Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$694.20
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.
$1,068.00
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.
$186.90 with BLUE CROSS vs $1,068.00 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 | $186.90 | ↓ -73% |
| CIGNA | CIGNA HMO | $288.36 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $335.35 | ↓ -52% |
| UNITED HEALTHCARE | NHP HMO | $366.00 | ↓ -47% |
| UNITED HEALTHCARE | UNITED HMO | $366.00 | ↓ -47% |
| AVMED | AVMED ENTRUST | $381.28 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $391.96 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $405.84 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $405.84 | ↓ -42% |
| AMERIGROUP | AMERIGROUP | $412.45 | ↓ -41% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $412.45 | ↓ -41% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $433.08 | ↓ -38% |
| UNITED HEALTHCARE | UNITED MD HMO | $433.08 | ↓ -38% |
| WELLCARE | WELL CARE MD HMONC | $433.08 | ↓ -38% |
| AVMED | AVMED INDIVIDUAL | $433.61 | ↓ -38% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $437.20 | ↓ -37% |
| AVMED | AVMED HMO | $444.29 | ↓ -36% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $445.45 | ↓ -36% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $445.45 | ↓ -36% |
| VISTA | COVENTRY MEDICAID | $445.45 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $448.56 | ↓ -35% |
| MEDICAID | PRESTIGE MD HMO NC | $453.70 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $470.99 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $480.60 | ↓ -31% |
| AVMED | AVMED PPO | $528.66 | ↓ -24% |
| AETNA | AETNA TIER 2 | $544.68 | ↓ -22% |
| AETNA | AETNA HMO | $544.68 | ↓ -22% |
| BLUE CROSS | BLUE CARE HMO | $640.80 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $640.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $692.06 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $694.20 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $801.00 | ↑ +15% |
| CIGNA | CIGNA PPO | $854.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $854.40 | ↑ +23% |
| AETNA | AETNA PPO | $854.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $854.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $907.80 | ↑ +31% |
| PHCS | PHCS | $961.20 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $961.20 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $961.20 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $961.20 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,068.00 | ↑ +54% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,019.90 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $904.39 | not published |
| Adventhealth Tampa | Tampa | $5,978.84 | not published |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,174.79 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $587.62 | not published |
| cleveland clinic florida weston hospital | Weston | $765.70 | $26.62 – $1,356.00 |
| martin north hospital | Stuart | $765.70 | $45.96 – $1,914.00 |
| indian river hospital | Vero Beach | $765.70 | $26.62 – $3,163.00 |