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Established Patient Office Visit (level 4) at Fishermens Community Hospital
3301 OVERSEAS HIGHWAY, MARATHON, FL · Baptist Health South Florida · · NPI 1235669110
$759.85
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.
$1,169.00
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.
$195.22 with BLUE CROSS vs $1,169.00 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 | $195.22 | ↓ -74% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $245.49 | ↓ -68% |
| LEON MEDICAL | LEON MED MC HMO NC | $245.49 | ↓ -68% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $245.49 | ↓ -68% |
| LEON MEDICAL | LEON HEALTH MC HMO | $245.49 | ↓ -68% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $245.49 | ↓ -68% |
| BLUE CROSS | BCBS MEDICARE PPO | $245.49 | ↓ -68% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $245.49 | ↓ -68% |
| HUMANA | HUMANA MEDICARE | $267.58 | ↓ -65% |
| HUMANA | CAREPLUS MC HMO | $267.58 | ↓ -65% |
| AVMED | AVMED MEDICARE | $270.04 | ↓ -64% |
| AETNA | AETNA MEDICARE | $271.21 | ↓ -64% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $279.86 | ↓ -63% |
| MEDICARE | DEVOTED HEALTH MC HMO | $331.41 | ↓ -56% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $429.02 | ↓ -44% |
| AETNA | AETNA TIER 2 | $570.47 | ↓ -25% |
| AETNA | AETNA HMO | $570.47 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $596.19 | ↓ -22% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $727.12 | ↓ -4% |
| INTERNATIONAL | INTERNATIONAL AETNA | $759.85 | ↑ +0% |
| AETNA | AETNA HMO EXCHANGE | $794.92 | ↑ +5% |
| AVMED | AVMED ENTRUST | $803.10 | ↑ +6% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $829.99 | ↑ +9% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $876.75 | ↑ +15% |
| BLUE CROSS | BLUE CARE HMO | $876.75 | ↑ +15% |
| BLUE CROSS | BCBS PPC CAH | $876.75 | ↑ +15% |
| BLUE CROSS | BLUE SELECT | $876.75 | ↑ +15% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $876.75 | ↑ +15% |
| AETNA | AETNA PPO | $895.45 | ↑ +18% |
| CIGNA | CIGNA PPO | $935.20 | ↑ +23% |
| CIGNA | CIGNA HMO | $935.20 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $935.20 | ↑ +23% |
| UNITED HEALTHCARE | NHP HMO | $935.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $935.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HMO | $935.20 | ↑ +23% |
| AVMED | AVMED INDIVIDUAL | $967.93 | ↑ +27% |
| AVMED | AVMED HMO | $967.93 | ↑ +27% |
| AVMED | AVMED PPO | $967.93 | ↑ +27% |
| PHCS | PHCS | $1,052.10 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $1,052.10 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $1,052.10 | ↑ +38% |
| BLUE CROSS | BCBS PHS CAH | $1,052.10 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $1,052.10 | ↑ +38% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,169.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,169.00 | ↑ +54% |
| BLUE CROSS | BLUE CROSS | $1,169.00 | ↑ +54% |
Visitor-reported prices
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Established Patient Office Visit (level 4) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $499.20 | $39.31 – $384.00 |
| martin north hospital | Stuart | $499.20 | $48.67 – $175.50 |
| indian river hospital | Vero Beach | $499.20 | $47.02 – $652.80 |
| Baptist Hospital | MIAMI | $498.55 | $10.90 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $759.85 | $267.70 – $1,052.10 |
| Boca Raton Regional Hospital | BOCA RATON | $668.20 | $175.18 – $476.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $759.85 | $10.96 – $56.70 |
| Homestead Hospital | HOMESTEAD | $759.85 | $167.89 – $1,052.10 |