healthcosts.net
ER Visit (level 5, high severity) at Boca Raton Regional Hospital
800 MEADOWS RD., BOCA RATON, FL · Baptist Health South Florida · · NPI 1902826779
$1,619.15
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.
$2,491.00
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.
$610.73 with BLUE CROSS vs $2,280.00 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 | BCBS MEDICARE | $610.73 | ↓ -62% |
| AETNA | AETNA MEDICARE | $622.94 | ↓ -62% |
| HUMANA | HUMANA MEDICARE | $635.16 | ↓ -61% |
| AETNA | AETNA HMO | $896.76 | ↓ -45% |
| CIGNA | CIGNA HMO | $1,236.00 | ↓ -24% |
| CIGNA | CIGNA SUREFIT | $1,236.00 | ↓ -24% |
| AFFORDABLE | AFFORDABLE PPO | $1,626.62 | ↑ +0% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,759.00 | ↑ +9% |
| BLUE CROSS | BCBS PPC B | $1,759.00 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HMO | $1,896.00 | ↑ +17% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $1,982.00 | ↑ +22% |
| BLUE CROSS | BCBS PPC | $2,280.00 | ↑ +41% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $3,437.20 | $89.52 – $4,494.80 |
| martin north hospital | Stuart | $3,437.20 | $129.22 – $2,644.00 |
| indian river hospital | Vero Beach | $3,437.20 | $89.52 – $4,230.40 |
| Baptist Hospital | MIAMI | $1,892.80 | $173.17 – $2,620.80 |
| Bethesda Hospital East | BOYNTON BEACH | $1,892.80 | $621.90 – $2,620.80 |
| Doctors Hospital | CORAL GABLES | $1,892.80 | $509.60 – $2,620.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,892.80 | $506.69 – $2,620.80 |
| Fishermens Community Hospital | MARATHON | $1,892.80 | $486.30 – $2,620.80 |