healthcosts.net
Cholesterol (Lipid) Test at Fishermens Community Hospital
3301 OVERSEAS HIGHWAY, MARATHON, FL · Baptist Health South Florida · · NPI 1235669110
$163.80
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.
$252.00
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.
$4.59 with AMERIGROUP vs $59.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $4.59 | ↓ -97% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $4.59 | ↓ -97% |
| UNITED HEALTHCARE | UNITED MD HMO | $4.59 | ↓ -97% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $4.59 | ↓ -97% |
| WELLCARE | WELL CARE MD HMONC | $4.82 | ↓ -97% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $4.87 | ↓ -97% |
| VISTA | COVENTRY MEDICAID | $4.96 | ↓ -97% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $4.96 | ↓ -97% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $4.96 | ↓ -97% |
| MEDICAID | PRESTIGE MD HMO NC | $5.05 | ↓ -97% |
| BLUE CROSS | MY BLUE EX | $9.85 | ↓ -94% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $12.39 | ↓ -92% |
| LEON MEDICAL | LEON MED MC HMO NC | $12.39 | ↓ -92% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $12.39 | ↓ -92% |
| LEON MEDICAL | LEON HEALTH MC HMO | $12.39 | ↓ -92% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $12.39 | ↓ -92% |
| BLUE CROSS | BCBS MEDICARE PPO | $12.39 | ↓ -92% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $12.39 | ↓ -92% |
| HUMANA | HUMANA MEDICARE | $13.51 | ↓ -92% |
| HUMANA | CAREPLUS MC HMO | $13.51 | ↓ -92% |
| AVMED | AVMED MEDICARE | $13.63 | ↓ -92% |
| AETNA | AETNA MEDICARE | $13.69 | ↓ -92% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $14.12 | ↓ -91% |
| MEDICARE | DEVOTED HEALTH MC HMO | $16.73 | ↓ -90% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $21.65 | ↓ -87% |
| AETNA | AETNA TIER 2 | $28.79 | ↓ -82% |
| AETNA | AETNA HMO | $28.79 | ↓ -82% |
| AETNA | AETNA CATASTROPHIC | $30.09 | ↓ -82% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $36.70 | ↓ -78% |
| INTERNATIONAL | INTERNATIONAL AETNA | $38.35 | ↓ -77% |
| AETNA | AETNA HMO EXCHANGE | $40.12 | ↓ -76% |
| AVMED | AVMED ENTRUST | $40.53 | ↓ -75% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $41.89 | ↓ -74% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $44.25 | ↓ -73% |
| BLUE CROSS | BLUE CARE HMO | $44.25 | ↓ -73% |
| BLUE CROSS | BCBS PPC CAH | $44.25 | ↓ -73% |
| BLUE CROSS | BLUE SELECT | $44.25 | ↓ -73% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $44.25 | ↓ -73% |
| AETNA | AETNA PPO | $45.19 | ↓ -72% |
| CIGNA | CIGNA PPO | $47.20 | ↓ -71% |
| CIGNA | CIGNA HMO | $47.20 | ↓ -71% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $47.20 | ↓ -71% |
| UNITED HEALTHCARE | NHP HMO | $47.20 | ↓ -71% |
| UNITED HEALTHCARE | UNITED PPO | $47.20 | ↓ -71% |
| UNITED HEALTHCARE | UNITED HMO | $47.20 | ↓ -71% |
| AVMED | AVMED INDIVIDUAL | $48.85 | ↓ -70% |
| AVMED | AVMED HMO | $48.85 | ↓ -70% |
| AVMED | AVMED PPO | $48.85 | ↓ -70% |
| PHCS | PHCS | $53.10 | ↓ -68% |
| AFFORDABLE | AFFORDABLE PPO | $53.10 | ↓ -68% |
| QUALITY HEALTH | MULTIPLAN | $53.10 | ↓ -68% |
| BLUE CROSS | BCBS PHS CAH | $53.10 | ↓ -68% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $53.10 | ↓ -68% |
| BLUE CROSS | BCBS NETWORKBLUE | $59.00 | ↓ -64% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $59.00 | ↓ -64% |
| BLUE CROSS | BLUE CROSS | $59.00 | ↓ -64% |
Visitor-reported prices
Comments
Cholesterol (Lipid) Test at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Kendall Baptist Hospital | MIAMI | $163.80 | $4.59 – $53.10 |
| cleveland clinic florida weston hospital | Weston | $115.70 | $4.31 – $22.10 |
| indian river hospital | Vero Beach | $115.70 | $4.31 – $24.74 |
| martin north hospital | Stuart | $115.70 | $4.54 – $74.00 |
| Baptist Hospital | MIAMI | $163.80 | $4.74 – $53.10 |
| Bethesda Hospital East | BOYNTON BEACH | $163.80 | $4.74 – $53.10 |
| Boca Raton Regional Hospital | BOCA RATON | $187.20 | $13.39 – $32.00 |
| Doctors Hospital | CORAL GABLES | $163.80 | $4.59 – $53.10 |