Injection of sinus tract at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$1,159.60
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.
$1,784.00
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.
$312.20 with BLUE CROSS vs $2,187.39 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 | $312.20 | ↓ -73% |
| CIGNA | CIGNA HMO | $481.68 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $560.18 | ↓ -52% |
| AVMED | AVMED ENTRUST | $636.89 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $654.73 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $677.92 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $677.92 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $724.30 | ↓ -38% |
| AVMED | AVMED HMO | $742.14 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $749.28 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $786.74 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $802.80 | ↓ -31% |
| UNITED HEALTHCARE | NHP HMO | $803.00 | ↓ -31% |
| UNITED HEALTHCARE | UNITED HMO | $803.00 | ↓ -31% |
| AMERIGROUP | AMERIGROUP | $874.16 | ↓ -25% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $874.16 | ↓ -25% |
| AVMED | AVMED PPO | $883.08 | ↓ -24% |
| AETNA | AETNA TIER 2 | $909.84 | ↓ -22% |
| AETNA | AETNA HMO | $909.84 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $917.87 | ↓ -21% |
| UNITED HEALTHCARE | UNITED MD HMO | $917.87 | ↓ -21% |
| WELLCARE | WELL CARE MD HMONC | $917.87 | ↓ -21% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $926.61 | ↓ -20% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $944.10 | ↓ -19% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $944.10 | ↓ -19% |
| VISTA | COVENTRY MEDICAID | $944.10 | ↓ -19% |
| MEDICAID | PRESTIGE MD HMO NC | $961.58 | ↓ -17% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,070.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $1,070.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $1,156.03 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $1,159.60 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $1,338.00 | ↑ +15% |
| AETNA | AETNA PPO | $1,427.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $1,427.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $1,427.20 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $1,427.20 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $1,516.40 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $1,605.60 | ↑ +38% |
| PHCS | PHCS | $1,605.60 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $1,605.60 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $1,605.60 | ↑ +38% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $1,620.29 | ↑ +40% |
| BLUE CROSS | BCBS MEDICARE PPO | $1,677.00 | ↑ +45% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $1,733.71 | ↑ +50% |
| HUMANA | CAREPLUS MC HMO | $1,766.11 | ↑ +52% |
| HUMANA | HUMANA MEDICARE | $1,766.11 | ↑ +52% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $1,782.31 | ↑ +54% |
| AVMED | AVMED MEDICARE | $1,782.31 | ↑ +54% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,784.00 | ↑ +54% |
| AETNA | AETNA MEDICARE | $1,814.72 | ↑ +56% |
| LEON MEDICAL | LEON HEALTH MC HMO | $1,814.72 | ↑ +56% |
| LEON MEDICAL | LEON MED MC HMO NC | $1,814.72 | ↑ +56% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $1,847.13 | ↑ +59% |
| MEDICARE MANAGED CARE | PROMINENCE | $2,090.17 | ↑ +80% |
| MEDICARE | DEVOTED HEALTH MC HMO | $2,187.39 | ↑ +89% |
Visitor-reported prices
Comments
Injection of sinus tract at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5,536.70 | $64.03 – $7,240.30 |
| martin north hospital | Stuart | $332.80 | $67.05 – $1,782.31 |
| indian river hospital | Vero Beach | $332.80 | $64.03 – $1,782.31 |
| Baptist Hospital | MIAMI | $1,159.60 | $173.17 – $1,814.72 |
| Bethesda Hospital East | BOYNTON BEACH | $1,159.60 | $503.09 – $1,701.30 |
| Boca Raton Regional Hospital | BOCA RATON | $1,625.65 | $900.36 – $2,501.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,159.60 | $310.42 – $1,782.31 |
| Homestead Hospital | HOMESTEAD | $1,159.60 | $167.89 – $1,782.31 |