healthcosts.net
Shoulder MRI (without contrast) at Fishermens Community Hospital
3301 OVERSEAS HIGHWAY, MARATHON, FL · Baptist Health South Florida · · NPI 1235669110
$3,305.25
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.
$5,085.00
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.
$147.32 with AMERIGROUP vs $5,085.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $147.32 | ↓ -96% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $147.32 | ↓ -96% |
| UNITED HEALTHCARE | UNITED MD HMO | $147.32 | ↓ -96% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $147.32 | ↓ -96% |
| WELLCARE | WELL CARE MD HMONC | $154.68 | ↓ -95% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $156.16 | ↓ -95% |
| VISTA | COVENTRY MEDICAID | $159.10 | ↓ -95% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $159.10 | ↓ -95% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $159.10 | ↓ -95% |
| MEDICAID | PRESTIGE MD HMO NC | $162.05 | ↓ -95% |
| BLUE CROSS | MY BLUE EX | $849.20 | ↓ -74% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $1,067.85 | ↓ -68% |
| LEON MEDICAL | LEON MED MC HMO NC | $1,067.85 | ↓ -68% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $1,067.85 | ↓ -68% |
| LEON MEDICAL | LEON HEALTH MC HMO | $1,067.85 | ↓ -68% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $1,067.85 | ↓ -68% |
| BLUE CROSS | BCBS MEDICARE PPO | $1,067.85 | ↓ -68% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $1,067.85 | ↓ -68% |
| HUMANA | HUMANA MEDICARE | $1,163.96 | ↓ -65% |
| HUMANA | CAREPLUS MC HMO | $1,163.96 | ↓ -65% |
| AVMED | AVMED MEDICARE | $1,174.64 | ↓ -64% |
| AETNA | AETNA MEDICARE | $1,179.72 | ↓ -64% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $1,217.35 | ↓ -63% |
| MEDICARE | DEVOTED HEALTH MC HMO | $1,441.60 | ↓ -56% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $1,866.20 | ↓ -44% |
| AETNA | AETNA TIER 2 | $2,481.48 | ↓ -25% |
| AETNA | AETNA HMO | $2,481.48 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $2,593.35 | ↓ -22% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $3,162.87 | ↓ -4% |
| INTERNATIONAL | INTERNATIONAL AETNA | $3,305.25 | ↑ +0% |
| AETNA | AETNA HMO EXCHANGE | $3,457.80 | ↑ +5% |
| AVMED | AVMED ENTRUST | $3,493.40 | ↑ +6% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $3,610.35 | ↑ +9% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $3,813.75 | ↑ +15% |
| BLUE CROSS | BLUE CARE HMO | $3,813.75 | ↑ +15% |
| BLUE CROSS | BCBS PPC CAH | $3,813.75 | ↑ +15% |
| BLUE CROSS | BLUE SELECT | $3,813.75 | ↑ +15% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $3,813.75 | ↑ +15% |
| AETNA | AETNA PPO | $3,895.11 | ↑ +18% |
| CIGNA | CIGNA PPO | $4,068.00 | ↑ +23% |
| CIGNA | CIGNA HMO | $4,068.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $4,068.00 | ↑ +23% |
| UNITED HEALTHCARE | NHP HMO | $4,068.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $4,068.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HMO | $4,068.00 | ↑ +23% |
| AVMED | AVMED INDIVIDUAL | $4,210.38 | ↑ +27% |
| AVMED | AVMED HMO | $4,210.38 | ↑ +27% |
| AVMED | AVMED PPO | $4,210.38 | ↑ +27% |
| PHCS | PHCS | $4,576.50 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $4,576.50 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $4,576.50 | ↑ +38% |
| BLUE CROSS | BCBS PHS CAH | $4,576.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $4,576.50 | ↑ +38% |
| BLUE CROSS | BCBS NETWORKBLUE | $5,085.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $5,085.00 | ↑ +54% |
| BLUE CROSS | BLUE CROSS | $5,085.00 | ↑ +54% |
Visitor-reported prices
Comments
Shoulder MRI (without contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,706.25 | $57.39 – $1,772.25 |
| martin north hospital | Stuart | $1,355.25 | $51.35 – $1,042.50 |
| indian river hospital | Vero Beach | $1,355.25 | $61.42 – $1,668.00 |
| Baptist Hospital | MIAMI | $3,305.25 | $151.97 – $4,576.50 |
| Bethesda Hospital East | BOYNTON BEACH | $3,305.25 | $151.97 – $4,576.50 |
| Boca Raton Regional Hospital | BOCA RATON | $2,964.00 | $244.69 – $2,977.68 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $3,305.25 | $147.32 – $4,576.50 |
| Doctors Hospital | CORAL GABLES | $3,305.25 | $147.32 – $4,576.50 |