Cystourethroscopy w/biopsy(s) 52204 at Baptist Hospital
8900 NORTH KENDALL DRIVE, MIAMI, FL · Baptist Health South Florida · · NPI 1528042884
$5,917.60
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.
$9,104.00
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 $9,104.00 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 | ↓ -97% |
| AMERIGROUP | AMERIGROUP | $996.64 | ↓ -83% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $996.64 | ↓ -83% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $1,046.47 | ↓ -82% |
| WELLCARE | WELL CARE MD HMONC | $1,046.47 | ↓ -82% |
| UNITED HEALTHCARE | UNITED MD HMO | $1,046.47 | ↓ -82% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $1,056.44 | ↓ -82% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $1,076.37 | ↓ -82% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $1,076.37 | ↓ -82% |
| MEDICAID | PRESTIGE MD HMO NC | $1,096.31 | ↓ -81% |
| BLUE CROSS | MY BLUE EX | $1,574.99 | ↓ -73% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $2,182.94 | ↓ -63% |
| BLUE CROSS | BCBS MEDICARE PPO | $2,259.35 | ↓ -62% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $2,335.75 | ↓ -61% |
| HUMANA | HUMANA MEDICARE | $2,379.41 | ↓ -60% |
| HUMANA | CAREPLUS MC HMO | $2,379.41 | ↓ -60% |
| AVMED | AVMED MEDICARE | $2,401.24 | ↓ -59% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $2,401.24 | ↓ -59% |
| LEON MEDICAL | LEON MED MC HMO NC | $2,444.90 | ↓ -59% |
| LEON MEDICAL | LEON HEALTH MC HMO | $2,444.90 | ↓ -59% |
| AETNA | AETNA MEDICARE | $2,444.90 | ↓ -59% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $2,488.56 | ↓ -58% |
| MEDICARE MANAGED CARE | PROMINENCE | $2,816.00 | ↓ -52% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $2,858.66 | ↓ -52% |
| MEDICARE | DEVOTED HEALTH MC HMO | $2,946.97 | ↓ -50% |
| AVMED | AVMED ENTRUST | $3,231.92 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $3,341.17 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $3,459.52 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $3,459.52 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $3,678.02 | ↓ -38% |
| AVMED | AVMED HMO | $3,769.06 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $3,823.68 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $4,005.76 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $4,096.80 | ↓ -31% |
| AVMED | AVMED PPO | $4,479.17 | ↓ -24% |
| AETNA | AETNA TIER 2 | $4,643.04 | ↓ -22% |
| AETNA | AETNA HMO | $4,643.04 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $4,643.04 | ↓ -22% |
| CIGNA | CIGNA HMO | $4,734.08 | ↓ -20% |
| BLUE CROSS | BCBS NETWORKBLUE | $5,462.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $5,462.40 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $5,462.40 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $5,462.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $5,899.39 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $5,917.60 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $6,828.00 | ↑ +15% |
| UNITED HEALTHCARE | UNITED PPO | $7,283.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $7,283.20 | ↑ +23% |
| AETNA | AETNA PPO | $7,283.20 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $7,283.20 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $7,738.40 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $8,193.60 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $8,193.60 | ↑ +38% |
| PHCS | PHCS | $8,193.60 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $8,193.60 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $9,104.00 | ↑ +54% |
Visitor-reported prices
Comments
Cystourethroscopy w/biopsy(s) 52204 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Kendall Baptist Hospital | MIAMI | not published | not published |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $3,424.41 – $3,496.50 |
| Adventhealth Tampa | Tampa | $18,806.12 | $537.00 – $4,846.13 |
| cleveland clinic florida weston hospital | Weston | $7,656.35 | $102.25 – $10,012.15 |
| martin north hospital | Stuart | $7,656.35 | $110.18 – $5,889.50 |
| indian river hospital | Vero Beach | $7,656.35 | $102.25 – $9,423.20 |
| AdventHealth Orlando | Orlando | $13,051.00 | $2,182.94 – $5,784.80 |
| Adventhealth Riverview | Riverview | $18,806.12 | not published |