Replace tissue expander w/perm prost 11970 at Baptist Health Hospital Doral
6200 SW 73 STREET, SOUTH MIAMI, FL · Baptist Health South Florida · · NPI 1982688230
$20,462.00
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.
$31,480.00
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.
$2,025.97 with MEDICAID vs $31,480.00 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 | $2,025.97 | ↓ -90% |
| AMERIGROUP | AMERIGROUP | $2,025.97 | ↓ -90% |
| WELLCARE | WELL CARE MD HMONC | $2,127.27 | ↓ -90% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $2,127.27 | ↓ -90% |
| UNITED HEALTHCARE | UNITED MD HMO | $2,127.27 | ↓ -90% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $2,147.53 | ↓ -90% |
| VISTA | COVENTRY MEDICAID | $2,188.05 | ↓ -89% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $2,188.05 | ↓ -89% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $2,188.05 | ↓ -89% |
| MEDICAID | PRESTIGE MD HMO NC | $2,228.57 | ↓ -89% |
| BLUE CROSS | MY BLUE EX | $5,477.52 | ↓ -73% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $7,577.51 | ↓ -63% |
| BLUE CROSS | BCBS MEDICARE PPO | $7,842.73 | ↓ -62% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $8,107.94 | ↓ -60% |
| HUMANA | CAREPLUS MC HMO | $8,259.49 | ↓ -60% |
| HUMANA | HUMANA MEDICARE | $8,259.49 | ↓ -60% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $8,335.26 | ↓ -59% |
| LEON MEDICAL | LEON HEALTH MC HMO | $8,335.26 | ↓ -59% |
| LEON MEDICAL | LEON MED MC HMO NC | $8,335.26 | ↓ -59% |
| AVMED | AVMED MEDICARE | $8,335.26 | ↓ -59% |
| AETNA | AETNA MEDICARE | $8,486.81 | ↓ -59% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $8,638.36 | ↓ -58% |
| MEDICARE MANAGED CARE | PROMINENCE | $9,774.99 | ↓ -52% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $9,884.72 | ↓ -52% |
| MEDICARE | DEVOTED HEALTH MC HMO | $10,229.64 | ↓ -50% |
| AVMED | AVMED ENTRUST | $11,238.36 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $11,553.16 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $11,962.40 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $11,962.40 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $12,780.88 | ↓ -38% |
| AVMED | AVMED HMO | $13,095.68 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $13,221.60 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $13,882.68 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $14,166.00 | ↓ -31% |
| AVMED | AVMED PPO | $15,582.60 | ↓ -24% |
| AETNA | AETNA TIER 2 | $16,054.80 | ↓ -22% |
| AETNA | AETNA HMO | $16,054.80 | ↓ -22% |
| CIGNA | CIGNA HMO | $16,369.60 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $18,888.00 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $18,888.00 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $18,888.00 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $18,888.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $20,399.04 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $20,462.00 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $23,610.00 | ↑ +15% |
| CIGNA | CIGNA PPO | $25,184.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $25,184.00 | ↑ +23% |
| AETNA | AETNA PPO | $25,184.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $25,184.00 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $26,758.00 | ↑ +31% |
| PHCS | PHCS | $28,332.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $28,332.00 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $28,332.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $28,332.00 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $31,480.00 | ↑ +54% |
Visitor-reported prices
Comments
Replace tissue expander w/perm prost 11970 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $2,142.40 | $342.35 – $8,335.26 |
| indian river hospital | Vero Beach | $2,142.40 | $342.35 – $8,335.26 |
| Bethesda Hospital East | BOYNTON BEACH | $20,462.00 | $1,617.00 – $28,332.00 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $7,198.64 – $12,646.87 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $7,198.64 – $16,184.81 |
| Adventhealth Tampa | Tampa | not published | $614.00 – $16,822.08 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $7,198.64 – $16,553.08 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $629.87 – $643.13 |