Electron microscopy diagnostic at Fishermens Community Hospital
3301 OVERSEAS HIGHWAY, MARATHON, FL · Baptist Health South Florida · · NPI 1235669110
$1,006.20
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.
$1,548.00
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.
$98.66 with UNITED HEALTHCARE vs $1,049.00 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 | $98.66 | ↓ -90% |
| AMERIGROUP | AMERIGROUP | $98.66 | ↓ -90% |
| UNITED HEALTHCARE | UNITED MD HMO | $98.66 | ↓ -90% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $98.66 | ↓ -90% |
| WELLCARE | WELL CARE MD HMONC | $103.59 | ↓ -90% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $104.58 | ↓ -90% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $106.55 | ↓ -89% |
| VISTA | COVENTRY MEDICAID | $106.55 | ↓ -89% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $106.55 | ↓ -89% |
| MEDICAID | PRESTIGE MD HMO NC | $108.53 | ↓ -89% |
| BLUE CROSS | MY BLUE EX | $175.18 | ↓ -83% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $220.29 | ↓ -78% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $220.29 | ↓ -78% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $220.29 | ↓ -78% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $220.29 | ↓ -78% |
| LEON MEDICAL | LEON MED MC HMO NC | $220.29 | ↓ -78% |
| LEON MEDICAL | LEON HEALTH MC HMO | $220.29 | ↓ -78% |
| BLUE CROSS | BCBS MEDICARE PPO | $220.29 | ↓ -78% |
| HUMANA | HUMANA MEDICARE | $240.12 | ↓ -76% |
| HUMANA | CAREPLUS MC HMO | $240.12 | ↓ -76% |
| AVMED | AVMED MEDICARE | $242.32 | ↓ -76% |
| AETNA | AETNA MEDICARE | $243.37 | ↓ -76% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $251.13 | ↓ -75% |
| MEDICARE | DEVOTED HEALTH MC HMO | $297.39 | ↓ -70% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $384.98 | ↓ -62% |
| AETNA | AETNA HMO | $511.91 | ↓ -49% |
| AETNA | AETNA TIER 2 | $511.91 | ↓ -49% |
| AETNA | AETNA CATASTROPHIC | $534.99 | ↓ -47% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $652.48 | ↓ -35% |
| INTERNATIONAL | INTERNATIONAL AETNA | $681.85 | ↓ -32% |
| AETNA | AETNA HMO EXCHANGE | $713.32 | ↓ -29% |
| AVMED | AVMED ENTRUST | $720.66 | ↓ -28% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $744.79 | ↓ -26% |
| BLUE CROSS | BLUE SELECT | $786.75 | ↓ -22% |
| BLUE CROSS | BCBS PPC CAH | $786.75 | ↓ -22% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $786.75 | ↓ -22% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $786.75 | ↓ -22% |
| BLUE CROSS | BLUE CARE HMO | $786.75 | ↓ -22% |
| AETNA | AETNA PPO | $803.53 | ↓ -20% |
| CIGNA | CIGNA PPO | $839.20 | ↓ -17% |
| UNITED HEALTHCARE | UNITED PPO | $839.20 | ↓ -17% |
| CIGNA | CIGNA HMO | $839.20 | ↓ -17% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $839.20 | ↓ -17% |
| UNITED HEALTHCARE | NHP HMO | $839.20 | ↓ -17% |
| UNITED HEALTHCARE | UNITED HMO | $839.20 | ↓ -17% |
| AVMED | AVMED INDIVIDUAL | $868.57 | ↓ -14% |
| AVMED | AVMED HMO | $868.57 | ↓ -14% |
| AVMED | AVMED PPO | $868.57 | ↓ -14% |
| AFFORDABLE | AFFORDABLE PPO | $944.10 | ↓ -6% |
| PHCS | PHCS | $944.10 | ↓ -6% |
| QUALITY HEALTH | MULTIPLAN | $944.10 | ↓ -6% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $944.10 | ↓ -6% |
| BLUE CROSS | BCBS PHS CAH | $944.10 | ↓ -6% |
| BLUE CROSS | BLUE CROSS | $1,049.00 | ↑ +4% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,049.00 | ↑ +4% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,049.00 | ↑ +4% |
Visitor-reported prices
Comments
Electron microscopy diagnostic at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $597.10 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $669.61 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $609.70 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $4,381.88 | $841.35 – $1,536.31 |
| cleveland clinic florida weston hospital | Weston | $1,535.30 | $44.82 – $925.49 |
| martin north hospital | Stuart | $1,535.30 | $99.69 – $925.49 |
| indian river hospital | Vero Beach | $1,535.30 | $94.71 – $925.49 |
| Baptist Hospital | MIAMI | $1,006.20 | $101.78 – $944.10 |