Biopsy vestibule of mouth 40808 at Boca Raton Regional Hospital
800 MEADOWS RD., BOCA RATON, FL · Baptist Health South Florida · · NPI 1902826779
$1,531.40
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.
$2,356.00
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.
$221.24 with AETNA vs $1,538.47 with AFFORDABLE — 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 |
|---|---|---|---|
| AETNA | AETNA MEDICARE | $221.24 | ↓ -86% |
| BLUE CROSS | BCBS MEDICARE | $221.24 | ↓ -86% |
| HUMANA | HUMANA MEDICARE | $230.09 | ↓ -85% |
| BLUE CROSS | BCBS NETWORKBLUE | $476.00 | ↓ -69% |
| BLUE CROSS | BCBS PPC B | $476.00 | ↓ -69% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $537.00 | ↓ -65% |
| BLUE CROSS | BCBS PPC | $653.00 | ↓ -57% |
| CIGNA | CIGNA HMO | $709.16 | ↓ -54% |
| CIGNA | CIGNA SUREFIT | $709.16 | ↓ -54% |
| AETNA | AETNA HMO | $848.16 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HMO | $1,060.20 | ↓ -31% |
| AFFORDABLE | AFFORDABLE PPO | $1,538.47 | ↑ +0% |
Visitor-reported prices
Comments
Biopsy vestibule of mouth 40808 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,903.85 | $78.99 – $2,489.65 |
| martin north hospital | Stuart | $1,903.85 | $84.37 – $1,464.50 |
| indian river hospital | Vero Beach | $1,903.85 | $78.99 – $2,343.20 |
| Baptist Hospital | MIAMI | $1,575.60 | $173.17 – $2,181.60 |
| AdventHealth Orlando | Orlando | $1,707.00 | $563.21 – $1,492.50 |
| Adventhealth Carrollwood | Tampa | $5,519.35 | not published |
| Adventhealth Daytona Beach | Daytona Beach | not published | $535.05 – $940.00 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $535.05 – $1,202.96 |