Lumbar diskogram s&i at Fishermens Community Hospital
3301 OVERSEAS HIGHWAY, MARATHON, FL · Baptist Health South Florida · · NPI 1235669110
$3,412.50
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.
$5,250.00
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.
$342.29 with UNITED HEALTHCARE vs $4,649.00 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 | $342.29 | ↓ -90% |
| AMERIGROUP | AMERIGROUP | $342.29 | ↓ -90% |
| UNITED HEALTHCARE | UNITED MD HMO | $342.29 | ↓ -90% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $342.29 | ↓ -90% |
| WELLCARE | WELL CARE MD HMONC | $359.40 | ↓ -89% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $362.82 | ↓ -89% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $369.67 | ↓ -89% |
| VISTA | COVENTRY MEDICAID | $369.67 | ↓ -89% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $369.67 | ↓ -89% |
| MEDICAID | PRESTIGE MD HMO NC | $376.51 | ↓ -89% |
| BLUE CROSS | MY BLUE EX | $776.38 | ↓ -77% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $976.29 | ↓ -71% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $976.29 | ↓ -71% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $976.29 | ↓ -71% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $976.29 | ↓ -71% |
| LEON MEDICAL | LEON MED MC HMO NC | $976.29 | ↓ -71% |
| LEON MEDICAL | LEON HEALTH MC HMO | $976.29 | ↓ -71% |
| BLUE CROSS | BCBS MEDICARE PPO | $976.29 | ↓ -71% |
| HUMANA | HUMANA MEDICARE | $1,064.16 | ↓ -69% |
| HUMANA | CAREPLUS MC HMO | $1,064.16 | ↓ -69% |
| AVMED | AVMED MEDICARE | $1,073.92 | ↓ -69% |
| AETNA | AETNA MEDICARE | $1,078.57 | ↓ -68% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $1,112.97 | ↓ -67% |
| MEDICARE | DEVOTED HEALTH MC HMO | $1,317.99 | ↓ -61% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $1,706.18 | ↓ -50% |
| AETNA | AETNA HMO | $2,268.71 | ↓ -34% |
| AETNA | AETNA TIER 2 | $2,268.71 | ↓ -34% |
| AETNA | AETNA CATASTROPHIC | $2,370.99 | ↓ -31% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $2,891.68 | ↓ -15% |
| INTERNATIONAL | INTERNATIONAL AETNA | $3,021.85 | ↓ -11% |
| AETNA | AETNA HMO EXCHANGE | $3,161.32 | ↓ -7% |
| AVMED | AVMED ENTRUST | $3,193.86 | ↓ -6% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $3,300.79 | ↓ -3% |
| BLUE CROSS | BLUE SELECT | $3,486.75 | ↑ +2% |
| BLUE CROSS | BCBS PPC CAH | $3,486.75 | ↑ +2% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $3,486.75 | ↑ +2% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $3,486.75 | ↑ +2% |
| BLUE CROSS | BLUE CARE HMO | $3,486.75 | ↑ +2% |
| AETNA | AETNA PPO | $3,561.13 | ↑ +4% |
| CIGNA | CIGNA PPO | $3,719.20 | ↑ +9% |
| UNITED HEALTHCARE | UNITED PPO | $3,719.20 | ↑ +9% |
| CIGNA | CIGNA HMO | $3,719.20 | ↑ +9% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $3,719.20 | ↑ +9% |
| UNITED HEALTHCARE | NHP HMO | $3,719.20 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HMO | $3,719.20 | ↑ +9% |
| AVMED | AVMED INDIVIDUAL | $3,849.37 | ↑ +13% |
| AVMED | AVMED HMO | $3,849.37 | ↑ +13% |
| AVMED | AVMED PPO | $3,849.37 | ↑ +13% |
| AFFORDABLE | AFFORDABLE PPO | $4,184.10 | ↑ +23% |
| PHCS | PHCS | $4,184.10 | ↑ +23% |
| QUALITY HEALTH | MULTIPLAN | $4,184.10 | ↑ +23% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $4,184.10 | ↑ +23% |
| BLUE CROSS | BCBS PHS CAH | $4,184.10 | ↑ +23% |
| BLUE CROSS | BLUE CROSS | $4,649.00 | ↑ +36% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $4,649.00 | ↑ +36% |
| BLUE CROSS | BCBS NETWORKBLUE | $4,649.00 | ↑ +36% |
Visitor-reported prices
Comments
Lumbar diskogram s&i at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $6,598.98 | $2,039.19 – $4,527.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $9,880.00 | $3,701.44 – $3,947.38 |
| Adventhealth Port Charlotte | Port Charlotte | $7,811.03 | $2,039.19 – $3,853.47 |
| cleveland clinic florida weston hospital | Weston | $11,163.75 | $36.10 – $14,316.55 |
| martin north hospital | Stuart | $11,163.75 | $32.30 – $8,421.50 |
| indian river hospital | Vero Beach | $215.80 | $32.94 – $2,243.11 |
| Baptist Hospital | MIAMI | $3,412.50 | $173.17 – $4,184.10 |
| Bethesda Hospital East | BOYNTON BEACH | $3,412.50 | $353.09 – $4,184.10 |