Ins/rpl ldless pm right vent w img & eval at Fishermens Community Hospital
3301 OVERSEAS HIGHWAY, MARATHON, FL · Baptist Health South Florida · · NPI 1235669110
$35,686.95
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.
$54,903.00
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.
$4,863.22 with UNITED HEALTHCARE vs $54,903.00 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 | $4,863.22 | ↓ -86% |
| AMERIGROUP | AMERIGROUP | $4,863.22 | ↓ -86% |
| UNITED HEALTHCARE | UNITED MD HMO | $4,863.22 | ↓ -86% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $4,863.22 | ↓ -86% |
| WELLCARE | WELL CARE MD HMONC | $5,106.38 | ↓ -86% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $5,155.01 | ↓ -86% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $5,252.27 | ↓ -85% |
| VISTA | COVENTRY MEDICAID | $5,252.27 | ↓ -85% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $5,252.27 | ↓ -85% |
| MEDICAID | PRESTIGE MD HMO NC | $5,349.54 | ↓ -85% |
| BLUE CROSS | MY BLUE EX | $9,168.80 | ↓ -74% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $11,529.63 | ↓ -68% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $11,529.63 | ↓ -68% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $11,529.63 | ↓ -68% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $11,529.63 | ↓ -68% |
| LEON MEDICAL | LEON MED MC HMO NC | $11,529.63 | ↓ -68% |
| LEON MEDICAL | LEON HEALTH MC HMO | $11,529.63 | ↓ -68% |
| BLUE CROSS | BCBS MEDICARE PPO | $11,529.63 | ↓ -68% |
| HUMANA | HUMANA MEDICARE | $12,567.30 | ↓ -65% |
| HUMANA | CAREPLUS MC HMO | $12,567.30 | ↓ -65% |
| AVMED | AVMED MEDICARE | $12,682.59 | ↓ -64% |
| AETNA | AETNA MEDICARE | $12,737.50 | ↓ -64% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $13,143.78 | ↓ -63% |
| MEDICARE | DEVOTED HEALTH MC HMO | $15,565.00 | ↓ -56% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $20,149.40 | ↓ -44% |
| AETNA | AETNA HMO | $26,792.66 | ↓ -25% |
| AETNA | AETNA TIER 2 | $26,792.66 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $28,000.53 | ↓ -22% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $34,149.67 | ↓ -4% |
| INTERNATIONAL | INTERNATIONAL AETNA | $35,686.95 | ↑ +0% |
| AETNA | AETNA HMO EXCHANGE | $37,334.04 | ↑ +5% |
| AVMED | AVMED ENTRUST | $37,718.36 | ↑ +6% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $38,981.13 | ↑ +9% |
| BLUE CROSS | BLUE SELECT | $41,177.25 | ↑ +15% |
| BLUE CROSS | BCBS PPC CAH | $41,177.25 | ↑ +15% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $41,177.25 | ↑ +15% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $41,177.25 | ↑ +15% |
| BLUE CROSS | BLUE CARE HMO | $41,177.25 | ↑ +15% |
| AETNA | AETNA PPO | $42,055.70 | ↑ +18% |
| CIGNA | CIGNA PPO | $43,922.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $43,922.40 | ↑ +23% |
| CIGNA | CIGNA HMO | $43,922.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $43,922.40 | ↑ +23% |
| UNITED HEALTHCARE | NHP HMO | $43,922.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HMO | $43,922.40 | ↑ +23% |
| AVMED | AVMED INDIVIDUAL | $45,459.68 | ↑ +27% |
| AVMED | AVMED HMO | $45,459.68 | ↑ +27% |
| AVMED | AVMED PPO | $45,459.68 | ↑ +27% |
| AFFORDABLE | AFFORDABLE PPO | $49,412.70 | ↑ +38% |
| PHCS | PHCS | $49,412.70 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $49,412.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $49,412.70 | ↑ +38% |
| BLUE CROSS | BCBS PHS CAH | $49,412.70 | ↑ +38% |
| BLUE CROSS | BLUE CROSS | $54,903.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $54,903.00 | ↑ +54% |
| BLUE CROSS | BCBS NETWORKBLUE | $54,903.00 | ↑ +54% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $50,308.31 | $19,108.85 – $33,571.24 |
| Adventhealth Tampa | Tampa | $59,188.03 | $20,114.58 – $44,654.37 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $34,497.14 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $56,228.63 | $20,114.58 – $36,729.22 |
| cleveland clinic florida weston hospital | Weston | $30,881.50 | $360.26 – $40,383.50 |
| martin north hospital | Stuart | $30,881.50 | $360.26 – $23,755.00 |
| indian river hospital | Vero Beach | $30,881.50 | $360.26 – $38,008.00 |
| Baptist Hospital | MIAMI | $35,686.95 | $173.17 – $49,412.70 |