Removal of breast lesion at Baptist Health Hospital Doral
6200 SW 73 STREET, SOUTH MIAMI, FL · Baptist Health South Florida · · NPI 1982688230
$5,543.85
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.
$8,529.00
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 $8,529.00 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 | ↓ -85% |
| AMERIGROUP | AMERIGROUP | $815.35 | ↓ -85% |
| UNITED HEALTHCARE | UNITED MD HMO | $856.11 | ↓ -85% |
| WELLCARE | WELL CARE MD HMONC | $856.11 | ↓ -85% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $856.11 | ↓ -85% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $864.27 | ↓ -84% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $880.57 | ↓ -84% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $880.57 | ↓ -84% |
| VISTA | COVENTRY MEDICAID | $880.57 | ↓ -84% |
| MEDICAID | PRESTIGE MD HMO NC | $896.88 | ↓ -84% |
| BLUE CROSS | MY BLUE EX | $1,484.05 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $2,678.11 | ↓ -52% |
| AVMED | AVMED ENTRUST | $3,044.85 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $3,130.14 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $3,241.02 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $3,241.02 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $3,462.77 | ↓ -38% |
| AVMED | AVMED HMO | $3,548.06 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $3,582.18 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $3,761.29 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $3,838.05 | ↓ -31% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $4,088.81 | ↓ -26% |
| AVMED | AVMED PPO | $4,221.86 | ↓ -24% |
| BLUE CROSS | BCBS MEDICARE PPO | $4,231.91 | ↓ -24% |
| AETNA | AETNA TIER 2 | $4,349.79 | ↓ -22% |
| AETNA | AETNA HMO | $4,349.79 | ↓ -22% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $4,375.02 | ↓ -21% |
| CIGNA | CIGNA HMO | $4,435.08 | ↓ -20% |
| HUMANA | CAREPLUS MC HMO | $4,456.80 | ↓ -20% |
| HUMANA | HUMANA MEDICARE | $4,456.80 | ↓ -20% |
| LEON MEDICAL | LEON MED MC HMO NC | $4,497.69 | ↓ -19% |
| LEON MEDICAL | LEON HEALTH MC HMO | $4,497.69 | ↓ -19% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $4,497.69 | ↓ -19% |
| AVMED | AVMED MEDICARE | $4,497.69 | ↓ -19% |
| AETNA | AETNA MEDICARE | $4,579.46 | ↓ -17% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $4,661.24 | ↓ -16% |
| BLUE CROSS | BLUE CARE HMO | $5,117.40 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $5,117.40 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $5,117.40 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $5,117.40 | ↓ -8% |
| MEDICARE MANAGED CARE | PROMINENCE | $5,274.56 | ↓ -5% |
| MEDICARE | DEVOTED HEALTH MC HMO | $5,519.89 | ↓ -0% |
| BLUE CROSS | BLUE CROSS | $5,526.79 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $5,543.85 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $6,396.75 | ↑ +15% |
| UNITED HEALTHCARE | UNITED PPO | $6,823.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $6,823.20 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $6,823.20 | ↑ +23% |
| AETNA | AETNA PPO | $6,823.20 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $7,249.65 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $7,676.10 | ↑ +38% |
| PHCS | PHCS | $7,676.10 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $7,676.10 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $7,676.10 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $8,529.00 | ↑ +54% |
Visitor-reported prices
Comments
Removal of breast lesion at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $9,334.00 | $204.33 – $12,206.00 |
| martin north hospital | Stuart | $9,334.00 | $320.17 – $7,180.00 |
| indian river hospital | Vero Beach | $1,539.20 | $204.33 – $4,497.69 |
| Baptist Hospital | MIAMI | $11,087.70 | $173.17 – $7,676.10 |
| Bethesda Hospital East | BOYNTON BEACH | $5,543.85 | $841.09 – $7,676.10 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,884.37 – $6,824.22 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $3,884.37 – $8,733.28 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $9,077.15 |