Cleveland Clinic Indian River Hospital
Cleveland Clinic Indian River Hospital in Vero Beach, FL charges 4.4x the Medicare reimbursement rate across 119 analyzed procedures, reflecting typical pricing patterns for nonprofit private hospitals.
Vero Beach, FL 32960 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
C
Average
Avg markup vs Medicare
4.38x
Charge / Medicare rate
Max markup
7.24x
Worst procedure
Procedures analyzed
119
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $51,639 | $25,819 | — | 7.2x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $45,658 | $22,829 | — | 7.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $31,106 | $15,553 | — | 6.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $23,169 | $11,585 | — | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $24,747 | $12,373 | — | 6.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $173,410 | $86,705 | — | 6.8x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $101,984 | $50,992 | — | 6.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $74,931 | $37,465 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $15,993 | $7,997 | — | 6.2x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $39,045 | $19,522 | — | 6.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $86,707 | $43,354 | — | 6.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $67,120 | $33,560 | — | 6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $58,994 | $29,497 | — | 6x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $85,500 | $42,750 | — | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $33,251 | $16,626 | — | 5.9x |
| DIABETES WITH CC | 638 | $27,234 | $13,617 | — | 5.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $62,431 | $31,216 | — | 5.8x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $25,527 | $12,764 | — | 5.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $34,673 | $17,337 | — | 5.6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $111,132 | $55,566 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $33,901 | $16,950 | — | 5.5x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $68,652 | $34,326 | — | 5.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $79,043 | $39,522 | — | 5.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $49,708 | $24,854 | — | 5.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $23,403 | $11,702 | — | 5.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $39,812 | $19,906 | — | 5.3x |
| SYNCOPE AND COLLAPSE | 312 | $28,244 | $14,122 | — | 5.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $14,149 | $7,074 | — | 5.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $31,496 | $15,748 | — | 5.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $26,493 | $13,246 | — | 5.1x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $51,712 | $25,856 | — | 5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $68,610 | $34,305 | — | 4.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $35,169 | $17,585 | — | 4.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $56,576 | $28,288 | — | 4.9x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $40,831 | $20,415 | — | 4.9x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $148,468 | $74,234 | — | 4.8x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $45,410 | $22,705 | — | 4.8x |
| DYSEQUILIBRIUM | 149 | $17,782 | $8,891 | — | 4.8x |
| BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 462 | $84,937 | $42,468 | — | 4.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $69,850 | $34,925 | — | 4.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $24,962 | $12,481 | — | 4.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $84,374 | $42,187 | — | 4.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $17,858 | $8,929 | — | 4.6x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $26,820 | $13,410 | — | 4.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $59,688 | $29,844 | — | 4.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $28,113 | $14,057 | — | 4.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $55,816 | $27,908 | — | 4.6x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $20,233 | $10,116 | — | 4.5x |
| CHEST PAIN | 313 | $18,153 | $9,077 | — | 4.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $86,525 | $43,263 | — | 4.5x |
Showing 50 of 119 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use