Incision of breast lesion at Baptist Health Hospital Doral
6200 SW 73 STREET, SOUTH MIAMI, FL · Baptist Health South Florida · · NPI 1982688230
$5,096.65
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.
$7,841.00
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.
$815.35 with MEDICAID vs $7,841.00 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 | $815.35 | ↓ -84% |
| AMERIGROUP | AMERIGROUP | $815.35 | ↓ -84% |
| WELLCARE | WELL CARE MD HMONC | $856.11 | ↓ -83% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $856.11 | ↓ -83% |
| UNITED HEALTHCARE | UNITED MD HMO | $856.11 | ↓ -83% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $864.27 | ↓ -83% |
| VISTA | COVENTRY MEDICAID | $880.57 | ↓ -83% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $880.57 | ↓ -83% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $880.57 | ↓ -83% |
| MEDICAID | PRESTIGE MD HMO NC | $896.88 | ↓ -82% |
| BLUE CROSS | MY BLUE EX | $1,364.33 | ↓ -73% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $1,724.73 | ↓ -66% |
| BLUE CROSS | BCBS MEDICARE PPO | $1,785.09 | ↓ -65% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $1,845.46 | ↓ -64% |
| HUMANA | CAREPLUS MC HMO | $1,879.95 | ↓ -63% |
| HUMANA | HUMANA MEDICARE | $1,879.95 | ↓ -63% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $1,897.20 | ↓ -63% |
| LEON MEDICAL | LEON HEALTH MC HMO | $1,897.20 | ↓ -63% |
| LEON MEDICAL | LEON MED MC HMO NC | $1,897.20 | ↓ -63% |
| AVMED | AVMED MEDICARE | $1,897.20 | ↓ -63% |
| AETNA | AETNA MEDICARE | $1,931.70 | ↓ -62% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $1,966.19 | ↓ -61% |
| MEDICARE MANAGED CARE | PROMINENCE | $2,224.90 | ↓ -56% |
| MEDICARE | DEVOTED HEALTH MC HMO | $2,328.38 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $2,462.07 | ↓ -52% |
| AVMED | AVMED ENTRUST | $2,799.24 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $2,877.65 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $2,979.58 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $2,979.58 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $3,183.45 | ↓ -38% |
| AVMED | AVMED HMO | $3,261.86 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $3,293.22 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $3,457.88 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $3,528.45 | ↓ -31% |
| AVMED | AVMED PPO | $3,881.30 | ↓ -24% |
| AETNA | AETNA TIER 2 | $3,998.91 | ↓ -22% |
| AETNA | AETNA HMO | $3,998.91 | ↓ -22% |
| CIGNA | CIGNA HMO | $4,077.32 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $4,704.60 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $4,704.60 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $4,704.60 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $4,704.60 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $5,080.97 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $5,096.65 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $5,880.75 | ↑ +15% |
| CIGNA | CIGNA PPO | $6,272.80 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $6,272.80 | ↑ +23% |
| AETNA | AETNA PPO | $6,272.80 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $6,272.80 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $6,664.85 | ↑ +31% |
| PHCS | PHCS | $7,056.90 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $7,056.90 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $7,056.90 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $7,056.90 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $7,841.00 | ↑ +54% |
Visitor-reported prices
Comments
Incision of breast lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $3,949.40 | $153.04 – $3,546.20 |
| martin north hospital | Stuart | $3,949.40 | $235.70 – $3,038.00 |
| indian river hospital | Vero Beach | $2,711.80 | $153.04 – $3,337.60 |
| Baptist Hospital | MIAMI | $10,193.30 | $173.17 – $7,056.90 |
| Bethesda Hospital East | BOYNTON BEACH | $5,096.65 | $841.09 – $7,056.90 |
| Boca Raton Regional Hospital | BOCA RATON | $4,427.80 | $476.00 – $4,448.24 |
| AdventHealth Orlando | Orlando | $5,311.00 | $1,724.73 – $4,570.53 |
| Adventhealth Carrollwood | Tampa | $16,444.17 | $537.00 – $3,828.90 |