Tc-99m tilmanocept diag at Baptist Health Hospital Doral
6200 SW 73 STREET, SOUTH MIAMI, FL · Baptist Health South Florida · · NPI 1982688230
$1,258.40
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.
$1,936.00
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.
$336.86 with BLUE CROSS vs $1,936.00 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 | $336.86 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $607.90 | ↓ -52% |
| AVMED | AVMED ENTRUST | $691.15 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $710.51 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $735.68 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $735.68 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $786.02 | ↓ -38% |
| AVMED | AVMED HMO | $805.38 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $813.12 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $853.78 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $871.20 | ↓ -31% |
| AVMED | AVMED PPO | $958.32 | ↓ -24% |
| AETNA | AETNA HMO | $987.36 | ↓ -22% |
| AETNA | AETNA TIER 2 | $987.36 | ↓ -22% |
| CIGNA | CIGNA HMO | $1,122.88 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HMO | $1,161.60 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $1,161.60 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,161.60 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $1,161.60 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $1,254.53 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $1,258.40 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $1,452.00 | ↑ +15% |
| CIGNA | CIGNA PPO | $1,548.80 | ↑ +23% |
| AETNA | AETNA PPO | $1,548.80 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $1,548.80 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $1,548.80 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $1,645.60 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $1,742.40 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $1,742.40 | ↑ +38% |
| PHCS | PHCS | $1,742.40 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $1,742.40 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,936.00 | ↑ +54% |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $850.85 | $199.92 – $1,390.00 |
| martin north hospital | Stuart | $850.85 | $247.52 – $892.50 |
| indian river hospital | Vero Beach | $850.85 | $279.65 – $1,575.00 |
| Baptist Hospital | MIAMI | $1,258.40 | $173.17 – $1,742.40 |
| Bethesda Hospital East | BOYNTON BEACH | $1,258.40 | $389.14 – $1,936.00 |
| Boca Raton Regional Hospital | BOCA RATON | $1,044.55 | $476.00 – $1,049.37 |
| Doctors Hospital | CORAL GABLES | $1,258.40 | $338.80 – $1,742.40 |
| Fishermens Community Hospital | MARATHON | $1,258.40 | $323.31 – $1,742.40 |