Nasal/sinus endoscopy surg w/bx 31237 at Baptist Hospital
8900 NORTH KENDALL DRIVE, MIAMI, FL · Baptist Health South Florida · · NPI 1528042884
$10,255.05
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.
$15,777.00
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 $7,889.00 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 | ↓ -98% |
| AMERIGROUP | AMERIGROUP | $1,211.75 | ↓ -88% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $1,211.75 | ↓ -88% |
| WELLCARE | WELL CARE MD HMONC | $1,272.34 | ↓ -88% |
| UNITED HEALTHCARE | UNITED MD HMO | $1,272.34 | ↓ -88% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $1,272.34 | ↓ -88% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $1,284.45 | ↓ -87% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $1,308.69 | ↓ -87% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $1,308.69 | ↓ -87% |
| MEDICAID | PRESTIGE MD HMO NC | $1,332.92 | ↓ -87% |
| BLUE CROSS | MY BLUE EX | $1,364.80 | ↓ -87% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $1,858.71 | ↓ -82% |
| BLUE CROSS | BCBS MEDICARE PPO | $1,923.77 | ↓ -81% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $1,988.82 | ↓ -81% |
| HUMANA | HUMANA MEDICARE | $2,025.99 | ↓ -80% |
| HUMANA | CAREPLUS MC HMO | $2,025.99 | ↓ -80% |
| AVMED | AVMED MEDICARE | $2,044.58 | ↓ -80% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $2,044.58 | ↓ -80% |
| LEON MEDICAL | LEON MED MC HMO NC | $2,081.76 | ↓ -80% |
| LEON MEDICAL | LEON HEALTH MC HMO | $2,081.76 | ↓ -80% |
| AETNA | AETNA MEDICARE | $2,081.76 | ↓ -80% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $2,118.93 | ↓ -79% |
| MEDICARE MANAGED CARE | PROMINENCE | $2,397.74 | ↓ -77% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $2,477.15 | ↓ -76% |
| MEDICARE | DEVOTED HEALTH MC HMO | $2,509.26 | ↓ -76% |
| AVMED | AVMED ENTRUST | $2,800.60 | ↓ -73% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $2,895.26 | ↓ -72% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $2,997.82 | ↓ -71% |
| AETNA | AETNA HMO EXCHANGE | $2,997.82 | ↓ -71% |
| AVMED | AVMED INDIVIDUAL | $3,187.16 | ↓ -69% |
| AVMED | AVMED HMO | $3,266.05 | ↓ -68% |
| BLUE CROSS | BLUE SELECT | $3,313.38 | ↓ -68% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $3,471.16 | ↓ -66% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $3,550.05 | ↓ -65% |
| AVMED | AVMED PPO | $3,881.39 | ↓ -62% |
| AETNA | AETNA HMO | $4,023.39 | ↓ -61% |
| AETNA | AETNA CATASTROPHIC | $4,023.39 | ↓ -61% |
| AETNA | AETNA TIER 2 | $4,023.39 | ↓ -61% |
| CIGNA | CIGNA HMO | $4,102.28 | ↓ -60% |
| UNITED HEALTHCARE | UNITED HMO | $4,733.40 | ↓ -54% |
| BLUE CROSS | BLUE CARE HMO | $4,733.40 | ↓ -54% |
| BLUE CROSS | BCBS NETWORKBLUE | $4,733.40 | ↓ -54% |
| UNITED HEALTHCARE | NHP HMO | $4,733.40 | ↓ -54% |
| BLUE CROSS | BLUE CROSS | $5,112.07 | ↓ -50% |
| INTERNATIONAL | INTERNATIONAL AETNA | $5,127.85 | ↓ -50% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $5,916.75 | ↓ -42% |
| AETNA | AETNA PPO | $6,311.20 | ↓ -38% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $6,311.20 | ↓ -38% |
| UNITED HEALTHCARE | UNITED PPO | $6,311.20 | ↓ -38% |
| CIGNA | CIGNA PPO | $6,311.20 | ↓ -38% |
| AFFORDABLE | AFFORDABLE PPO | $6,705.65 | ↓ -35% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $7,100.10 | ↓ -31% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $7,100.10 | ↓ -31% |
| PHCS | PHCS | $7,100.10 | ↓ -31% |
| QUALITY HEALTH | MULTIPLAN | $7,100.10 | ↓ -31% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $7,889.00 | ↓ -23% |
Visitor-reported prices
Comments
Nasal/sinus endoscopy surg w/bx 31237 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 | $486.81 – $497.06 |
| cleveland clinic florida weston hospital | Weston | $6,445.40 | $79.51 – $8,428.60 |
| martin north hospital | Stuart | $6,445.40 | $142.88 – $4,958.00 |
| indian river hospital | Vero Beach | $6,445.40 | $79.51 – $7,932.80 |
| AdventHealth Orlando | Orlando | $8,611.00 | $1,858.71 – $4,925.58 |
| Adventhealth Carrollwood | Tampa | $17,485.67 | $537.00 – $4,126.34 |
| Adventhealth Sebring | Sebring | $19,075.28 | not published |