Biopsy of prostate at Baptist Health Hospital Doral
6200 SW 73 STREET, SOUTH MIAMI, FL · Baptist Health South Florida · · NPI 1982688230
$1,929.20
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.
$2,968.00
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.
$516.43 with BLUE CROSS vs $2,968.00 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 |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $516.43 | ↓ -73% |
| CIGNA | CIGNA HMO | $801.36 | ↓ -58% |
| UNITED HEALTHCARE | NHP HMO | $803.00 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HMO | $803.00 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $931.95 | ↓ -52% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $1,054.49 | ↓ -45% |
| AMERIGROUP | AMERIGROUP | $1,054.49 | ↓ -45% |
| AVMED | AVMED ENTRUST | $1,059.58 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $1,089.26 | ↓ -44% |
| WELLCARE | WELL CARE MD HMONC | $1,107.22 | ↓ -43% |
| UNITED HEALTHCARE | UNITED MD HMO | $1,107.22 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $1,107.22 | ↓ -43% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $1,117.76 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $1,127.84 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $1,127.84 | ↓ -42% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $1,138.85 | ↓ -41% |
| VISTA | COVENTRY MEDICAID | $1,138.85 | ↓ -41% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $1,138.85 | ↓ -41% |
| MEDICAID | PRESTIGE MD HMO NC | $1,159.94 | ↓ -40% |
| AVMED | AVMED INDIVIDUAL | $1,205.01 | ↓ -38% |
| AVMED | AVMED HMO | $1,234.69 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $1,246.56 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $1,308.89 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $1,335.60 | ↓ -31% |
| AVMED | AVMED PPO | $1,469.16 | ↓ -24% |
| AETNA | AETNA HMO | $1,513.68 | ↓ -22% |
| AETNA | AETNA TIER 2 | $1,513.68 | ↓ -22% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,780.80 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $1,780.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $1,923.26 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $1,929.20 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $2,226.00 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $2,374.40 | ↑ +23% |
| AETNA | AETNA PPO | $2,374.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $2,374.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $2,374.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $2,522.80 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $2,671.20 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $2,671.20 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $2,671.20 | ↑ +38% |
| PHCS | PHCS | $2,671.20 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $2,968.00 | ↑ +54% |
Visitor-reported prices
Comments
Biopsy of prostate at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $5,820.89 | $537.00 – $537.00 |
| cleveland clinic florida weston hospital | Weston | $6,307.60 | $1,043.57 – $8,248.40 |
| Baptist Hospital | MIAMI | $1,929.20 | $173.17 – $2,671.20 |
| Bethesda Hospital East | BOYNTON BEACH | $1,929.20 | $836.98 – $2,968.00 |
| Boca Raton Regional Hospital | BOCA RATON | $3,260.40 | $1,805.76 – $5,016.00 |
| Doctors Hospital | CORAL GABLES | $1,929.20 | $519.40 – $2,671.20 |
| Homestead Hospital | HOMESTEAD | $1,929.20 | $167.89 – $2,671.20 |
| West Kendall Baptist Hospital | MIAMI | $1,929.20 | $507.53 – $2,671.20 |