M/phmtrc alysishquant/semiq at Mariners Hospital
91500 OVERSEAS HIGHWAY, TAVERNIER, FL · Baptist Health South Florida · · NPI 1518941806
$245.05
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.
$377.00
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.
$20.02 with MEDICAID vs $317.00 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 |
|---|---|---|---|
| MEDICAID | SIMPLYHLTH MD HMO NC | $20.02 | ↓ -92% |
| AMERIGROUP | AMERIGROUP | $20.02 | ↓ -92% |
| UNITED HEALTHCARE | UNITED MD HMO | $20.02 | ↓ -92% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $20.02 | ↓ -92% |
| WELLCARE | WELL CARE MD HMONC | $21.02 | ↓ -91% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $21.22 | ↓ -91% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $21.62 | ↓ -91% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $21.62 | ↓ -91% |
| VISTA | COVENTRY MEDICAID | $21.62 | ↓ -91% |
| MEDICAID | PRESTIGE MD HMO NC | $22.02 | ↓ -91% |
| BLUE CROSS | MY BLUE EX | $54.84 | ↓ -78% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $66.57 | ↓ -73% |
| BLUE CROSS | BCBS MEDICARE PPO | $66.57 | ↓ -73% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $66.57 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $66.57 | ↓ -73% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $66.57 | ↓ -73% |
| LEON MEDICAL | LEON MED MC HMO NC | $66.57 | ↓ -73% |
| LEON MEDICAL | LEON HEALTH MC HMO | $66.57 | ↓ -73% |
| HUMANA | HUMANA MEDICARE | $72.56 | ↓ -70% |
| HUMANA | CAREPLUS MC HMO | $72.56 | ↓ -70% |
| AETNA | AETNA MEDICARE | $72.91 | ↓ -70% |
| AVMED | AVMED MEDICARE | $73.23 | ↓ -70% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $75.89 | ↓ -69% |
| MEDICARE MANAGED CARE | PROMINENCE | $85.88 | ↓ -65% |
| MEDICARE | DEVOTED HEALTH MC HMO | $89.87 | ↓ -63% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $116.34 | ↓ -53% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $204.15 | ↓ -17% |
| INTERNATIONAL | INTERNATIONAL AETNA | $206.05 | ↓ -16% |
| AVMED | AVMED ENTRUST | $218.10 | ↓ -11% |
| AETNA | AETNA HMO EXCHANGE | $225.07 | ↓ -8% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $225.07 | ↓ -8% |
| BLUE CROSS | BLUE SELECT | $237.75 | ↓ -3% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $237.75 | ↓ -3% |
| BLUE CROSS | BLUE CARE HMO | $237.75 | ↓ -3% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $237.75 | ↓ -3% |
| BLUE CROSS | BCBS PPC CAH | $237.75 | ↓ -3% |
| UNITED HEALTHCARE | UNITED HMO | $253.60 | ↑ +3% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $253.60 | ↑ +3% |
| AETNA | AETNA PPO | $253.60 | ↑ +3% |
| AETNA | AETNA TIER 2 | $253.60 | ↑ +3% |
| AETNA | AETNA HMO | $253.60 | ↑ +3% |
| CIGNA | CIGNA HMO | $253.60 | ↑ +3% |
| CIGNA | CIGNA PPO | $253.60 | ↑ +3% |
| AETNA | AETNA CATASTROPHIC | $253.60 | ↑ +3% |
| UNITED HEALTHCARE | NHP HMO | $253.60 | ↑ +3% |
| UNITED HEALTHCARE | UNITED PPO | $253.60 | ↑ +3% |
| AVMED | AVMED INDIVIDUAL | $263.11 | ↑ +7% |
| AVMED | AVMED PPO | $263.11 | ↑ +7% |
| AVMED | AVMED HMO | $263.11 | ↑ +7% |
| PHCS | PHCS | $285.30 | ↑ +16% |
| QUALITY HEALTH | MULTIPLAN | $285.30 | ↑ +16% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $285.30 | ↑ +16% |
| AFFORDABLE | AFFORDABLE PPO | $285.30 | ↑ +16% |
| BLUE CROSS | BCBS PHS CAH | $285.30 | ↑ +16% |
| BLUE CROSS | BLUE CROSS | $317.00 | ↑ +29% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $317.00 | ↑ +29% |
| BLUE CROSS | BCBS NETWORKBLUE | $317.00 | ↑ +29% |
Visitor-reported prices
Comments
M/phmtrc alysishquant/semiq at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $610.00 | $85.84 – $280.39 |
| Adventhealth Port Charlotte | Port Charlotte | $972.76 | not published |
| Baptist Hospital | MIAMI | $245.05 | $20.65 – $285.30 |
| Bethesda Hospital East | BOYNTON BEACH | $245.05 | $20.65 – $285.30 |
| Boca Raton Regional Hospital | BOCA RATON | $364.65 | $41.40 – $115.00 |
| Doctors Hospital | CORAL GABLES | $245.05 | $20.02 – $285.30 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $245.05 | $20.02 – $285.30 |
| Fishermens Community Hospital | MARATHON | $245.05 | $20.02 – $285.30 |