Wnd prep f/n/hf/g addl cm at indian river hospital
1000 36th Street, Vero Beach, FL · Cleveland Clinic · · NPI 1376512988
$958.75
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.
$1,475.00
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.
$44.05 with Optum vs $6,062.00 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 |
|---|---|---|---|
| Optum | Managed Medicaid | $44.05 | ↓ -95% |
| Blue Cross | Health Options | $86.88 | ↓ -91% |
| Blue Cross | Medicare Advantage PPO | $87.96 | ↓ -91% |
| Value Options | Medicare Advantage | $87.96 | ↓ -91% |
| Magellan | Medicare Advantage | $87.96 | ↓ -91% |
| Careplus | Medicare Advantage | $87.96 | ↓ -91% |
| Avmed | Medicare Advantage | $87.96 | ↓ -91% |
| Wellcare | Medicare Advantage | $87.96 | ↓ -91% |
| Blue Cross | Medicare Advantage HMO | $87.96 | ↓ -91% |
| Blue Cross | Network Blue | $89.02 | ↓ -91% |
| Value Options | Managed Medicaid | $89.36 | ↓ -91% |
| Medicaid | Managed Medicaid | $89.36 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $89.36 | ↓ -91% |
| Wellcare | Managed Medicaid | $89.36 | ↓ -91% |
| Molina | Managed Medicaid | $89.36 | ↓ -91% |
| Blue Cross | Perferred Patient Care | $91.16 | ↓ -90% |
| Blue Cross | Traditional (PPS) | $91.16 | ↓ -90% |
| WellMed | Medicare Advantage | $92.36 | ↓ -90% |
| Independent Living Systems | Medicare Advantage | $92.36 | ↓ -90% |
| Freedom Health | Medicare Advantage | $92.36 | ↓ -90% |
| Clear Spring Health | All Products | $95.00 | ↓ -90% |
| United | Medicare Advantage | $95.11 | ↓ -90% |
| Aetna | Medicare Advantage Behavioral Health | $105.55 | ↓ -89% |
| Clear Spring Health | ALL PRODUCTS | $108.08 | ↓ -89% |
| Aetna | Medicare Advantage PCP | $109.07 | ↓ -89% |
| Aetna | Medicare Advantage Specialist | $110.83 | ↓ -88% |
| Avmed | Exchange | $126.04 | ↓ -87% |
| Avmed | Select | $130.88 | ↓ -86% |
| Avmed | Broad | $140.58 | ↓ -85% |
| Cigna | Individual Family Plan Mid-Level | $141.49 | ↓ -85% |
| Cigna | Surefit Mid-Level | $144.19 | ↓ -85% |
| Aetna | POS First Health | $148.82 | ↓ -84% |
| Cigna | All Products Mid-Level | $155.74 | ↓ -84% |
| Cigna | Individual Family Plan Physician | $166.46 | ↓ -83% |
| Cigna | Surefit Physician | $169.66 | ↓ -82% |
| Cigna | All Products Physician | $183.22 | ↓ -81% |
| United | All Products | $183.44 | ↓ -81% |
| Aetna | PPO First Health | $194.59 | ↓ -80% |
| OPTUM | Managed Medicaid | $241.35 | ↓ -75% |
| MOLINA | Florida KidCare | $254.05 | ↓ -74% |
| SUNSHINE HEALTH | Managed Medicaid | $254.05 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $254.05 | ↓ -74% |
| Carelon BH Strategies | Managed Medicaid | $254.05 | ↓ -74% |
| Molina | Florida Kidcare | $254.05 | ↓ -74% |
| MOLINA | Managed Medicaid | $266.75 | ↓ -72% |
| AETNA | Managed Medicaid/CHIP | $279.46 | ↓ -71% |
| Independent Living Systems | Managed Medicaid | $304.86 | ↓ -68% |
| AETNA | QHP | $345.15 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $346.63 | ↓ -64% |
| AVMED | EXCHANGE | $354.00 | ↓ -63% |
| AVMED | Select | $354.00 | ↓ -63% |
| CIGNA | Individual Family Plan | $379.08 | ↓ -60% |
| Three Rivers | All Products | $416.00 | ↓ -57% |
| Clarity Health | All Products | $416.00 | ↓ -57% |
| The Legacy Companies | All Products | $416.00 | ↓ -57% |
| CIGNA | SUREFIT | $457.25 | ↓ -52% |
| AVMED | BROAD | $457.25 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $469.05 | ↓ -51% |
| Consociate Health | ALL PRODUCTS | $480.00 | ↓ -50% |
| AETNA | ALL PRODUCTS | $525.10 | ↓ -45% |
| National Provider Network | All Products | $544.00 | ↓ -43% |
| Aetna | All Products First Health | $576.00 | ↓ -40% |
| BMI | ALL PRODUCTS | $737.50 | ↓ -23% |
| MAGELLAN | ALL PRODUCTS | $885.00 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $958.75 | ↑ +0% |
| The Legacy Companies | ALL PRODUCTS | $958.75 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $1,180.00 | ↑ +23% |
| AETNA | All Products First Health | $1,180.00 | ↑ +23% |
| BLUE CROSS | BSL | $3,163.00 | ↑ +230% |
| BLUE CROSS | HMO | $3,163.00 | ↑ +230% |
| BLUE CROSS | PPO | $4,075.00 | ↑ +325% |
| BLUE CROSS | NWBI | $4,194.00 | ↑ +337% |
| BLUE CROSS | NWB | $4,194.00 | ↑ +337% |
| BLUE CROSS | PHS | $6,062.00 | ↑ +532% |
| Independent Living Systems | MEDICARE ADVANTAGE | not published by hospital | — |
| Wellcare | MEDICARE ADVANTAGE | not published by hospital | — |
| Carelon BH Strategies | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | NHP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| BLUE CROSS | Medicare Advantage PPO | not published by hospital | — |
| BLUE CROSS | Medicare Advantage HMO | not published by hospital | — |
| Freedom Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Anesthesia | not published by hospital | — |
| Aetna | All Products Behavioral Health | not published by hospital | — |
| Magellan | Summit | not published by hospital | — |
| Magellan | Pinnacle | not published by hospital | — |
| Aetna | All Products Specialist | not published by hospital | — |
| DEVOTED HEALTH | Medicare Advantage HMO | not published by hospital | — |
| Value Options | All Products | not published by hospital | — |
| AVMED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Medical Rental | not published by hospital | — |
| Careplus | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | All Products PCP | not published by hospital | — |
| UNITED | International | not published by hospital | — |
| Consociate Health | Transplant | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Managed Medicaid | not published by hospital | — |
| WellMed | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Wnd prep f/n/hf/g addl cm at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $416.00 | $44.05 – $480.00 |
| martin north hospital | Stuart | $958.75 | $72.64 – $1,914.00 |
| Baptist Hospital | MIAMI | $877.50 | $173.17 – $1,215.00 |
| Bethesda Hospital East | BOYNTON BEACH | $877.50 | $248.31 – $1,215.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $877.50 | $234.90 – $1,215.00 |
| AdventHealth Orlando | Orlando | $2,217.00 | not published |
| Adventhealth Carrollwood | Tampa | $3,184.51 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $1,251.09 – $1,277.43 |