Biopsy of foot joint lining at Baptist Health Hospital Doral
6200 SW 73 STREET, SOUTH MIAMI, FL · Baptist Health South Florida · · NPI 1982688230
$5,892.90
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.
$9,066.00
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.
$1,342.82 with AMERIGROUP vs $9,066.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $1,342.82 | ↓ -77% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $1,342.82 | ↓ -77% |
| UNITED HEALTHCARE | UNITED MD HMO | $1,409.96 | ↓ -76% |
| WELLCARE | WELL CARE MD HMONC | $1,409.96 | ↓ -76% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $1,409.96 | ↓ -76% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $1,423.39 | ↓ -76% |
| VISTA | COVENTRY MEDICAID | $1,450.24 | ↓ -75% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $1,450.24 | ↓ -75% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $1,450.24 | ↓ -75% |
| MEDICAID | PRESTIGE MD HMO NC | $1,477.10 | ↓ -75% |
| BLUE CROSS | MY BLUE EX | $1,577.48 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $2,846.72 | ↓ -52% |
| AVMED | AVMED ENTRUST | $3,236.56 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $3,327.22 | ↓ -44% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $3,416.88 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $3,445.08 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $3,445.08 | ↓ -42% |
| BLUE CROSS | BCBS MEDICARE PPO | $3,536.47 | ↓ -40% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $3,656.06 | ↓ -38% |
| AVMED | AVMED INDIVIDUAL | $3,680.80 | ↓ -38% |
| HUMANA | CAREPLUS MC HMO | $3,724.40 | ↓ -37% |
| HUMANA | HUMANA MEDICARE | $3,724.40 | ↓ -37% |
| LEON MEDICAL | LEON MED MC HMO NC | $3,758.57 | ↓ -36% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $3,758.57 | ↓ -36% |
| AVMED | AVMED MEDICARE | $3,758.57 | ↓ -36% |
| LEON MEDICAL | LEON HEALTH MC HMO | $3,758.57 | ↓ -36% |
| AVMED | AVMED HMO | $3,771.46 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $3,807.72 | ↓ -35% |
| AETNA | AETNA MEDICARE | $3,826.91 | ↓ -35% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $3,895.24 | ↓ -34% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $3,998.11 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $4,079.70 | ↓ -31% |
| MEDICARE MANAGED CARE | PROMINENCE | $4,407.78 | ↓ -25% |
| AVMED | AVMED PPO | $4,487.67 | ↓ -24% |
| MEDICARE | DEVOTED HEALTH MC HMO | $4,612.79 | ↓ -22% |
| AETNA | AETNA HMO | $4,623.66 | ↓ -22% |
| AETNA | AETNA TIER 2 | $4,623.66 | ↓ -22% |
| CIGNA | CIGNA HMO | $4,714.32 | ↓ -20% |
| BLUE CROSS | BCBS NETWORKBLUE | $5,439.60 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $5,439.60 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $5,439.60 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $5,439.60 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $5,874.77 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $5,892.90 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $6,799.50 | ↑ +15% |
| UNITED HEALTHCARE | UNITED PPO | $7,252.80 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $7,252.80 | ↑ +23% |
| AETNA | AETNA PPO | $7,252.80 | ↑ +23% |
| CIGNA | CIGNA PPO | $7,252.80 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $7,706.10 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $8,159.40 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $8,159.40 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $8,159.40 | ↑ +38% |
| PHCS | PHCS | $8,159.40 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $9,066.00 | ↑ +54% |
Visitor-reported prices
Comments
Biopsy of foot joint lining at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bethesda Hospital East | BOYNTON BEACH | $5,892.90 | $1,385.21 – $8,159.40 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,246.04 – $5,702.77 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,246.04 – $7,298.12 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $7,585.48 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $3,246.04 – $7,464.18 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $2,260.23 – $2,307.81 |
| Adventhealth Port Charlotte | Port Charlotte | not published | $3,416.88 – $6,239.22 |
| cleveland clinic florida weston hospital | Weston | not published | $1,342.37 – $3,758.57 |