Aep thrshld est mlt freq i&r at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$863.85
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.
$1,329.00
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.
$49.03 with AMERIGROUP vs $1,329.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $49.03 | ↓ -94% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $49.03 | ↓ -94% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $51.48 | ↓ -94% |
| WELLCARE | WELL CARE MD HMONC | $51.48 | ↓ -94% |
| UNITED HEALTHCARE | UNITED MD HMO | $51.48 | ↓ -94% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $51.97 | ↓ -94% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $52.95 | ↓ -94% |
| VISTA | COVENTRY MEDICAID | $52.95 | ↓ -94% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $52.95 | ↓ -94% |
| MEDICAID | PRESTIGE MD HMO NC | $53.93 | ↓ -94% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $225.48 | ↓ -74% |
| BLUE CROSS | MY BLUE EX | $232.58 | ↓ -73% |
| BLUE CROSS | BCBS MEDICARE PPO | $233.38 | ↓ -73% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $241.27 | ↓ -72% |
| HUMANA | CAREPLUS MC HMO | $245.78 | ↓ -72% |
| HUMANA | HUMANA MEDICARE | $245.78 | ↓ -72% |
| AVMED | AVMED MEDICARE | $248.03 | ↓ -71% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $248.03 | ↓ -71% |
| LEON MEDICAL | LEON HEALTH MC HMO | $252.54 | ↓ -71% |
| LEON MEDICAL | LEON MED MC HMO NC | $252.54 | ↓ -71% |
| AETNA | AETNA MEDICARE | $252.54 | ↓ -71% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $257.05 | ↓ -70% |
| MEDICARE MANAGED CARE | PROMINENCE | $290.87 | ↓ -66% |
| MEDICARE | DEVOTED HEALTH MC HMO | $304.40 | ↓ -65% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $417.31 | ↓ -52% |
| AVMED | AVMED ENTRUST | $474.45 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $487.74 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $505.02 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $505.02 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $539.57 | ↓ -38% |
| AVMED | AVMED HMO | $552.86 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $558.18 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $586.09 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $598.05 | ↓ -31% |
| AVMED | AVMED PPO | $657.86 | ↓ -24% |
| AETNA | AETNA HMO | $677.79 | ↓ -22% |
| AETNA | AETNA TIER 2 | $677.79 | ↓ -22% |
| CIGNA | CIGNA HMO | $691.08 | ↓ -20% |
| BLUE CROSS | BCBS NETWORKBLUE | $797.40 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $797.40 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $797.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $797.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $861.19 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $863.85 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $996.75 | ↑ +15% |
| CIGNA | CIGNA PPO | $1,063.20 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $1,063.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $1,063.20 | ↑ +23% |
| AETNA | AETNA PPO | $1,063.20 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $1,129.65 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $1,196.10 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $1,196.10 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $1,196.10 | ↑ +38% |
| PHCS | PHCS | $1,196.10 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,329.00 | ↑ +54% |
Visitor-reported prices
Comments
Aep thrshld est mlt freq i&r at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $3,212.94 | $225.48 – $500.57 |
| Adventhealth Port Charlotte | Port Charlotte | $1,916.59 | $225.48 – $411.73 |
| cleveland clinic florida weston hospital | Weston | $1,012.70 | $47.57 – $1,324.30 |
| martin north hospital | Stuart | $1,012.70 | $50.07 – $779.00 |
| Baptist Hospital | MIAMI | $863.85 | $50.58 – $1,196.10 |
| Bethesda Hospital East | BOYNTON BEACH | $863.85 | $50.58 – $1,196.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $863.85 | $49.03 – $1,196.10 |
| Fishermens Community Hospital | MARATHON | $863.85 | $49.03 – $1,196.10 |