Biopsy of salivary glnd;incisional 42405 at Boca Raton Regional Hospital
800 MEADOWS RD., BOCA RATON, FL · Baptist Health South Florida · · NPI 1902826779
$4,278.95
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.
?
What you pay up front if you don't use insurance.
$6,583.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$476.00 with BLUE CROSS vs $4,298.70 with AFFORDABLE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | BCBS PPC B | $476.00 | ↓ -89% |
| BLUE CROSS | BCBS NETWORKBLUE | $476.00 | ↓ -89% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $537.00 | ↓ -87% |
| BLUE CROSS | BCBS PPC | $653.00 | ↓ -85% |
| BLUE CROSS | BCBS MEDICARE | $1,591.18 | ↓ -63% |
| AETNA | AETNA MEDICARE | $1,623.01 | ↓ -62% |
| HUMANA | HUMANA MEDICARE | $1,654.83 | ↓ -61% |
| CIGNA | CIGNA HMO | $1,981.48 | ↓ -54% |
| CIGNA | CIGNA SUREFIT | $1,981.48 | ↓ -54% |
| AETNA | AETNA HMO | $2,369.88 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HMO | $2,962.35 | ↓ -31% |
| AFFORDABLE | AFFORDABLE PPO | $4,298.70 | ↑ +0% |
Visitor-reported prices
Comments
Biopsy of salivary glnd;incisional 42405 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5,536.70 | $137.01 – $7,240.30 |
| martin north hospital | Stuart | $868.40 | $178.19 – $1,782.31 |
| indian river hospital | Vero Beach | $5,536.70 | $137.01 – $6,814.40 |
| Baptist Hospital | MIAMI | $4,403.10 | $173.17 – $6,096.60 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,539.27 – $2,704.26 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,539.27 – $3,460.77 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $3,597.04 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $7.69 – $7.85 |