CMS Price Transparency Data

X-ray, chest (two views)

Facility: Fishermen's Community Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $433
  • Cash Discount Price: $497
  • vs. Medicare Baseline: 4.87x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Fishermen's Community Hospital is $433. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $497. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.87x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.
Cash / Self-Pay
$497

Average discount available for prompt cash payment at this facility.

Insurance Median
$433

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $497 (559%)
Insurance Median: $433 (487%)
Cash: $497 (559% of Medicare)
Ins. Median: $433 (487% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 487% of the Medicare baseline (a markup of 387%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Amerigroup $34 38%
Medicaid / KanCare $34 - $38 38%
UnitedHealthcare $34 - $765 38%
Sunshine State $36 40%
Wellcare $36 40%
Aetna $37 - $586 42%
Vista $37 42%
Blue Cross Blue Shield $128 - $765 144%
Leon Medical $161 181%
Medica Health Plan $161 181%
Medicare (plans) $161 - $217 181%
Humana $175 197%
Avmed $177 - $633 199%
Cigna $183 - $612 206%
Non Contracted $281 316%
International $497 559%
Amerihealth $574 646%
Dimension Health Plan $574 - $688 646%
Affordable $688 774%
Phcs $688 774%
Quality Health $688 774%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Overseas Hwy, Marathon, FL 33050
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals