicaid | $3,082.37 | ↓ -94% |
| MOLINA | Florida KidCare | $3,082.37 | ↓ -94% |
| AMERIHEALTH | Managed Medicaid | $3,082.37 | ↓ -94% |
| Molina | Florida Kidcare | $3,082.37 | ↓ -94% |
| MOLINA | Managed Medicaid | $3,236.49 | ↓ -93% |
| AETNA | Managed Medicaid/CHIP | $3,390.61 | ↓ -93% |
| Independent Living Systems | Managed Medicaid | $3,698.84 | ↓ -92% |
| BLUE CROSS | BSL | $5,209.00 | ↓ -89% |
| BLUE CROSS | HMO | $5,209.00 | ↓ -89% |
| BLUE CROSS | NWB | $6,786.00 | ↓ -86% |
| BLUE CROSS | NWBI | $6,786.00 | ↓ -86% |
| BLUE CROSS | PHS | $9,255.00 | ↓ -81% |
| BLUE CROSS | PPO | $9,255.00 | ↓ -81% |
| AETNA | QHP | $17,415.68 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $17,490.11 | ↓ -64% |
| AVMED | EXCHANGE | $17,862.24 | ↓ -63% |
| AVMED | Select | $17,862.24 | ↓ -63% |
| CIGNA | Individual Family Plan | $19,127.48 | ↓ -60% |
| CIGNA | SUREFIT | $23,072.06 | ↓ -52% |
| AVMED | BROAD | $23,072.06 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $23,667.47 | ↓ -51% |
| AETNA | ALL PRODUCTS | $26,495.66 | ↓ -45% |
| BMI | ALL PRODUCTS | $37,213.00 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $44,655.60 | ↓ -8% |
| The Legacy Companies | ALL PRODUCTS | $48,376.90 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $48,376.90 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $59,540.80 | ↑ +23% |
| AETNA | All Products First Health | $59,540.80 | ↑ +23% |
| Magellan | Pinnacle | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Blue Cross | Perferred Patient Care | not published by hospital | — |
| Blue Cross | Traditional (PPS) | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| Aetna | All Products Specialist | 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 | — |
| Aetna | Medical Rental | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| Blue Cross | Health Options | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | 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 | — |
| Consociate Health | Transplant | not published by hospital | — |
| Blue Cross | Network Blue | not published by hospital | — |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Vngrph chd vnvn cltrl below at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $2,409.55 | $173.17 – $3,336.30 |
| Bethesda Hospital East | BOYNTON BEACH | $2,409.55 | $745.11 – $3,707.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $2,409.55 | $645.02 – $3,336.30 |
| West Kendall Baptist Hospital | MIAMI | $2,409.55 | $633.90 – $3,336.30 |
| AdventHealth Orlando | Orlando | $1,845.00 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $11,527.74 – $11,770.43 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $12,103.73 – $12,358.55 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville | not published | $251.38 – $251.38 |