Heavy metal qual any number at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$23.40
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.
?
What you pay up front if you don't use insurance.
$36.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$6.16 with MEDICAID vs $36.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $6.16 | ↓ -74% |
| AMERIGROUP | AMERIGROUP | $6.16 | ↓ -74% |
| BLUE CROSS | MY BLUE EX | $6.30 | ↓ -73% |
| UNITED HEALTHCARE | UNITED MD HMO | $6.47 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $6.47 | ↓ -72% |
| WELLCARE | WELL CARE MD HMONC | $6.47 | ↓ -72% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $6.53 | ↓ -72% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $6.65 | ↓ -72% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $6.65 | ↓ -72% |
| VISTA | COVENTRY MEDICAID | $6.65 | ↓ -72% |
| MEDICAID | PRESTIGE MD HMO NC | $6.78 | ↓ -71% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $11.30 | ↓ -52% |
| AVMED | AVMED ENTRUST | $12.85 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $13.21 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $13.68 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $13.68 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $14.62 | ↓ -38% |
| AVMED | AVMED HMO | $14.98 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $15.12 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $15.88 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $16.20 | ↓ -31% |
| AVMED | AVMED PPO | $17.82 | ↓ -24% |
| AETNA | AETNA TIER 2 | $18.36 | ↓ -22% |
| AETNA | AETNA HMO | $18.36 | ↓ -22% |
| CIGNA | CIGNA HMO | $18.72 | ↓ -20% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $20.94 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HMO | $21.60 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $21.60 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $21.60 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $21.60 | ↓ -8% |
| BLUE CROSS | BCBS MEDICARE PPO | $21.67 | ↓ -7% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $22.41 | ↓ -4% |
| HUMANA | HUMANA MEDICARE | $22.82 | ↓ -2% |
| HUMANA | CAREPLUS MC HMO | $22.82 | ↓ -2% |
| AVMED | AVMED MEDICARE | $23.03 | ↓ -2% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $23.03 | ↓ -2% |
| BLUE CROSS | BLUE CROSS | $23.33 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $23.40 | ↑ +0% |
| LEON MEDICAL | LEON HEALTH MC HMO | $23.45 | ↑ +0% |
| LEON MEDICAL | LEON MED MC HMO NC | $23.45 | ↑ +0% |
| AETNA | AETNA MEDICARE | $23.45 | ↑ +0% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $23.87 | ↑ +2% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $27.00 | ↑ +15% |
| MEDICARE MANAGED CARE | PROMINENCE | $27.01 | ↑ +15% |
| MEDICARE | DEVOTED HEALTH MC HMO | $28.27 | ↑ +21% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $28.80 | ↑ +23% |
| CIGNA | CIGNA PPO | $28.80 | ↑ +23% |
| AETNA | AETNA PPO | $28.80 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $28.80 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $30.60 | ↑ +31% |
| QUALITY HEALTH | MULTIPLAN | $32.40 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $32.40 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $32.40 | ↑ +38% |
| PHCS | PHCS | $32.40 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $36.00 | ↑ +54% |
Visitor-reported prices
Comments
Heavy metal qual any number at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $23.40 | $6.23 – $32.40 |
| Bethesda Hospital East | BOYNTON BEACH | $23.40 | $6.36 – $32.40 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $23.40 | $6.16 – $32.40 |
| Fishermens Community Hospital | MARATHON | $23.40 | $6.01 – $32.40 |
| Homestead Hospital | HOMESTEAD | $23.40 | $6.12 – $32.40 |
| Mariners Hospital | TAVERNIER | $23.40 | $6.16 – $32.40 |
| West Kendall Baptist Hospital | MIAMI | $23.40 | $6.16 – $32.40 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $19.00 | $20.94 – $79.00 |