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Established Patient Office Visit (level 1) at Boca Raton Regional Hospital
800 MEADOWS RD., BOCA RATON, FL · Baptist Health South Florida · · NPI 1902826779
$945.75
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.
$1,455.00
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.
$132.44 with CIGNA vs $403.00 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 |
|---|---|---|---|
| CIGNA | CIGNA HMO | $132.44 | ↓ -86% |
| CIGNA | CIGNA SUREFIT | $132.44 | ↓ -86% |
| AETNA | AETNA HMO | $145.08 | ↓ -85% |
| UNITED HEALTHCARE | UNITED HMO | $198.00 | ↓ -79% |
| AFFORDABLE | AFFORDABLE PPO | $263.16 | ↓ -72% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $403.00 | ↓ -57% |
| BLUE CROSS | BCBS NETWORKBLUE | $403.00 | ↓ -57% |
| BLUE CROSS | BCBS PPC | $403.00 | ↓ -57% |
| BLUE CROSS | BCBS PPC B | $403.00 | ↓ -57% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $122.20 | $5.59 – $159.80 |
| martin north hospital | Stuart | $122.20 | $6.99 – $94.00 |
| indian river hospital | Vero Beach | $122.20 | $5.59 – $150.40 |
| Baptist Hospital | MIAMI | $360.75 | $7.79 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $439.40 | $10.31 – $101.71 |
| Doctors Hospital | CORAL GABLES | $360.75 | $28.35 – $145.80 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $439.40 | $7.83 – $40.50 |
| Fishermens Community Hospital | MARATHON | $439.40 | $84.50 – $455.40 |