Apl(pml-rara) quant - sendout at Mariners Hospital
91500 OVERSEAS HIGHWAY, TAVERNIER, FL · Baptist Health South Florida · · NPI 1518941806
$453.05
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.
$697.00
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.
$81.15 with AMERIGROUP vs $697.00 with BLUE CROSS — 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $81.15 | ↓ -82% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $81.15 | ↓ -82% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $81.15 | ↓ -82% |
| UNITED HEALTHCARE | UNITED MD HMO | $81.15 | ↓ -82% |
| WELLCARE | WELL CARE MD HMONC | $85.20 | ↓ -81% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $86.02 | ↓ -81% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $87.64 | ↓ -81% |
| VISTA | COVENTRY MEDICAID | $87.64 | ↓ -81% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $87.64 | ↓ -81% |
| MEDICAID | PRESTIGE MD HMO NC | $89.26 | ↓ -80% |
| BLUE CROSS | MY BLUE EX | $120.58 | ↓ -73% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $146.37 | ↓ -68% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $146.37 | ↓ -68% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $146.37 | ↓ -68% |
| LEON MEDICAL | LEON MED MC HMO NC | $146.37 | ↓ -68% |
| BLUE CROSS | BCBS MEDICARE PPO | $146.37 | ↓ -68% |
| LEON MEDICAL | LEON HEALTH MC HMO | $146.37 | ↓ -68% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $146.37 | ↓ -68% |
| HUMANA | HUMANA MEDICARE | $159.54 | ↓ -65% |
| HUMANA | CAREPLUS MC HMO | $159.54 | ↓ -65% |
| AETNA | AETNA MEDICARE | $160.31 | ↓ -65% |
| AVMED | AVMED MEDICARE | $161.01 | ↓ -64% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $166.86 | ↓ -63% |
| MEDICARE MANAGED CARE | PROMINENCE | $188.82 | ↓ -58% |
| MEDICARE | DEVOTED HEALTH MC HMO | $197.60 | ↓ -56% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $255.80 | ↓ -44% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $448.87 | ↓ -1% |
| INTERNATIONAL | INTERNATIONAL AETNA | $453.05 | ↑ +0% |
| AVMED | AVMED ENTRUST | $479.54 | ↑ +6% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $494.87 | ↑ +9% |
| AETNA | AETNA HMO EXCHANGE | $494.87 | ↑ +9% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $522.75 | ↑ +15% |
| BLUE CROSS | BLUE SELECT | $522.75 | ↑ +15% |
| BLUE CROSS | BLUE CARE HMO | $522.75 | ↑ +15% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $522.75 | ↑ +15% |
| BLUE CROSS | BCBS PPC CAH | $522.75 | ↑ +15% |
| AETNA | AETNA CATASTROPHIC | $557.60 | ↑ +23% |
| CIGNA | CIGNA HMO | $557.60 | ↑ +23% |
| CIGNA | CIGNA PPO | $557.60 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $557.60 | ↑ +23% |
| UNITED HEALTHCARE | NHP HMO | $557.60 | ↑ +23% |
| AETNA | AETNA TIER 2 | $557.60 | ↑ +23% |
| AETNA | AETNA PPO | $557.60 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HMO | $557.60 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $557.60 | ↑ +23% |
| AETNA | AETNA HMO | $557.60 | ↑ +23% |
| AVMED | AVMED INDIVIDUAL | $578.51 | ↑ +28% |
| AVMED | AVMED HMO | $578.51 | ↑ +28% |
| AVMED | AVMED PPO | $578.51 | ↑ +28% |
| QUALITY HEALTH | MULTIPLAN | $627.30 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $627.30 | ↑ +38% |
| BLUE CROSS | BCBS PHS CAH | $627.30 | ↑ +38% |
| PHCS | PHCS | $627.30 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $627.30 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $697.00 | ↑ +54% |
| BLUE CROSS | BLUE CROSS | $697.00 | ↑ +54% |
| BLUE CROSS | BCBS NETWORKBLUE | $697.00 | ↑ +54% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $3,199.83 | $207.31 – $460.23 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $107.00 | $105.14 – $300.60 |
| Adventhealth Port Charlotte | Port Charlotte | $1,384.57 | $207.31 – $378.55 |
| cleveland clinic florida weston hospital | Weston | $929.50 | $76.88 – $1,215.50 |
| martin north hospital | Stuart | $929.50 | $80.93 – $1,072.50 |
| Baptist Hospital | MIAMI | $453.05 | $83.71 – $627.30 |
| Bethesda Hospital East | BOYNTON BEACH | $453.05 | $83.71 – $627.30 |
| Boca Raton Regional Hospital | BOCA RATON | $534.95 | $116.28 – $323.00 |