Biopsy of rectum wall anal approach 45100 at Baptist Health Hospital Doral
6200 SW 73 STREET, SOUTH MIAMI, FL · Baptist Health South Florida · · NPI 1982688230
$3,329.95
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.
$5,123.00
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.
$891.40 with BLUE CROSS vs $5,123.00 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 | $891.40 | ↓ -73% |
| AMERIGROUP | AMERIGROUP | $904.19 | ↓ -73% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $904.19 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $949.40 | ↓ -71% |
| WELLCARE | WELL CARE MD HMONC | $949.40 | ↓ -71% |
| UNITED HEALTHCARE | UNITED MD HMO | $949.40 | ↓ -71% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $958.44 | ↓ -71% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $976.52 | ↓ -71% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $976.52 | ↓ -71% |
| VISTA | COVENTRY MEDICAID | $976.52 | ↓ -71% |
| MEDICAID | PRESTIGE MD HMO NC | $994.60 | ↓ -70% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $1,608.62 | ↓ -52% |
| AVMED | AVMED ENTRUST | $1,828.91 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $1,880.14 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $1,946.74 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $1,946.74 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $2,079.94 | ↓ -38% |
| AVMED | AVMED HMO | $2,131.17 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $2,151.66 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $2,259.24 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $2,305.35 | ↓ -31% |
| AVMED | AVMED PPO | $2,535.89 | ↓ -24% |
| AETNA | AETNA TIER 2 | $2,612.73 | ↓ -22% |
| AETNA | AETNA HMO | $2,612.73 | ↓ -22% |
| CIGNA | CIGNA HMO | $2,663.96 | ↓ -20% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $2,898.56 | ↓ -13% |
| BLUE CROSS | BCBS MEDICARE PPO | $3,000.01 | ↓ -10% |
| BLUE CROSS | BCBS NETWORKBLUE | $3,073.80 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $3,073.80 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $3,073.80 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $3,073.80 | ↓ -8% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $3,101.46 | ↓ -7% |
| HUMANA | HUMANA MEDICARE | $3,159.43 | ↓ -5% |
| HUMANA | CAREPLUS MC HMO | $3,159.43 | ↓ -5% |
| LEON MEDICAL | LEON HEALTH MC HMO | $3,188.42 | ↓ -4% |
| LEON MEDICAL | LEON MED MC HMO NC | $3,188.42 | ↓ -4% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $3,188.42 | ↓ -4% |
| AVMED | AVMED MEDICARE | $3,188.42 | ↓ -4% |
| AETNA | AETNA MEDICARE | $3,246.39 | ↓ -3% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $3,304.36 | ↓ -1% |
| BLUE CROSS | BLUE CROSS | $3,319.70 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $3,329.95 | ↑ +0% |
| MEDICARE MANAGED CARE | PROMINENCE | $3,739.15 | ↑ +12% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $3,842.25 | ↑ +15% |
| MEDICARE | DEVOTED HEALTH MC HMO | $3,913.06 | ↑ +18% |
| CIGNA | CIGNA PPO | $4,098.40 | ↑ +23% |
| AETNA | AETNA PPO | $4,098.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $4,098.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $4,098.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $4,354.55 | ↑ +31% |
| PHCS | PHCS | $4,610.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $4,610.70 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $4,610.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $4,610.70 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $5,123.00 | ↑ +54% |
Visitor-reported prices
Comments
Biopsy of rectum wall anal approach 45100 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $10,249.85 | $163.62 – $13,403.65 |
| martin north hospital | Stuart | $10,249.85 | $231.52 – $7,884.50 |
| indian river hospital | Vero Beach | $10,249.85 | $163.62 – $12,615.20 |
| Bethesda Hospital East | BOYNTON BEACH | $3,329.95 | $932.73 – $4,610.70 |
| AdventHealth Orlando | Orlando | $12,079.00 | $2,898.56 – $7,681.20 |
| Adventhealth Carrollwood | Tampa | $27,259.95 | $401.00 – $6,434.81 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $2,753.64 – $4,837.70 |
| Adventhealth Lake Wales | Lake Wales | not published | $2,898.56 – $6,434.81 |