Ex palate/uvula lesion without closure 42104 at Boca Raton Regional Hospital
800 MEADOWS RD., BOCA RATON, FL · Baptist Health South Florida · · NPI 1902826779
$8,307.00
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.
$12,780.00
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.
$476.00 with BLUE CROSS vs $6,090.53 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 |
|---|---|---|---|
| BLUE CROSS | BCBS PPC B | $476.00 | ↓ -94% |
| BLUE CROSS | BCBS NETWORKBLUE | $476.00 | ↓ -94% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $537.00 | ↓ -94% |
| BLUE CROSS | BCBS PPC | $653.00 | ↓ -92% |
| AETNA | AETNA HMO | $3,357.72 | ↓ -60% |
| BLUE CROSS | BCBS MEDICARE | $3,400.07 | ↓ -59% |
| AETNA | AETNA MEDICARE | $3,468.08 | ↓ -58% |
| HUMANA | HUMANA MEDICARE | $3,536.08 | ↓ -57% |
| CIGNA | CIGNA HMO | $3,846.78 | ↓ -54% |
| CIGNA | CIGNA SUREFIT | $3,846.78 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HMO | $4,707.00 | ↓ -43% |
| AFFORDABLE | AFFORDABLE PPO | $6,090.53 | ↓ -27% |
Visitor-reported prices
Comments
Ex palate/uvula lesion without closure 42104 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $12,121.20 | $90.22 – $15,850.80 |
| martin north hospital | Stuart | $12,121.20 | $109.89 – $9,324.00 |
| indian river hospital | Vero Beach | $12,121.20 | $90.22 – $14,918.40 |
| Baptist Hospital | MIAMI | $8,548.80 | $173.17 – $11,836.80 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,289.15 – $5,778.52 |
| Adventhealth Tampa | Tampa | not published | $3,462.26 – $7,686.23 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $500.24 – $510.77 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,462.26 – $6,322.09 |