Bx skin incisnl ea sep/add l les at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$646.75
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.
$995.00
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.
$174.13 with BLUE CROSS vs $995.00 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 |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $174.13 | ↓ -73% |
| AMERIGROUP | AMERIGROUP | $265.17 | ↓ -59% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $265.17 | ↓ -59% |
| CIGNA | CIGNA HMO | $268.65 | ↓ -58% |
| WELLCARE | WELL CARE MD HMONC | $278.43 | ↓ -57% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $278.43 | ↓ -57% |
| UNITED HEALTHCARE | UNITED MD HMO | $278.43 | ↓ -57% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $281.08 | ↓ -57% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $286.39 | ↓ -56% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $286.39 | ↓ -56% |
| VISTA | COVENTRY MEDICAID | $286.39 | ↓ -56% |
| MEDICAID | PRESTIGE MD HMO NC | $291.69 | ↓ -55% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $312.43 | ↓ -52% |
| AVMED | AVMED ENTRUST | $355.22 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $365.17 | ↓ -44% |
| UNITED HEALTHCARE | NHP HMO | $366.00 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HMO | $366.00 | ↓ -43% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $378.10 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $378.10 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $403.97 | ↓ -38% |
| AVMED | AVMED HMO | $413.92 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $417.90 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $438.80 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $447.75 | ↓ -31% |
| AVMED | AVMED PPO | $492.53 | ↓ -24% |
| AETNA | AETNA HMO | $507.45 | ↓ -22% |
| AETNA | AETNA TIER 2 | $507.45 | ↓ -22% |
| BLUE CROSS | BCBS NETWORKBLUE | $597.00 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $597.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $644.76 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $646.75 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $746.25 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $796.00 | ↑ +23% |
| AETNA | AETNA PPO | $796.00 | ↑ +23% |
| CIGNA | CIGNA PPO | $796.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $796.00 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $845.75 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $895.50 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $895.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $895.50 | ↑ +38% |
| PHCS | PHCS | $895.50 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $995.00 | ↑ +54% |
Visitor-reported prices
Comments
Bx skin incisnl ea sep/add l les at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $1,313.92 | not published |
| cleveland clinic florida weston hospital | Weston | $230.10 | $22.90 – $1,595.00 |
| martin north hospital | Stuart | $230.10 | $26.87 – $1,339.00 |
| indian river hospital | Vero Beach | $230.10 | $22.90 – $2,467.00 |
| Baptist Hospital | MIAMI | $646.75 | $172.14 – $895.50 |
| Bethesda Hospital East | BOYNTON BEACH | $646.75 | $200.00 – $895.50 |
| Boca Raton Regional Hospital | BOCA RATON | $606.45 | $335.88 – $933.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $646.75 | $173.13 – $895.50 |