Exchange biliary drg cath at Boca Raton Regional Hospital
800 MEADOWS RD., BOCA RATON, FL · Baptist Health South Florida · · NPI 1902826779
$8,624.20
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.
$13,268.00
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.
$3,671.78 with BLUE CROSS vs $12,106.00 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 | $3,671.78 | ↓ -57% |
| AETNA | AETNA MEDICARE | $3,745.21 | ↓ -57% |
| HUMANA | HUMANA MEDICARE | $3,818.65 | ↓ -56% |
| CIGNA | CIGNA HMO | $4,587.00 | ↓ -47% |
| CIGNA | CIGNA SUREFIT | $4,587.00 | ↓ -47% |
| AETNA | AETNA HMO | $4,776.48 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HMO | $6,223.00 | ↓ -28% |
| AFFORDABLE | AFFORDABLE PPO | $8,664.00 | ↑ +0% |
| BLUE CROSS | BCBS PPC B | $9,549.00 | ↑ +11% |
| BLUE CROSS | BCBS NETWORKBLUE | $9,549.00 | ↑ +11% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $10,766.00 | ↑ +25% |
| BLUE CROSS | BCBS PPC | $12,106.00 | ↑ +40% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $8,321.32 | $3,551.99 – $6,240.29 |
| Adventhealth Palm Coast Parkway | Palm Coast | $8,041.46 | $3,551.99 – $7,986.00 |
| Adventhealth Tampa | Tampa | $10,129.96 | $3,738.94 – $8,300.44 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $3,427.29 | $3,551.99 – $8,167.71 |
| Adventhealth Port Charlotte | Port Charlotte | $10,758.20 | $3,738.94 – $6,827.30 |
| cleveland clinic florida weston hospital | Weston | $13,190.45 | $113.94 – $17,249.05 |
| martin north hospital | Stuart | $13,190.45 | $123.00 – $10,146.50 |
| indian river hospital | Vero Beach | $13,190.45 | $113.94 – $16,234.40 |