Observation direct referral from physician office for admission at Bethesda Hospital East
2815 SOUTH SEACREST BOULEVARD, BOYNTON BEACH, FL · Baptist Health South Florida · · NPI 1417952748
$452.40
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.
$696.00
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.
$187.92 with BLUE CROSS vs $696.00 with CIGNA — 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 FL SIMPLYBLUE HMO | $187.92 | ↓ -58% |
| BLUE CROSS | MY BLUE EX | $187.92 | ↓ -58% |
| BLUE CROSS | BLUE SELECT | $187.92 | ↓ -58% |
| BLUE CROSS | BLUE CARE HMO | $187.92 | ↓ -58% |
| AETNA | AETNA HMO | $196.27 | ↓ -57% |
| AETNA | AETNA TIER 2 | $196.27 | ↓ -57% |
| BLUE CROSS | BCBS NETWORKBLUE | $201.84 | ↓ -55% |
| AETNA | AETNA HMO EXCHANGE | $215.76 | ↓ -52% |
| BLUE CROSS | BLUE CROSS | $222.72 | ↓ -51% |
| BLUE CROSS | BCBS PHS CAH | $243.60 | ↓ -46% |
| AVMED | AVMED ENTRUST | $247.78 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $255.43 | ↓ -44% |
| AVMED | AVMED INDIVIDUAL | $267.96 | ↓ -41% |
| AVMED | AVMED HMO | $267.96 | ↓ -41% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $313.20 | ↓ -31% |
| AVMED | AVMED PPO | $343.82 | ↓ -24% |
| AETNA | AETNA PPO | $371.66 | ↓ -18% |
| AFFORDABLE | AFFORDABLE PPO | $452.40 | ↑ +0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $452.40 | ↑ +0% |
| QUALITY HEALTH | MULTIPLAN | $626.40 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $626.40 | ↑ +38% |
| PHCS | PHCS | $626.40 | ↑ +38% |
| CIGNA | CIGNA PPO | $696.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED PPO | $696.00 | ↑ +54% |
| UNITED HEALTHCARE | NHP HMO | $696.00 | ↑ +54% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $696.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED HMO | $696.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $696.00 | ↑ +54% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $696.00 | ↑ +54% |
| CIGNA | CIGNA HMO | $696.00 | ↑ +54% |
| WELLCARE | WELL CARE MD HMONC | not published by hospital | — |
| AETNA | AETNA BETTER HEALTH MEDICAID | not published by hospital | — |
| AMERIGROUP | AMERIGROUP | not published by hospital | — |
| MEDICAID | PRESTIGE MD HMO NC | not published by hospital | — |
| MEDICAID | SIMPLYHLTH MD HMO NC | not published by hospital | — |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | not published by hospital | — |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | not published by hospital | — |
| UNITED HEALTHCARE | UNITED MD HMO | not published by hospital | — |
| VISTA | COVENTRY MEDICAID | not published by hospital | — |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | not published by hospital | — |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,422.23 | $590.81 – $1,037.95 |
| Adventhealth Lake Wales | Lake Wales | $1,967.40 | $621.90 – $1,380.62 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,387.46 | $590.81 – $1,328.32 |
| Adventhealth Tampa | Tampa | $2,142.76 | $621.90 – $1,380.62 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $247.65 | $590.81 – $1,358.54 |
| Adventhealth Port Charlotte | Port Charlotte | $1,237.66 | $621.90 – $1,135.59 |
| cleveland clinic florida weston hospital | Weston | $1,992.25 | $615.42 – $3,933.00 |
| martin north hospital | Stuart | $1,992.25 | $615.42 – $2,298.75 |