Biopsy/soft tissue/neck or thorax 21550 at Baptist Health Hospital Doral
6200 SW 73 STREET, SOUTH MIAMI, FL · Baptist Health South Florida · · NPI 1982688230
$1,221.35
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.
$1,879.00
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.
$326.95 with BLUE CROSS vs $2,328.38 with MEDICARE — 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 | $326.95 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $590.01 | ↓ -52% |
| AVMED | AVMED ENTRUST | $670.80 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $689.59 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $714.02 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $714.02 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $762.87 | ↓ -38% |
| AVMED | AVMED HMO | $781.66 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $789.18 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $828.64 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $845.55 | ↓ -31% |
| AVMED | AVMED PPO | $930.11 | ↓ -24% |
| AETNA | AETNA TIER 2 | $958.29 | ↓ -22% |
| AETNA | AETNA HMO | $958.29 | ↓ -22% |
| CIGNA | CIGNA HMO | $977.08 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $1,127.40 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,127.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $1,127.40 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $1,127.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $1,217.59 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $1,221.35 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $1,409.25 | ↑ +15% |
| AMERIGROUP | AMERIGROUP | $1,420.71 | ↑ +16% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $1,420.71 | ↑ +16% |
| WELLCARE | WELL CARE MD HMONC | $1,491.75 | ↑ +22% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $1,491.75 | ↑ +22% |
| UNITED HEALTHCARE | UNITED MD HMO | $1,491.75 | ↑ +22% |
| AETNA | AETNA PPO | $1,503.20 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $1,503.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $1,503.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $1,503.20 | ↑ +23% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $1,505.96 | ↑ +23% |
| VISTA | COVENTRY MEDICAID | $1,534.37 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $1,534.37 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $1,534.37 | ↑ +26% |
| MEDICAID | PRESTIGE MD HMO NC | $1,562.79 | ↑ +28% |
| AFFORDABLE | AFFORDABLE PPO | $1,597.15 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $1,691.10 | ↑ +38% |
| PHCS | PHCS | $1,691.10 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $1,691.10 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $1,691.10 | ↑ +38% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $1,724.73 | ↑ +41% |
| BLUE CROSS | BCBS MEDICARE PPO | $1,785.09 | ↑ +46% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $1,845.46 | ↑ +51% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,879.00 | ↑ +54% |
| HUMANA | CAREPLUS MC HMO | $1,879.95 | ↑ +54% |
| HUMANA | HUMANA MEDICARE | $1,879.95 | ↑ +54% |
| LEON MEDICAL | LEON HEALTH MC HMO | $1,897.20 | ↑ +55% |
| AVMED | AVMED MEDICARE | $1,897.20 | ↑ +55% |
| LEON MEDICAL | LEON MED MC HMO NC | $1,897.20 | ↑ +55% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $1,897.20 | ↑ +55% |
| AETNA | AETNA MEDICARE | $1,931.70 | ↑ +58% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $1,966.19 | ↑ +61% |
| MEDICARE MANAGED CARE | PROMINENCE | $2,224.90 | ↑ +82% |
| MEDICARE | DEVOTED HEALTH MC HMO | $2,328.38 | ↑ +91% |
Visitor-reported prices
Comments
Biopsy/soft tissue/neck or thorax 21550 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $4,155.14 | $1,638.49 – $2,878.57 |
| Adventhealth Palm Coast Parkway | Palm Coast | $4,704.99 | $1,638.49 – $3,683.85 |
| Adventhealth Tampa | Tampa | $5,146.37 | $1,724.73 – $3,828.90 |
| cleveland clinic florida weston hospital | Weston | $6,055.40 | $75.62 – $7,918.60 |
| martin north hospital | Stuart | $6,055.40 | $122.69 – $4,658.00 |
| indian river hospital | Vero Beach | $6,055.40 | $75.62 – $7,452.80 |
| Bethesda Hospital East | BOYNTON BEACH | $1,221.35 | $377.68 – $1,793.72 |
| Adventhealth Palm Coast | Palm Coast | $4,704.99 | $1,638.49 – $3,683.85 |