Abdominal paracentesis w/image guidance at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$2,369.25
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.
$3,645.00
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.
$452.49 with MEDICAID vs $3,645.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| MEDICAID | SIMPLYHLTH MD HMO NC | $452.49 | ↓ -81% |
| AMERIGROUP | AMERIGROUP | $452.49 | ↓ -81% |
| WELLCARE | WELL CARE MD HMONC | $475.11 | ↓ -80% |
| UNITED HEALTHCARE | UNITED MD HMO | $475.11 | ↓ -80% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $475.11 | ↓ -80% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $479.63 | ↓ -80% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $488.68 | ↓ -79% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $488.68 | ↓ -79% |
| VISTA | COVENTRY MEDICAID | $488.68 | ↓ -79% |
| MEDICAID | PRESTIGE MD HMO NC | $497.73 | ↓ -79% |
| BLUE CROSS | MY BLUE EX | $637.88 | ↓ -73% |
| UNITED HEALTHCARE | NHP HMO | $803.00 | ↓ -66% |
| UNITED HEALTHCARE | UNITED HMO | $803.00 | ↓ -66% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $947.15 | ↓ -60% |
| BLUE CROSS | BCBS MEDICARE PPO | $980.30 | ↓ -59% |
| CIGNA | CIGNA HMO | $984.15 | ↓ -58% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $1,013.45 | ↓ -57% |
| HUMANA | CAREPLUS MC HMO | $1,032.39 | ↓ -56% |
| HUMANA | HUMANA MEDICARE | $1,032.39 | ↓ -56% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $1,041.86 | ↓ -56% |
| AVMED | AVMED MEDICARE | $1,041.86 | ↓ -56% |
| LEON MEDICAL | LEON HEALTH MC HMO | $1,060.80 | ↓ -55% |
| LEON MEDICAL | LEON MED MC HMO NC | $1,060.80 | ↓ -55% |
| AETNA | AETNA MEDICARE | $1,060.80 | ↓ -55% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $1,079.75 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $1,144.53 | ↓ -52% |
| MEDICARE MANAGED CARE | PROMINENCE | $1,221.82 | ↓ -48% |
| MEDICARE | DEVOTED HEALTH MC HMO | $1,278.65 | ↓ -46% |
| AVMED | AVMED ENTRUST | $1,301.27 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $1,337.72 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $1,385.10 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $1,385.10 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $1,479.87 | ↓ -38% |
| AVMED | AVMED HMO | $1,516.32 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $1,530.90 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $1,607.45 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $1,640.25 | ↓ -31% |
| AVMED | AVMED PPO | $1,804.28 | ↓ -24% |
| AETNA | AETNA HMO | $1,858.95 | ↓ -22% |
| AETNA | AETNA TIER 2 | $1,858.95 | ↓ -22% |
| BLUE CROSS | BLUE CARE HMO | $2,187.00 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $2,187.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $2,361.96 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $2,369.25 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $2,733.75 | ↑ +15% |
| UNITED HEALTHCARE | UNITED PPO | $2,916.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $2,916.00 | ↑ +23% |
| AETNA | AETNA PPO | $2,916.00 | ↑ +23% |
| CIGNA | CIGNA PPO | $2,916.00 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $3,098.25 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $3,280.50 | ↑ +38% |
| PHCS | PHCS | $3,280.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $3,280.50 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $3,280.50 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $3,645.00 | ↑ +54% |
Visitor-reported prices
Comments
Abdominal paracentesis w/image guidance at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,459.67 | $899.79 – $1,580.79 |
| Adventhealth Lake Wales | Lake Wales | $2,399.01 | $947.15 – $2,102.66 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,897.11 | $899.79 – $2,023.01 |
| Adventhealth Tampa | Tampa | $2,798.84 | $947.15 – $2,102.66 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,807.48 | $899.79 – $2,069.04 |
| Adventhealth Port Charlotte | Port Charlotte | $3,531.68 | $947.15 – $1,729.49 |
| cleveland clinic florida weston hospital | Weston | $3,504.15 | $84.22 – $4,582.35 |
| martin north hospital | Stuart | $3,504.15 | $82.68 – $2,695.50 |