C-1 esterase, berinert at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$728.00
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.
$1,120.00
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.
$75.86 with MEDICARE vs $3,239.56 with MEDICAID — 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 |
|---|---|---|---|
| MEDICARE | SIMPLYHLTH MC HMO NC | $75.86 | ↓ -90% |
| BLUE CROSS | BCBS MEDICARE PPO | $78.51 | ↓ -89% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $81.17 | ↓ -89% |
| HUMANA | CAREPLUS MC HMO | $82.69 | ↓ -89% |
| HUMANA | HUMANA MEDICARE | $82.69 | ↓ -89% |
| AVMED | AVMED MEDICARE | $83.44 | ↓ -89% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $83.44 | ↓ -89% |
| LEON MEDICAL | LEON MED MC HMO NC | $84.96 | ↓ -88% |
| LEON MEDICAL | LEON HEALTH MC HMO | $84.96 | ↓ -88% |
| AETNA | AETNA MEDICARE | $84.96 | ↓ -88% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $86.48 | ↓ -88% |
| MEDICARE MANAGED CARE | PROMINENCE | $97.86 | ↓ -87% |
| MEDICARE | DEVOTED HEALTH MC HMO | $102.41 | ↓ -86% |
| BLUE CROSS | MY BLUE EX | $196.00 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $351.68 | ↓ -52% |
| AVMED | AVMED ENTRUST | $399.84 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $411.04 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $425.60 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $425.60 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $454.72 | ↓ -38% |
| AVMED | AVMED HMO | $465.92 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $470.40 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $493.92 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $504.00 | ↓ -31% |
| AVMED | AVMED PPO | $554.40 | ↓ -24% |
| AETNA | AETNA TIER 2 | $571.20 | ↓ -22% |
| AETNA | AETNA HMO | $571.20 | ↓ -22% |
| CIGNA | CIGNA HMO | $649.60 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HMO | $672.00 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $672.00 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $672.00 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $672.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $725.76 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $728.00 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $840.00 | ↑ +15% |
| AETNA | AETNA PPO | $896.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $896.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $896.00 | ↑ +23% |
| CIGNA | CIGNA PPO | $896.00 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $952.00 | ↑ +31% |
| QUALITY HEALTH | MULTIPLAN | $1,008.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $1,008.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $1,008.00 | ↑ +38% |
| PHCS | PHCS | $1,008.00 | ↑ +38% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $1,120.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,120.00 | ↑ +54% |
| AMERIGROUP | AMERIGROUP | $2,945.06 | ↑ +305% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $2,945.06 | ↑ +305% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $3,092.31 | ↑ +325% |
| UNITED HEALTHCARE | UNITED MD HMO | $3,092.31 | ↑ +325% |
| WELLCARE | WELL CARE MD HMONC | $3,092.31 | ↑ +325% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $3,180.66 | ↑ +337% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $3,180.66 | ↑ +337% |
| VISTA | COVENTRY MEDICAID | $3,180.66 | ↑ +337% |
| MEDICAID | PRESTIGE MD HMO NC | $3,239.56 | ↑ +345% |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $10,395.37 | $57.98 – $13,593.95 |
| martin north hospital | Stuart | $10,395.37 | $68.36 – $11,994.66 |
| indian river hospital | Vero Beach | $10,395.37 | $68.36 – $12,794.30 |
| Baptist Hospital | MIAMI | $728.00 | $75.86 – $3,189.94 |
| Bethesda Hospital East | BOYNTON BEACH | $728.00 | $75.86 – $3,189.94 |
| Boca Raton Regional Hospital | BOCA RATON | $5,993.52 | $18.62 – $6,021.18 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $728.00 | $75.86 – $3,180.66 |
| Fishermens Community Hospital | MARATHON | $798.85 | $205.24 – $3,180.66 |