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Established Patient Office Visit (level 3) at Boca Raton Regional Hospital
800 MEADOWS RD., BOCA RATON, FL · Baptist Health South Florida · · NPI 1902826779
$481.00
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.
$740.00
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.
$164.65 with CIGNA vs $510.00 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 | $164.65 | ↓ -66% |
| CIGNA | CIGNA SUREFIT | $164.65 | ↓ -66% |
| AETNA | AETNA HMO | $183.60 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HMO | $246.15 | ↓ -49% |
| AFFORDABLE | AFFORDABLE PPO | $333.03 | ↓ -31% |
| BLUE CROSS | BCBS NETWORKBLUE | $476.00 | ↓ -1% |
| BLUE CROSS | BCBS PPC B | $476.00 | ↓ -1% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $510.00 | ↑ +6% |
| BLUE CROSS | BCBS PPC | $510.00 | ↑ +6% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $338.00 | $31.58 – $260.00 |
| martin north hospital | Stuart | $338.00 | $34.29 – $141.00 |
| indian river hospital | Vero Beach | $338.00 | $32.05 – $442.00 |
| Baptist Hospital | MIAMI | $477.75 | $9.86 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $546.65 | $192.59 – $756.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $546.65 | $9.92 – $51.30 |
| Fishermens Community Hospital | MARATHON | $546.65 | $140.45 – $756.90 |
| Homestead Hospital | HOMESTEAD | $546.65 | $142.97 – $756.90 |