healthcosts.net
Established Patient Office Visit (level 1) at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$360.75
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.
$555.00
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.
$28.35 with BLUE CROSS vs $162.00 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 | $28.35 | ↓ -92% |
| AVMED | AVMED ENTRUST | $57.83 | ↓ -84% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $59.45 | ↓ -84% |
| AETNA | AETNA HMO EXCHANGE | $61.56 | ↓ -83% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $61.56 | ↓ -83% |
| AVMED | AVMED INDIVIDUAL | $65.77 | ↓ -82% |
| AVMED | AVMED HMO | $67.39 | ↓ -81% |
| BLUE CROSS | BLUE SELECT | $68.04 | ↓ -81% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $71.44 | ↓ -80% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $72.90 | ↓ -80% |
| AVMED | AVMED PPO | $80.19 | ↓ -78% |
| AETNA | AETNA HMO | $82.62 | ↓ -77% |
| AETNA | AETNA TIER 2 | $82.62 | ↓ -77% |
| CIGNA | CIGNA HMO | $91.53 | ↓ -75% |
| BLUE CROSS | BCBS NETWORKBLUE | $97.20 | ↓ -73% |
| BLUE CROSS | BLUE CARE HMO | $97.20 | ↓ -73% |
| UNITED HEALTHCARE | NHP HMO | $97.20 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HMO | $97.20 | ↓ -73% |
| BLUE CROSS | BLUE CROSS | $104.98 | ↓ -71% |
| INTERNATIONAL | INTERNATIONAL AETNA | $105.30 | ↓ -71% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $121.50 | ↓ -66% |
| AETNA | AETNA PPO | $129.60 | ↓ -64% |
| CIGNA | CIGNA PPO | $129.60 | ↓ -64% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $129.60 | ↓ -64% |
| UNITED HEALTHCARE | UNITED PPO | $129.60 | ↓ -64% |
| AFFORDABLE | AFFORDABLE PPO | $137.70 | ↓ -62% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $145.80 | ↓ -60% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $145.80 | ↓ -60% |
| PHCS | PHCS | $145.80 | ↓ -60% |
| QUALITY HEALTH | MULTIPLAN | $145.80 | ↓ -60% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $158.88 | ↓ -56% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $162.00 | ↓ -55% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $122.20 | $5.59 – $159.80 |
| martin north hospital | Stuart | $122.20 | $6.99 – $94.00 |
| indian river hospital | Vero Beach | $122.20 | $5.59 – $150.40 |
| Baptist Hospital | MIAMI | $360.75 | $7.79 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $439.40 | $10.31 – $101.71 |
| Boca Raton Regional Hospital | BOCA RATON | $945.75 | $132.44 – $403.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $439.40 | $7.83 – $40.50 |
| Fishermens Community Hospital | MARATHON | $439.40 | $84.50 – $455.40 |