Athrectomy fem/pop/unilateral 37225 at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$53,611.35
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.
$82,479.00
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.
$6,747.69 with MEDICAID vs $41,239.00 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 | $6,747.69 | ↓ -87% |
| AMERIGROUP | AMERIGROUP | $6,747.69 | ↓ -87% |
| UNITED HEALTHCARE | UNITED MD HMO | $7,085.08 | ↓ -87% |
| WELLCARE | WELL CARE MD HMONC | $7,085.08 | ↓ -87% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $7,085.08 | ↓ -87% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $7,152.56 | ↓ -87% |
| BLUE CROSS | MY BLUE EX | $7,216.83 | ↓ -87% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $7,287.51 | ↓ -86% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $7,287.51 | ↓ -86% |
| VISTA | COVENTRY MEDICAID | $7,287.51 | ↓ -86% |
| UNITED HEALTHCARE | UNITED HMO | $7,368.00 | ↓ -86% |
| UNITED HEALTHCARE | NHP HMO | $7,368.00 | ↓ -86% |
| MEDICAID | PRESTIGE MD HMO NC | $7,422.46 | ↓ -86% |
| CIGNA | CIGNA HMO | $11,134.53 | ↓ -79% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $12,949.05 | ↓ -76% |
| AVMED | AVMED ENTRUST | $14,722.32 | ↓ -73% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $15,134.71 | ↓ -72% |
| AETNA | AETNA HMO EXCHANGE | $15,670.82 | ↓ -71% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $15,670.82 | ↓ -71% |
| AVMED | AVMED INDIVIDUAL | $16,743.03 | ↓ -69% |
| AVMED | AVMED HMO | $17,155.42 | ↓ -68% |
| BLUE CROSS | BLUE SELECT | $17,320.38 | ↓ -68% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $18,186.40 | ↓ -66% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $18,557.55 | ↓ -65% |
| AVMED | AVMED PPO | $20,413.31 | ↓ -62% |
| AETNA | AETNA HMO | $21,031.89 | ↓ -61% |
| AETNA | AETNA TIER 2 | $21,031.89 | ↓ -61% |
| BLUE CROSS | BCBS NETWORKBLUE | $24,743.40 | ↓ -54% |
| BLUE CROSS | BLUE CARE HMO | $24,743.40 | ↓ -54% |
| BLUE CROSS | BLUE CROSS | $26,722.87 | ↓ -50% |
| INTERNATIONAL | INTERNATIONAL AETNA | $26,805.35 | ↓ -50% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $30,929.25 | ↓ -42% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $32,991.20 | ↓ -38% |
| AETNA | AETNA PPO | $32,991.20 | ↓ -38% |
| CIGNA | CIGNA PPO | $32,991.20 | ↓ -38% |
| UNITED HEALTHCARE | UNITED PPO | $32,991.20 | ↓ -38% |
| AFFORDABLE | AFFORDABLE PPO | $35,053.15 | ↓ -35% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $37,115.10 | ↓ -31% |
| QUALITY HEALTH | MULTIPLAN | $37,115.10 | ↓ -31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $37,115.10 | ↓ -31% |
| PHCS | PHCS | $37,115.10 | ↓ -31% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $41,239.00 | ↓ -23% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $41,057.89 | not published |
| Adventhealth Lake Wales | Lake Wales | $51,399.86 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $41,057.89 | not published |
| Adventhealth Tampa | Tampa | $27,689.11 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $22,802.63 | not published |
| cleveland clinic florida weston hospital | Weston | $37,252.80 | $2,345.00 – $48,715.20 |
| Baptist Hospital | MIAMI | $53,611.35 | $173.17 – $37,115.10 |
| Bethesda Hospital East | BOYNTON BEACH | $53,611.35 | $3,651.00 – $37,115.10 |