Biopsy of lip 40490 at Baptist Hospital
8900 NORTH KENDALL DRIVE, MIAMI, FL · Baptist Health South Florida · · NPI 1528042884
$611.65
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.
$941.00
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.
$117.45 with AMERIGROUP vs $941.00 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 | $117.45 | ↓ -81% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $117.45 | ↓ -81% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $123.33 | ↓ -80% |
| UNITED HEALTHCARE | UNITED MD HMO | $123.33 | ↓ -80% |
| WELLCARE | WELL CARE MD HMONC | $123.33 | ↓ -80% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $124.50 | ↓ -80% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $126.85 | ↓ -79% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $126.85 | ↓ -79% |
| MEDICAID | PRESTIGE MD HMO NC | $129.20 | ↓ -79% |
| BLUE CROSS | MY BLUE EX | $162.79 | ↓ -73% |
| VISTA | COVENTRY MEDICAID | $173.17 | ↓ -72% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $247.34 | ↓ -60% |
| BLUE CROSS | BCBS MEDICARE PPO | $255.99 | ↓ -58% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $264.65 | ↓ -57% |
| HUMANA | HUMANA MEDICARE | $269.60 | ↓ -56% |
| HUMANA | CAREPLUS MC HMO | $269.60 | ↓ -56% |
| AVMED | AVMED MEDICARE | $272.07 | ↓ -56% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $272.07 | ↓ -56% |
| LEON MEDICAL | LEON MED MC HMO NC | $277.02 | ↓ -55% |
| LEON MEDICAL | LEON HEALTH MC HMO | $277.02 | ↓ -55% |
| AETNA | AETNA MEDICARE | $277.02 | ↓ -55% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $281.96 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $295.47 | ↓ -52% |
| MEDICARE MANAGED CARE | PROMINENCE | $319.07 | ↓ -48% |
| MEDICARE | DEVOTED HEALTH MC HMO | $333.91 | ↓ -45% |
| AVMED | AVMED ENTRUST | $334.06 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $345.35 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $357.58 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $357.58 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $380.16 | ↓ -38% |
| AVMED | AVMED HMO | $389.57 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $395.22 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $414.04 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $423.45 | ↓ -31% |
| AVMED | AVMED PPO | $462.97 | ↓ -24% |
| AETNA | AETNA TIER 2 | $479.91 | ↓ -22% |
| AETNA | AETNA HMO | $479.91 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $479.91 | ↓ -22% |
| CIGNA | CIGNA HMO | $489.32 | ↓ -20% |
| BLUE CROSS | BCBS NETWORKBLUE | $564.60 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $564.60 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $564.60 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $564.60 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $609.77 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $611.65 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $705.75 | ↑ +15% |
| UNITED HEALTHCARE | UNITED PPO | $752.80 | ↑ +23% |
| CIGNA | CIGNA PPO | $752.80 | ↑ +23% |
| AETNA | AETNA PPO | $752.80 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $752.80 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $799.85 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $846.90 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $846.90 | ↑ +38% |
| PHCS | PHCS | $846.90 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $846.90 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $941.00 | ↑ +54% |
Visitor-reported prices
Comments
Biopsy of lip 40490 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $1,260.47 – $1,287.01 |
| cleveland clinic florida weston hospital | Weston | $867.75 | $59.81 – $1,134.75 |
| martin north hospital | Stuart | $867.75 | $58.31 – $667.50 |
| indian river hospital | Vero Beach | $867.75 | $59.81 – $1,068.00 |
| Boca Raton Regional Hospital | BOCA RATON | $594.75 | $242.89 – $597.50 |
| AdventHealth Orlando | Orlando | $733.00 | $247.34 – $655.44 |
| Adventhealth Carrollwood | Tampa | $771.72 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $234.97 – $528.29 |