Biopsy vestibule of mouth 40808 at Baptist Hospital
8900 NORTH KENDALL DRIVE, MIAMI, FL · Baptist Health South Florida · · NPI 1528042884
$1,575.60
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.
$2,424.00
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.
$173.17 with VISTA vs $2,424.00 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 |
|---|---|---|---|
| VISTA | COVENTRY MEDICAID | $173.17 | ↓ -89% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $225.28 | ↓ -86% |
| BLUE CROSS | BCBS MEDICARE PPO | $233.17 | ↓ -85% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $243.31 | ↓ -85% |
| HUMANA | CAREPLUS MC HMO | $245.56 | ↓ -84% |
| HUMANA | HUMANA MEDICARE | $245.56 | ↓ -84% |
| AVMED | AVMED MEDICARE | $247.81 | ↓ -84% |
| AETNA | AETNA MEDICARE | $250.06 | ↓ -84% |
| LEON MEDICAL | LEON HEALTH MC HMO | $252.32 | ↓ -84% |
| LEON MEDICAL | LEON MED MC HMO NC | $252.32 | ↓ -84% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $256.82 | ↓ -84% |
| MEDICARE MANAGED CARE | PROMINENCE | $290.62 | ↓ -82% |
| MEDICARE | DEVOTED HEALTH MC HMO | $304.13 | ↓ -81% |
| BLUE CROSS | MY BLUE EX | $419.35 | ↓ -73% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $619.53 | ↓ -61% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $761.14 | ↓ -52% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $795.86 | ↓ -49% |
| AMERIGROUP | AMERIGROUP | $795.86 | ↓ -49% |
| WELLCARE | WELL CARE MD HMONC | $835.66 | ↓ -47% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $835.66 | ↓ -47% |
| UNITED HEALTHCARE | UNITED MD HMO | $835.66 | ↓ -47% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $843.62 | ↓ -46% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $859.53 | ↓ -45% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $859.53 | ↓ -45% |
| AVMED | AVMED ENTRUST | $860.52 | ↓ -45% |
| MEDICAID | PRESTIGE MD HMO NC | $875.45 | ↓ -44% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $889.61 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $921.12 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $921.12 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $979.30 | ↓ -38% |
| AVMED | AVMED HMO | $1,003.54 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $1,018.08 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $1,066.56 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $1,090.80 | ↓ -31% |
| AVMED | AVMED PPO | $1,192.61 | ↓ -24% |
| AETNA | AETNA CATASTROPHIC | $1,236.24 | ↓ -22% |
| AETNA | AETNA TIER 2 | $1,236.24 | ↓ -22% |
| AETNA | AETNA HMO | $1,236.24 | ↓ -22% |
| CIGNA | CIGNA HMO | $1,260.48 | ↓ -20% |
| BLUE CROSS | BLUE CARE HMO | $1,454.40 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $1,454.40 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $1,454.40 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,454.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $1,570.75 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $1,575.60 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $1,818.00 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $1,939.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $1,939.20 | ↑ +23% |
| AETNA | AETNA PPO | $1,939.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $1,939.20 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $2,060.40 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $2,181.60 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $2,181.60 | ↑ +38% |
| PHCS | PHCS | $2,181.60 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $2,181.60 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $2,424.00 | ↑ +54% |
Visitor-reported prices
Comments
Biopsy vestibule of mouth 40808 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $681.53 – $695.88 |
| cleveland clinic florida weston hospital | Weston | $1,903.85 | $78.99 – $2,489.65 |
| martin north hospital | Stuart | $1,903.85 | $84.37 – $1,464.50 |
| indian river hospital | Vero Beach | $1,903.85 | $78.99 – $2,343.20 |
| Boca Raton Regional Hospital | BOCA RATON | $1,531.40 | $221.24 – $1,538.47 |
| AdventHealth Orlando | Orlando | $1,707.00 | $563.21 – $1,492.50 |
| Adventhealth Carrollwood | Tampa | $5,519.35 | not published |
| Adventhealth Daytona Beach | Daytona Beach | not published | $535.05 – $940.00 |