Consultation pathology during surgery frozen section each additional block at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$255.45
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.
$393.00
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.
$58.85 with AMERIGROUP vs $393.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $58.85 | ↓ -77% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $58.85 | ↓ -77% |
| UNITED HEALTHCARE | UNITED MD HMO | $61.80 | ↓ -76% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $61.80 | ↓ -76% |
| WELLCARE | WELL CARE MD HMONC | $61.80 | ↓ -76% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $62.38 | ↓ -76% |
| VISTA | COVENTRY MEDICAID | $63.56 | ↓ -75% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $63.56 | ↓ -75% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $63.56 | ↓ -75% |
| MEDICAID | PRESTIGE MD HMO NC | $64.74 | ↓ -75% |
| BLUE CROSS | MY BLUE EX | $68.78 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $123.40 | ↓ -52% |
| AVMED | AVMED ENTRUST | $140.30 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $144.23 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $149.34 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $149.34 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $159.56 | ↓ -38% |
| AVMED | AVMED HMO | $163.49 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $165.06 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $173.31 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $176.85 | ↓ -31% |
| AVMED | AVMED PPO | $194.54 | ↓ -24% |
| AETNA | AETNA HMO | $200.43 | ↓ -22% |
| AETNA | AETNA TIER 2 | $200.43 | ↓ -22% |
| CIGNA | CIGNA HMO | $204.36 | ↓ -20% |
| BLUE CROSS | BLUE CARE HMO | $235.80 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $235.80 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $235.80 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $235.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $254.66 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $255.45 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $294.75 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $314.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $314.40 | ↑ +23% |
| AETNA | AETNA PPO | $314.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $314.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $334.05 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $353.70 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $353.70 | ↑ +38% |
| PHCS | PHCS | $353.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $353.70 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $393.00 | ↑ +54% |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section each additional block at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $197.22 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $783.67 | not published |
| Adventhealth Tampa | Tampa | $607.04 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $90.05 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,170.00 | $24.08 – $280.39 |
| Adventhealth Port Charlotte | Port Charlotte | $551.47 | not published |
| cleveland clinic florida weston hospital | Weston | $165.10 | $17.72 – $254.00 |
| martin north hospital | Stuart | $165.10 | $23.10 – $254.00 |