Coombs direct at Fishermens Community Hospital
3301 OVERSEAS HIGHWAY, MARATHON, FL · Baptist Health South Florida · · NPI 1235669110
$79.95
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.
$123.00
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.
$2.20 with UNITED HEALTHCARE vs $80.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $2.20 | ↓ -97% |
| AMERIGROUP | AMERIGROUP | $2.20 | ↓ -97% |
| UNITED HEALTHCARE | UNITED MD HMO | $2.20 | ↓ -97% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $2.20 | ↓ -97% |
| WELLCARE | WELL CARE MD HMONC | $2.31 | ↓ -97% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $2.34 | ↓ -97% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $2.38 | ↓ -97% |
| VISTA | COVENTRY MEDICAID | $2.38 | ↓ -97% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $2.38 | ↓ -97% |
| MEDICAID | PRESTIGE MD HMO NC | $2.42 | ↓ -97% |
| BLUE CROSS | MY BLUE EX | $13.36 | ↓ -83% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $16.80 | ↓ -79% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $16.80 | ↓ -79% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $16.80 | ↓ -79% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $16.80 | ↓ -79% |
| LEON MEDICAL | LEON MED MC HMO NC | $16.80 | ↓ -79% |
| LEON MEDICAL | LEON HEALTH MC HMO | $16.80 | ↓ -79% |
| BLUE CROSS | BCBS MEDICARE PPO | $16.80 | ↓ -79% |
| HUMANA | HUMANA MEDICARE | $18.31 | ↓ -77% |
| HUMANA | CAREPLUS MC HMO | $18.31 | ↓ -77% |
| AVMED | AVMED MEDICARE | $18.48 | ↓ -77% |
| AETNA | AETNA MEDICARE | $18.56 | ↓ -77% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $19.15 | ↓ -76% |
| MEDICARE | DEVOTED HEALTH MC HMO | $22.68 | ↓ -72% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $29.36 | ↓ -63% |
| AETNA | AETNA HMO | $39.04 | ↓ -51% |
| AETNA | AETNA TIER 2 | $39.04 | ↓ -51% |
| AETNA | AETNA CATASTROPHIC | $40.80 | ↓ -49% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $49.76 | ↓ -38% |
| INTERNATIONAL | INTERNATIONAL AETNA | $52.00 | ↓ -35% |
| AETNA | AETNA HMO EXCHANGE | $54.40 | ↓ -32% |
| AVMED | AVMED ENTRUST | $54.96 | ↓ -31% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $56.80 | ↓ -29% |
| BLUE CROSS | BLUE SELECT | $60.00 | ↓ -25% |
| BLUE CROSS | BCBS PPC CAH | $60.00 | ↓ -25% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $60.00 | ↓ -25% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $60.00 | ↓ -25% |
| BLUE CROSS | BLUE CARE HMO | $60.00 | ↓ -25% |
| AETNA | AETNA PPO | $61.28 | ↓ -23% |
| CIGNA | CIGNA PPO | $64.00 | ↓ -20% |
| UNITED HEALTHCARE | UNITED PPO | $64.00 | ↓ -20% |
| CIGNA | CIGNA HMO | $64.00 | ↓ -20% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $64.00 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $64.00 | ↓ -20% |
| UNITED HEALTHCARE | UNITED HMO | $64.00 | ↓ -20% |
| AVMED | AVMED INDIVIDUAL | $66.24 | ↓ -17% |
| AVMED | AVMED HMO | $66.24 | ↓ -17% |
| AVMED | AVMED PPO | $66.24 | ↓ -17% |
| AFFORDABLE | AFFORDABLE PPO | $72.00 | ↓ -10% |
| PHCS | PHCS | $72.00 | ↓ -10% |
| QUALITY HEALTH | MULTIPLAN | $72.00 | ↓ -10% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $72.00 | ↓ -10% |
| BLUE CROSS | BCBS PHS CAH | $72.00 | ↓ -10% |
| BLUE CROSS | BLUE CROSS | $80.00 | ↑ +0% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $80.00 | ↑ +0% |
| BLUE CROSS | BCBS NETWORKBLUE | $80.00 | ↑ +0% |
Visitor-reported prices
Comments
Coombs direct at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $259.96 | $58.52 – $102.82 |
| Adventhealth Lake Wales | Lake Wales | $224.58 | $61.60 – $136.76 |
| Adventhealth Palm Coast Parkway | Palm Coast | $248.45 | $58.52 – $131.58 |
| Adventhealth Tampa | Tampa | $224.12 | $61.60 – $136.76 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $58.27 | $58.52 – $134.57 |
| Adventhealth Port Charlotte | Port Charlotte | $411.14 | $61.60 – $112.49 |
| cleveland clinic florida weston hospital | Weston | $112.45 | $2.08 – $166.00 |
| martin north hospital | Stuart | $112.45 | $2.19 – $67.76 |