60/100
#948 nationally
Cleveland Clinic Indian River Hospital
1000 36Th St, Vero Beach, FL 32960 · (772) 567-4311
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Cleveland Clinic Indian River Hospital billed $4.42 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.4x
- volume-weighted across all its priced work
- Procedures priced
- 162
- inpatient and outpatient combined
- Rank in FL
- #5
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 51% of U.S. hospitals.
Better than 57% of U.S. hospitals.
Better than 69% of U.S. hospitals.
Better than 69% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,178 | $12,630 | $2,466 | -35% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
700 | $2,881 | $618 | -8% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
592 | $52,450 | $13,459 | -20% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
482 | $6,019 | $1,459 | -40% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
377 | $22,439 | $2,940 | -11% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
280 | $57,857 | $11,838 | -7% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
271 | $9,252 | $1,840 | -28% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
247 | $9,694 | $1,719 | -18% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
202 | $31,596 | $9,152 | -27% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
192 | $41,575 | $11,381 | -32% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$50,165 | $4,978 | +39% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$26,655 | $2,932 | +31% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$123,498 | $17,611 | +29% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$42,539 | $5,305 | +24% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$48,943 | $6,419 | +23% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$13,190 | $1,520 | +16% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
$47,138 | $6,845 | +15% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$96,088 | $24,136 | +12% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$25,733 | $10,659 | -62% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$16,471 | $6,471 | -55% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
$43,688 | $16,612 | -55% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$57,276 | $22,597 | -54% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$37,683 | $13,327 | -53% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$27,137 | $10,114 | -53% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$24,712 | $10,122 | -51% |
|
Pneumothorax with Major Complications
MS-DRG 199 · Inpatient stay |
$40,138 | $12,565 | -50% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.