Sirolimus, oral at Fishermens Community Hospital
3301 OVERSEAS HIGHWAY, MARATHON, FL · Baptist Health South Florida · · NPI 1235669110
$98.15
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.
$151.00
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.
$10.02 with BLUE CROSS vs $60.00 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 | $10.02 | ↓ -90% |
| BLUE CROSS | BCBS MEDICARE PPO | $12.60 | ↓ -87% |
| LEON MEDICAL | LEON HEALTH MC HMO | $12.60 | ↓ -87% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $12.60 | ↓ -87% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $12.60 | ↓ -87% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $12.60 | ↓ -87% |
| LEON MEDICAL | LEON MED MC HMO NC | $12.60 | ↓ -87% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $12.60 | ↓ -87% |
| HUMANA | HUMANA MEDICARE | $13.73 | ↓ -86% |
| HUMANA | CAREPLUS MC HMO | $13.73 | ↓ -86% |
| AVMED | AVMED MEDICARE | $13.86 | ↓ -86% |
| AETNA | AETNA MEDICARE | $13.92 | ↓ -86% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $14.36 | ↓ -85% |
| MEDICARE | DEVOTED HEALTH MC HMO | $17.01 | ↓ -83% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $22.02 | ↓ -78% |
| AETNA | AETNA TIER 2 | $29.28 | ↓ -70% |
| AETNA | AETNA HMO | $29.28 | ↓ -70% |
| AETNA | AETNA CATASTROPHIC | $30.60 | ↓ -69% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $37.32 | ↓ -62% |
| INTERNATIONAL | INTERNATIONAL AETNA | $39.00 | ↓ -60% |
| AETNA | AETNA HMO EXCHANGE | $40.80 | ↓ -58% |
| AVMED | AVMED ENTRUST | $41.22 | ↓ -58% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $42.60 | ↓ -57% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $45.00 | ↓ -54% |
| BLUE CROSS | BLUE CARE HMO | $45.00 | ↓ -54% |
| BLUE CROSS | BLUE SELECT | $45.00 | ↓ -54% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $45.00 | ↓ -54% |
| BLUE CROSS | BCBS PPC CAH | $45.00 | ↓ -54% |
| AETNA | AETNA PPO | $45.96 | ↓ -53% |
| UNITED HEALTHCARE | NHP HMO | $48.00 | ↓ -51% |
| UNITED HEALTHCARE | UNITED PPO | $48.00 | ↓ -51% |
| CIGNA | CIGNA PPO | $48.00 | ↓ -51% |
| UNITED HEALTHCARE | UNITED HMO | $48.00 | ↓ -51% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $48.00 | ↓ -51% |
| CIGNA | CIGNA HMO | $48.00 | ↓ -51% |
| AVMED | AVMED INDIVIDUAL | $49.68 | ↓ -49% |
| AVMED | AVMED HMO | $49.68 | ↓ -49% |
| AVMED | AVMED PPO | $49.68 | ↓ -49% |
| AFFORDABLE | AFFORDABLE PPO | $54.00 | ↓ -45% |
| QUALITY HEALTH | MULTIPLAN | $54.00 | ↓ -45% |
| PHCS | PHCS | $54.00 | ↓ -45% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $54.00 | ↓ -45% |
| BLUE CROSS | BCBS PHS CAH | $54.00 | ↓ -45% |
| BLUE CROSS | BLUE CROSS | $60.00 | ↓ -39% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $60.00 | ↓ -39% |
| BLUE CROSS | BCBS NETWORKBLUE | $60.00 | ↓ -39% |
Visitor-reported prices
Comments
Sirolimus, oral at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $56.88 | $1.84 – $14.40 |
| martin north hospital | Stuart | $56.88 | $1.84 – $12.71 |
| indian river hospital | Vero Beach | $56.88 | $1.84 – $13.55 |
| Baptist Hospital | MIAMI | $98.15 | $10.38 – $54.00 |
| Bethesda Hospital East | BOYNTON BEACH | $98.15 | $16.92 – $54.00 |
| Boca Raton Regional Hospital | BOCA RATON | $91.14 | $13.54 – $37.62 |
| Doctors Hospital | CORAL GABLES | $98.15 | $10.50 – $54.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $98.15 | $10.44 – $54.00 |