Biliary endo perq dx w/speci at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$4,655.95
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.
$7,163.00
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.
$1,253.53 with BLUE CROSS vs $9,126.64 with MEDICARE — 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 | MY BLUE EX | $1,253.53 | ↓ -73% |
| CIGNA | CIGNA HMO | $1,934.01 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $2,249.18 | ↓ -52% |
| AVMED | AVMED ENTRUST | $2,557.19 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $2,628.82 | ↓ -44% |
| UNITED HEALTHCARE | NHP HMO | $2,637.00 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HMO | $2,637.00 | ↓ -43% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $2,721.94 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $2,721.94 | ↓ -42% |
| AMERIGROUP | AMERIGROUP | $2,767.68 | ↓ -41% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $2,767.68 | ↓ -41% |
| WELLCARE | WELL CARE MD HMONC | $2,906.06 | ↓ -38% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $2,906.06 | ↓ -38% |
| UNITED HEALTHCARE | UNITED MD HMO | $2,906.06 | ↓ -38% |
| AVMED | AVMED INDIVIDUAL | $2,908.18 | ↓ -38% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $2,933.74 | ↓ -37% |
| AVMED | AVMED HMO | $2,979.81 | ↓ -36% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $2,989.09 | ↓ -36% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $2,989.09 | ↓ -36% |
| VISTA | COVENTRY MEDICAID | $2,989.09 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $3,008.46 | ↓ -35% |
| MEDICAID | PRESTIGE MD HMO NC | $3,044.44 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $3,158.88 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $3,223.35 | ↓ -31% |
| AVMED | AVMED PPO | $3,545.69 | ↓ -24% |
| AETNA | AETNA HMO | $3,653.13 | ↓ -22% |
| AETNA | AETNA TIER 2 | $3,653.13 | ↓ -22% |
| BLUE CROSS | BCBS NETWORKBLUE | $4,297.80 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $4,297.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $4,641.62 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $4,655.95 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $5,372.25 | ↑ +15% |
| UNITED HEALTHCARE | UNITED PPO | $5,730.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $5,730.40 | ↑ +23% |
| AETNA | AETNA PPO | $5,730.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $5,730.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $6,088.55 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $6,446.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $6,446.70 | ↑ +38% |
| PHCS | PHCS | $6,446.70 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $6,446.70 | ↑ +38% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $6,760.47 | ↑ +45% |
| BLUE CROSS | BCBS MEDICARE PPO | $6,997.09 | ↑ +50% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $7,163.00 | ↑ +54% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $7,233.71 | ↑ +55% |
| HUMANA | HUMANA MEDICARE | $7,368.92 | ↑ +58% |
| HUMANA | CAREPLUS MC HMO | $7,368.92 | ↑ +58% |
| AVMED | AVMED MEDICARE | $7,436.52 | ↑ +60% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $7,436.52 | ↑ +60% |
| LEON MEDICAL | LEON MED MC HMO NC | $7,571.73 | ↑ +63% |
| AETNA | AETNA MEDICARE | $7,571.73 | ↑ +63% |
| LEON MEDICAL | LEON HEALTH MC HMO | $7,571.73 | ↑ +63% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $7,706.94 | ↑ +66% |
| MEDICARE MANAGED CARE | PROMINENCE | $8,721.01 | ↑ +87% |
| MEDICARE | DEVOTED HEALTH MC HMO | $9,126.64 | ↑ +96% |
Visitor-reported prices
Comments
Biliary endo perq dx w/speci at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $23,321.35 | $200.46 – $30,497.15 |
| martin north hospital | Stuart | $23,321.35 | $210.39 – $17,939.50 |
| indian river hospital | Vero Beach | $23,321.35 | $370.94 – $28,703.20 |
| Baptist Hospital | MIAMI | $4,655.95 | $173.17 – $7,571.73 |
| Bethesda Hospital East | BOYNTON BEACH | $4,655.95 | $2,019.97 – $7,030.89 |
| Boca Raton Regional Hospital | BOCA RATON | $4,778.80 | $2,646.72 – $6,904.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $4,655.95 | $1,246.36 – $7,436.52 |
| Homestead Hospital | HOMESTEAD | $4,655.95 | $167.89 – $7,436.52 |