ER Visit (level 5, high severity) at Fishermens Community Hospital
3301 OVERSEAS HIGHWAY, MARATHON, FL · Baptist Health South Florida · · NPI 1235669110
$1,892.80
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.
$2,912.00
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.
$486.30 with BLUE CROSS vs $2,912.00 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 |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $486.30 | ↓ -74% |
| BLUE CROSS | BCBS MEDICARE PPO | $611.52 | ↓ -68% |
| LEON MEDICAL | LEON MED MC HMO NC | $611.52 | ↓ -68% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $611.52 | ↓ -68% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $611.52 | ↓ -68% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $611.52 | ↓ -68% |
| LEON MEDICAL | LEON HEALTH MC HMO | $611.52 | ↓ -68% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $611.52 | ↓ -68% |
| HUMANA | HUMANA MEDICARE | $666.56 | ↓ -65% |
| HUMANA | CAREPLUS MC HMO | $666.56 | ↓ -65% |
| AVMED | AVMED MEDICARE | $672.67 | ↓ -64% |
| AETNA | AETNA MEDICARE | $675.58 | ↓ -64% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $697.13 | ↓ -63% |
| MEDICARE | DEVOTED HEALTH MC HMO | $825.55 | ↓ -56% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $1,068.70 | ↓ -44% |
| AETNA | AETNA HMO | $1,310.40 | ↓ -31% |
| AETNA | AETNA TIER 2 | $1,310.40 | ↓ -31% |
| AETNA | AETNA CATASTROPHIC | $1,368.64 | ↓ -28% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $1,811.26 | ↓ -4% |
| INTERNATIONAL | INTERNATIONAL AETNA | $1,892.80 | ↑ +0% |
| AETNA | AETNA HMO EXCHANGE | $1,980.16 | ↑ +5% |
| AVMED | AVMED ENTRUST | $2,000.54 | ↑ +6% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $2,067.52 | ↑ +9% |
| BLUE CROSS | BLUE CARE HMO | $2,184.00 | ↑ +15% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $2,184.00 | ↑ +15% |
| BLUE CROSS | BCBS PPC CAH | $2,184.00 | ↑ +15% |
| BLUE CROSS | BLUE SELECT | $2,184.00 | ↑ +15% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $2,184.00 | ↑ +15% |
| AETNA | AETNA PPO | $2,230.59 | ↑ +18% |
| CIGNA | CIGNA HMO | $2,329.60 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $2,329.60 | ↑ +23% |
| UNITED HEALTHCARE | NHP HMO | $2,329.60 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HMO | $2,329.60 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $2,329.60 | ↑ +23% |
| CIGNA | CIGNA PPO | $2,329.60 | ↑ +23% |
| AVMED | AVMED PPO | $2,411.14 | ↑ +27% |
| AVMED | AVMED INDIVIDUAL | $2,411.14 | ↑ +27% |
| AVMED | AVMED HMO | $2,411.14 | ↑ +27% |
| AFFORDABLE | AFFORDABLE PPO | $2,620.80 | ↑ +38% |
| PHCS | PHCS | $2,620.80 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $2,620.80 | ↑ +38% |
| BLUE CROSS | BCBS PHS CAH | $2,620.80 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $2,620.80 | ↑ +38% |
| BLUE CROSS | BCBS NETWORKBLUE | $2,912.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $2,912.00 | ↑ +54% |
| BLUE CROSS | BLUE CROSS | $2,912.00 | ↑ +54% |
| MEDICAID | SIMPLYHLTH MD HMO NC | not published by hospital | — |
| UNITED HEALTHCARE | UNITED MD HMO | not published by hospital | — |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | not published by hospital | — |
| AETNA | AETNA BETTER HEALTH MEDICAID | not published by hospital | — |
| VISTA | COVENTRY MEDICAID | not published by hospital | — |
| AMERIGROUP | AMERIGROUP | not published by hospital | — |
| MEDICAID | PRESTIGE MD HMO NC | not published by hospital | — |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | not published by hospital | — |
| WELLCARE | WELL CARE MD HMONC | not published by hospital | — |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $3,418.53 | $590.81 – $1,037.95 |
| Adventhealth Lake Wales | Lake Wales | $4,722.24 | $621.90 – $1,380.62 |
| Adventhealth Palm Coast Parkway | Palm Coast | $3,097.46 | $590.81 – $1,328.32 |
| Adventhealth Tampa | Tampa | $5,579.62 | $621.90 – $1,380.62 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $4,868.04 | $590.81 – $1,358.54 |
| Adventhealth Port Charlotte | Port Charlotte | $7,102.65 | $621.90 – $1,135.59 |
| cleveland clinic florida weston hospital | Weston | $3,437.20 | $89.52 – $4,494.80 |
| martin north hospital | Stuart | $3,437.20 | $129.22 – $2,644.00 |