_afb org id by sequencing rflx ast-sendout at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$264.55
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.
$407.00
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.
$47.08 with BLUE CROSS vs $269.00 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 | $47.08 | ↓ -82% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $84.47 | ↓ -68% |
| AMERIGROUP | AMERIGROUP | $91.23 | ↓ -66% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $91.23 | ↓ -66% |
| WELLCARE | WELL CARE MD HMONC | $95.79 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $95.79 | ↓ -64% |
| UNITED HEALTHCARE | UNITED MD HMO | $95.79 | ↓ -64% |
| AVMED | AVMED ENTRUST | $96.03 | ↓ -64% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $96.70 | ↓ -63% |
| VISTA | COVENTRY MEDICAID | $98.53 | ↓ -63% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $98.53 | ↓ -63% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $98.53 | ↓ -63% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $98.72 | ↓ -63% |
| MEDICAID | PRESTIGE MD HMO NC | $100.35 | ↓ -62% |
| AETNA | AETNA HMO EXCHANGE | $102.22 | ↓ -61% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $102.22 | ↓ -61% |
| AVMED | AVMED INDIVIDUAL | $109.21 | ↓ -59% |
| AVMED | AVMED HMO | $111.90 | ↓ -58% |
| BLUE CROSS | BLUE SELECT | $112.98 | ↓ -57% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $115.36 | ↓ -56% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $118.63 | ↓ -55% |
| BLUE CROSS | BCBS MEDICARE PPO | $119.40 | ↓ -55% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $121.05 | ↓ -54% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $123.44 | ↓ -53% |
| HUMANA | HUMANA MEDICARE | $125.74 | ↓ -52% |
| HUMANA | CAREPLUS MC HMO | $125.74 | ↓ -52% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $126.90 | ↓ -52% |
| AVMED | AVMED MEDICARE | $126.90 | ↓ -52% |
| LEON MEDICAL | LEON HEALTH MC HMO | $129.20 | ↓ -51% |
| AETNA | AETNA MEDICARE | $129.20 | ↓ -51% |
| LEON MEDICAL | LEON MED MC HMO NC | $129.20 | ↓ -51% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $131.51 | ↓ -50% |
| AVMED | AVMED PPO | $133.16 | ↓ -50% |
| AETNA | AETNA HMO | $137.19 | ↓ -48% |
| AETNA | AETNA TIER 2 | $137.19 | ↓ -48% |
| CIGNA | CIGNA HMO | $139.88 | ↓ -47% |
| MEDICARE MANAGED CARE | PROMINENCE | $148.81 | ↓ -44% |
| MEDICARE | DEVOTED HEALTH MC HMO | $155.74 | ↓ -41% |
| UNITED HEALTHCARE | NHP HMO | $161.40 | ↓ -39% |
| BLUE CROSS | BLUE CARE HMO | $161.40 | ↓ -39% |
| UNITED HEALTHCARE | UNITED HMO | $161.40 | ↓ -39% |
| BLUE CROSS | BCBS NETWORKBLUE | $161.40 | ↓ -39% |
| BLUE CROSS | BLUE CROSS | $174.31 | ↓ -34% |
| INTERNATIONAL | INTERNATIONAL AETNA | $174.85 | ↓ -34% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $201.75 | ↓ -24% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $215.20 | ↓ -19% |
| AETNA | AETNA PPO | $215.20 | ↓ -19% |
| UNITED HEALTHCARE | UNITED PPO | $215.20 | ↓ -19% |
| CIGNA | CIGNA PPO | $215.20 | ↓ -19% |
| AFFORDABLE | AFFORDABLE PPO | $228.65 | ↓ -14% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $242.10 | ↓ -8% |
| QUALITY HEALTH | MULTIPLAN | $242.10 | ↓ -8% |
| PHCS | PHCS | $242.10 | ↓ -8% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $242.10 | ↓ -8% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $269.00 | ↑ +2% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $317.96 | $109.59 – $192.54 |
| Adventhealth Lake Wales | Lake Wales | $381.55 | $115.36 – $256.10 |
| Adventhealth Palm Coast Parkway | Palm Coast | $317.96 | $109.59 – $246.40 |
| Adventhealth Tampa | Tampa | $1,780.58 | $115.36 – $256.10 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $295.94 | $109.59 – $252.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $76.00 | $92.29 – $224.51 |
| Adventhealth Port Charlotte | Port Charlotte | $770.20 | $115.36 – $210.65 |
| cleveland clinic florida weston hospital | Weston | $556.40 | $92.55 – $727.60 |