Biopsy muscle percutaneous needle at Baptist Health Hospital Doral
6200 SW 73 STREET, SOUTH MIAMI, FL · Baptist Health South Florida · · NPI 1982688230
$2,974.40
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.
$4,576.00
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.
$412.45 with MEDICAID vs $4,576.00 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 |
|---|---|---|---|
| MEDICAID | SIMPLYHLTH MD HMO NC | $412.45 | ↓ -86% |
| AMERIGROUP | AMERIGROUP | $412.45 | ↓ -86% |
| UNITED HEALTHCARE | UNITED MD HMO | $433.08 | ↓ -85% |
| WELLCARE | WELL CARE MD HMONC | $433.08 | ↓ -85% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $433.08 | ↓ -85% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $437.20 | ↓ -85% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $445.45 | ↓ -85% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $445.45 | ↓ -85% |
| VISTA | COVENTRY MEDICAID | $445.45 | ↓ -85% |
| MEDICAID | PRESTIGE MD HMO NC | $453.70 | ↓ -85% |
| BLUE CROSS | MY BLUE EX | $796.22 | ↓ -73% |
| UNITED HEALTHCARE | NHP HMO | $803.00 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HMO | $803.00 | ↓ -73% |
| CIGNA | CIGNA HMO | $1,235.52 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $1,436.86 | ↓ -52% |
| AVMED | AVMED ENTRUST | $1,633.63 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $1,679.39 | ↓ -44% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $1,724.73 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $1,738.88 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $1,738.88 | ↓ -42% |
| BLUE CROSS | BCBS MEDICARE PPO | $1,785.09 | ↓ -40% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $1,845.46 | ↓ -38% |
| AVMED | AVMED INDIVIDUAL | $1,857.86 | ↓ -38% |
| HUMANA | CAREPLUS MC HMO | $1,879.95 | ↓ -37% |
| HUMANA | HUMANA MEDICARE | $1,879.95 | ↓ -37% |
| LEON MEDICAL | LEON MED MC HMO NC | $1,897.20 | ↓ -36% |
| LEON MEDICAL | LEON HEALTH MC HMO | $1,897.20 | ↓ -36% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $1,897.20 | ↓ -36% |
| AVMED | AVMED MEDICARE | $1,897.20 | ↓ -36% |
| AVMED | AVMED HMO | $1,903.62 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $1,921.92 | ↓ -35% |
| AETNA | AETNA MEDICARE | $1,931.70 | ↓ -35% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $1,966.19 | ↓ -34% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $2,018.02 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $2,059.20 | ↓ -31% |
| MEDICARE MANAGED CARE | PROMINENCE | $2,224.90 | ↓ -25% |
| AVMED | AVMED PPO | $2,265.12 | ↓ -24% |
| MEDICARE | DEVOTED HEALTH MC HMO | $2,328.38 | ↓ -22% |
| AETNA | AETNA HMO | $2,333.76 | ↓ -22% |
| AETNA | AETNA TIER 2 | $2,333.76 | ↓ -22% |
| BLUE CROSS | BCBS NETWORKBLUE | $2,745.60 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $2,745.60 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $2,965.25 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $2,974.40 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $3,432.00 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $3,660.80 | ↑ +23% |
| CIGNA | CIGNA PPO | $3,660.80 | ↑ +23% |
| AETNA | AETNA PPO | $3,660.80 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $3,660.80 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $3,889.60 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $4,118.40 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $4,118.40 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $4,118.40 | ↑ +38% |
| PHCS | PHCS | $4,118.40 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $4,576.00 | ↑ +54% |
Visitor-reported prices
Comments
Biopsy muscle percutaneous needle at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $1,724.47 | $1,638.49 – $2,878.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,952.67 | $1,638.49 – $3,683.85 |
| Adventhealth Tampa | Tampa | $5,146.37 | $401.00 – $3,828.90 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $1,614.95 | $1,638.49 – $3,767.67 |
| Adventhealth Port Charlotte | Port Charlotte | $3,692.93 | $1,724.73 – $3,149.35 |
| cleveland clinic florida weston hospital | Weston | $6,055.40 | $41.71 – $7,918.60 |
| martin north hospital | Stuart | $6,055.40 | $45.58 – $4,658.00 |
| indian river hospital | Vero Beach | $6,055.40 | $41.71 – $7,452.80 |