Anl sp inf pmp w/mdreprg&fil at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$733.85
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.
$1,129.00
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.
$84.66 with MEDICAID vs $1,129.00 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 | $84.66 | ↓ -88% |
| AMERIGROUP | AMERIGROUP | $84.66 | ↓ -88% |
| UNITED HEALTHCARE | UNITED MD HMO | $88.89 | ↓ -88% |
| WELLCARE | WELL CARE MD HMONC | $88.89 | ↓ -88% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $88.89 | ↓ -88% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $89.74 | ↓ -88% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $91.43 | ↓ -88% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $91.43 | ↓ -88% |
| VISTA | COVENTRY MEDICAID | $91.43 | ↓ -88% |
| MEDICAID | PRESTIGE MD HMO NC | $93.12 | ↓ -87% |
| BLUE CROSS | MY BLUE EX | $197.58 | ↓ -73% |
| CIGNA | CIGNA HMO | $304.83 | ↓ -58% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $320.74 | ↓ -56% |
| BLUE CROSS | BCBS MEDICARE PPO | $331.96 | ↓ -55% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $343.19 | ↓ -53% |
| HUMANA | CAREPLUS MC HMO | $349.60 | ↓ -52% |
| HUMANA | HUMANA MEDICARE | $349.60 | ↓ -52% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $352.81 | ↓ -52% |
| AVMED | AVMED MEDICARE | $352.81 | ↓ -52% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $354.51 | ↓ -52% |
| LEON MEDICAL | LEON MED MC HMO NC | $359.23 | ↓ -51% |
| AETNA | AETNA MEDICARE | $359.23 | ↓ -51% |
| LEON MEDICAL | LEON HEALTH MC HMO | $359.23 | ↓ -51% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $365.64 | ↓ -50% |
| UNITED HEALTHCARE | UNITED HMO | $366.00 | ↓ -50% |
| UNITED HEALTHCARE | NHP HMO | $366.00 | ↓ -50% |
| AVMED | AVMED ENTRUST | $403.05 | ↓ -45% |
| MEDICARE MANAGED CARE | PROMINENCE | $413.75 | ↓ -44% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $414.34 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $429.02 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $429.02 | ↓ -42% |
| MEDICARE | DEVOTED HEALTH MC HMO | $433.00 | ↓ -41% |
| AVMED | AVMED INDIVIDUAL | $458.37 | ↓ -38% |
| AVMED | AVMED HMO | $469.66 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $474.18 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $497.89 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $508.05 | ↓ -31% |
| AVMED | AVMED PPO | $558.86 | ↓ -24% |
| AETNA | AETNA HMO | $575.79 | ↓ -22% |
| AETNA | AETNA TIER 2 | $575.79 | ↓ -22% |
| BLUE CROSS | BCBS NETWORKBLUE | $677.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $677.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $731.59 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $733.85 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $846.75 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $903.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $903.20 | ↑ +23% |
| AETNA | AETNA PPO | $903.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $903.20 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $959.65 | ↑ +31% |
| QUALITY HEALTH | MULTIPLAN | $1,016.10 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $1,016.10 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $1,016.10 | ↑ +38% |
| PHCS | PHCS | $1,016.10 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,129.00 | ↑ +54% |
Visitor-reported prices
Comments
Anl sp inf pmp w/mdreprg&fil at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,680.90 | $22.19 – $2,198.10 |
| martin north hospital | Stuart | $257.40 | $35.86 – $352.81 |
| indian river hospital | Vero Beach | $257.40 | $22.19 – $352.81 |
| Baptist Hospital | MIAMI | $733.85 | $87.33 – $1,016.10 |
| Bethesda Hospital East | BOYNTON BEACH | $733.85 | $87.33 – $1,016.10 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $733.85 | $84.66 – $1,016.10 |
| Homestead Hospital | HOMESTEAD | $733.85 | $84.66 – $1,016.10 |
| West Kendall Baptist Hospital | MIAMI | $733.85 | $84.66 – $1,016.10 |