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CLEVELAND CLINIC INDIAN RIVER HOSPITAL

VERO BEACH, FL 32960 · Acute Care Hospitals

119 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

119

With CMS pricing data

Avg Charge-to-Medicare Ratio

4.4x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to FL hospitals

Understanding Your Costs

When you receive a bill from CLEVELAND CLINIC INDIAN RIVER HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, CLEVELAND CLINIC INDIAN RIVER HOSPITAL lists chargemaster rates that average 4.4x the corresponding Medicare reimbursement amount across 119 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in FL has a chargemaster-to-Medicare ratio of 8.6x, with ratios across the state ranging from 1.0x to 20.0x. At 4.4x, this facility’s average ratio is below the state median. 165 hospitals in FL report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at CLEVELAND CLINIC INDIAN RIVER HOSPITAL is PERIPHERAL VASCULAR DISORDERS WITH CC (DRG 300). The listed chargemaster rate is $51,639, while Medicare reimburses $7,128 for the same procedure — a ratio of 7.2x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

CLEVELAND CLINIC INDIAN RIVER HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
PERIPHERAL VASCULAR DISORDERS WITH CC300$51,639$7,1287.2x
1th
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$45,658$6,3987.1x
0th
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$31,106$4,4836.9x
0th
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$23,169$3,3796.9x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$24,747$3,6086.9x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$173,410$25,3406.8x
1th
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MAJOR CHEST PROCEDURES WITH CC164$101,984$15,3516.6x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$74,931$11,4486.5x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$15,993$2,5676.2x
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CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC074$39,045$6,3876.1x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$86,707$14,2666.1x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$67,120$11,1206.0x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$58,994$9,8746.0x
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OTHER VASCULAR PROCEDURES WITH CC253$85,500$14,4195.9x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$33,251$5,6505.9x
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DIABETES WITH CC638$27,234$4,6745.8x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$62,431$10,7585.8x
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DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$25,527$4,4575.7x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$34,673$6,1935.6x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$111,132$20,0585.5x
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LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$68,652$12,4205.5x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$33,901$6,1345.5x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$79,043$14,3215.5x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC482$49,708$9,1775.4x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$23,403$4,3585.4x
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KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$39,812$7,4955.3x
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SYNCOPE AND COLLAPSE312$28,244$5,3995.2x
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GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$14,149$2,7115.2x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$31,496$6,1335.1x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$26,493$5,2365.1x
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MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$51,712$10,4535.0x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$68,610$13,8994.9x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$35,169$7,1294.9x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$56,576$11,4904.9x
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RED BLOOD CELL DISORDERS WITH MCC811$40,831$8,3564.9x
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EXTRACRANIAL PROCEDURES WITH CC038$45,410$9,4614.8x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$148,468$30,9634.8x
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DYSEQUILIBRIUM149$17,782$3,7124.8x
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BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC462$84,937$17,8034.8x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC417$69,850$14,6714.8x
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RED BLOOD CELL DISORDERS WITHOUT MCC812$24,962$5,2744.7x
0th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$84,374$18,1144.7x
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PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$26,820$5,7864.6x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$17,858$3,8514.6x
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OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$59,688$13,0404.6x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$28,113$6,1464.6x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$55,816$12,2804.5x
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PULMONARY EMBOLISM WITHOUT MCC176$20,233$4,4704.5x
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CHEST PAIN313$18,153$4,0484.5x
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REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$86,525$19,3854.5x
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Showing 50 of 119 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across FL hospitals

1.0x
Median: 8.6x
20.0x
4.4x

165 hospitals in FL report pricing data to CMS. This facility's average ratio of 4.4x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About CLEVELAND CLINIC INDIAN RIVER HOSPITAL

How much does CLEVELAND CLINIC INDIAN RIVER HOSPITAL charge compared to Medicare?

According to CMS IPPS data, CLEVELAND CLINIC INDIAN RIVER HOSPITAL's listed chargemaster rates average 4.4x the Medicare reimbursement amount across 119 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at CLEVELAND CLINIC INDIAN RIVER HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at CLEVELAND CLINIC INDIAN RIVER HOSPITAL is PERIPHERAL VASCULAR DISORDERS WITH CC (DRG 300), with a listed charge of $51,639 compared to Medicare reimbursement of $7,128 — a ratio of 7.2x. Source: CMS IPPS Provider Summary.

Is CLEVELAND CLINIC INDIAN RIVER HOSPITAL expensive compared to other FL hospitals?

CLEVELAND CLINIC INDIAN RIVER HOSPITAL's average chargemaster-to-Medicare ratio is 4.4x. Ratios vary significantly across FL hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for CLEVELAND CLINIC INDIAN RIVER HOSPITAL come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from CLEVELAND CLINIC INDIAN RIVER HOSPITAL is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does CLEVELAND CLINIC INDIAN RIVER HOSPITAL in VERO BEACH, FL accept Medicare?

CLEVELAND CLINIC INDIAN RIVER HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact CLEVELAND CLINIC INDIAN RIVER HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.