MRI breast w IV cont bi at Fishermens Community Hospital
3301 OVERSEAS HIGHWAY, MARATHON, FL · Baptist Health South Florida · · NPI 1235669110
$5,364.45
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.
$8,253.00
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.
$247.73 with UNITED HEALTHCARE vs $5,739.00 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 MD HMO | $247.73 | ↓ -95% |
| AMERIGROUP | AMERIGROUP | $247.73 | ↓ -95% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $247.73 | ↓ -95% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $247.73 | ↓ -95% |
| WELLCARE | WELL CARE MD HMONC | $260.12 | ↓ -95% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $262.60 | ↓ -95% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $267.55 | ↓ -95% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $267.55 | ↓ -95% |
| VISTA | COVENTRY MEDICAID | $267.55 | ↓ -95% |
| MEDICAID | PRESTIGE MD HMO NC | $272.51 | ↓ -95% |
| BLUE CROSS | MY BLUE EX | $958.41 | ↓ -82% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $1,205.19 | ↓ -78% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $1,205.19 | ↓ -78% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $1,205.19 | ↓ -78% |
| LEON MEDICAL | LEON HEALTH MC HMO | $1,205.19 | ↓ -78% |
| LEON MEDICAL | LEON MED MC HMO NC | $1,205.19 | ↓ -78% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $1,205.19 | ↓ -78% |
| BLUE CROSS | BCBS MEDICARE PPO | $1,205.19 | ↓ -78% |
| HUMANA | HUMANA MEDICARE | $1,313.66 | ↓ -76% |
| HUMANA | CAREPLUS MC HMO | $1,313.66 | ↓ -76% |
| AVMED | AVMED MEDICARE | $1,325.71 | ↓ -75% |
| AETNA | AETNA MEDICARE | $1,331.45 | ↓ -75% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $1,373.92 | ↓ -74% |
| MEDICARE | DEVOTED HEALTH MC HMO | $1,627.01 | ↓ -70% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $2,106.21 | ↓ -61% |
| AETNA | AETNA HMO | $2,800.63 | ↓ -48% |
| AETNA | AETNA TIER 2 | $2,800.63 | ↓ -48% |
| AETNA | AETNA CATASTROPHIC | $2,926.89 | ↓ -45% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $3,569.66 | ↓ -33% |
| INTERNATIONAL | INTERNATIONAL AETNA | $3,730.35 | ↓ -30% |
| AETNA | AETNA HMO EXCHANGE | $3,902.52 | ↓ -27% |
| AVMED | AVMED ENTRUST | $3,942.69 | ↓ -27% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $4,074.69 | ↓ -24% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $4,304.25 | ↓ -20% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $4,304.25 | ↓ -20% |
| BLUE CROSS | BLUE SELECT | $4,304.25 | ↓ -20% |
| BLUE CROSS | BCBS PPC CAH | $4,304.25 | ↓ -20% |
| BLUE CROSS | BLUE CARE HMO | $4,304.25 | ↓ -20% |
| AETNA | AETNA PPO | $4,396.07 | ↓ -18% |
| UNITED HEALTHCARE | UNITED HMO | $4,591.20 | ↓ -14% |
| CIGNA | CIGNA PPO | $4,591.20 | ↓ -14% |
| UNITED HEALTHCARE | NHP HMO | $4,591.20 | ↓ -14% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $4,591.20 | ↓ -14% |
| CIGNA | CIGNA HMO | $4,591.20 | ↓ -14% |
| UNITED HEALTHCARE | UNITED PPO | $4,591.20 | ↓ -14% |
| AVMED | AVMED INDIVIDUAL | $4,751.89 | ↓ -11% |
| AVMED | AVMED HMO | $4,751.89 | ↓ -11% |
| AVMED | AVMED PPO | $4,751.89 | ↓ -11% |
| QUALITY HEALTH | MULTIPLAN | $5,165.10 | ↓ -4% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $5,165.10 | ↓ -4% |
| BLUE CROSS | BCBS PHS CAH | $5,165.10 | ↓ -4% |
| AFFORDABLE | AFFORDABLE PPO | $5,165.10 | ↓ -4% |
| PHCS | PHCS | $5,165.10 | ↓ -4% |
| BLUE CROSS | BCBS NETWORKBLUE | $5,739.00 | ↑ +7% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $5,739.00 | ↑ +7% |
| BLUE CROSS | BLUE CROSS | $5,739.00 | ↑ +7% |
Visitor-reported prices
Comments
MRI breast w IV cont bi at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,088.43 | $732.50 – $732.50 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,088.43 | $732.50 – $732.50 |
| Adventhealth Tampa | Tampa | $6,805.05 | $498.10 – $498.10 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,192.09 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $12,396.00 | $635.92 – $946.00 |
| Adventhealth Port Charlotte | Port Charlotte | $8,404.26 | $498.10 – $498.10 |
| cleveland clinic florida weston hospital | Weston | $5,460.00 | $108.63 – $6,358.00 |
| martin north hospital | Stuart | $5,460.00 | $110.28 – $3,740.00 |