Oropharyngeal biopsy 42800 at Baptist Hospital
8900 NORTH KENDALL DRIVE, MIAMI, FL · Baptist Health South Florida · · NPI 1528042884
$7,536.10
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.
$11,594.00
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 $11,594.00 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 | $901.76 | ↓ -88% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $901.76 | ↓ -88% |
| WELLCARE | WELL CARE MD HMONC | $946.85 | ↓ -87% |
| UNITED HEALTHCARE | UNITED MD HMO | $946.85 | ↓ -87% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $946.85 | ↓ -87% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $955.87 | ↓ -87% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $973.90 | ↓ -87% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $973.90 | ↓ -87% |
| MEDICAID | PRESTIGE MD HMO NC | $991.94 | ↓ -87% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $1,620.29 | ↓ -78% |
| BLUE CROSS | BCBS MEDICARE PPO | $1,677.00 | ↓ -78% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $1,733.71 | ↓ -77% |
| HUMANA | CAREPLUS MC HMO | $1,766.11 | ↓ -77% |
| HUMANA | HUMANA MEDICARE | $1,766.11 | ↓ -77% |
| AVMED | AVMED MEDICARE | $1,782.31 | ↓ -76% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $1,782.31 | ↓ -76% |
| LEON MEDICAL | LEON MED MC HMO NC | $1,814.72 | ↓ -76% |
| LEON MEDICAL | LEON HEALTH MC HMO | $1,814.72 | ↓ -76% |
| AETNA | AETNA MEDICARE | $1,814.72 | ↓ -76% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $1,847.13 | ↓ -75% |
| BLUE CROSS | MY BLUE EX | $2,005.76 | ↓ -73% |
| MEDICARE MANAGED CARE | PROMINENCE | $2,090.17 | ↓ -72% |
| MEDICARE | DEVOTED HEALTH MC HMO | $2,187.39 | ↓ -71% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $3,640.52 | ↓ -52% |
| AVMED | AVMED ENTRUST | $4,115.87 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $4,255.00 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $4,405.72 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $4,405.72 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $4,683.98 | ↓ -38% |
| AVMED | AVMED HMO | $4,799.92 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $4,869.48 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $5,101.36 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $5,217.30 | ↓ -31% |
| AVMED | AVMED PPO | $5,704.25 | ↓ -24% |
| AETNA | AETNA HMO | $5,912.94 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $5,912.94 | ↓ -22% |
| AETNA | AETNA TIER 2 | $5,912.94 | ↓ -22% |
| CIGNA | CIGNA HMO | $6,028.88 | ↓ -20% |
| UNITED HEALTHCARE | UNITED HMO | $6,956.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $6,956.40 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $6,956.40 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $6,956.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $7,512.91 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $7,536.10 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $8,695.50 | ↑ +15% |
| AETNA | AETNA PPO | $9,275.20 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $9,275.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $9,275.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $9,275.20 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $9,854.90 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $10,434.60 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $10,434.60 | ↑ +38% |
| PHCS | PHCS | $10,434.60 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $10,434.60 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $11,594.00 | ↑ +54% |
Visitor-reported prices
Comments
Oropharyngeal biopsy 42800 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5,536.70 | $63.68 – $7,240.30 |
| martin north hospital | Stuart | $5,536.70 | $89.57 – $4,259.00 |
| indian river hospital | Vero Beach | $5,536.70 | $63.68 – $6,814.40 |
| AdventHealth Orlando | Orlando | $7,729.00 | $1,620.29 – $4,293.76 |
| Adventhealth Carrollwood | Tampa | $15,514.83 | not published |
| Adventhealth Daytona Beach | Daytona Beach | not published | $1,539.27 – $2,704.26 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $1,539.27 – $3,460.77 |
| Adventhealth Tampa | Tampa | not published | $1,620.29 – $3,597.04 |