Insj stablj dev w/dcmprn at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$26,020.15
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.
$40,031.00
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.
$7,005.43 with BLUE CROSS vs $40,031.00 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 |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $7,005.43 | ↓ -73% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $10,121.52 | ↓ -61% |
| AMERIGROUP | AMERIGROUP | $10,121.52 | ↓ -61% |
| WELLCARE | WELL CARE MD HMONC | $10,627.60 | ↓ -59% |
| UNITED HEALTHCARE | UNITED MD HMO | $10,627.60 | ↓ -59% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $10,627.60 | ↓ -59% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $10,728.81 | ↓ -59% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $10,931.24 | ↓ -58% |
| VISTA | COVENTRY MEDICAID | $10,931.24 | ↓ -58% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $10,931.24 | ↓ -58% |
| MEDICAID | PRESTIGE MD HMO NC | $11,133.67 | ↓ -57% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $12,569.73 | ↓ -52% |
| AVMED | AVMED ENTRUST | $14,291.07 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $14,691.38 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $15,211.78 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $15,211.78 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $16,252.59 | ↓ -38% |
| AVMED | AVMED HMO | $16,652.90 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $16,813.02 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $17,653.67 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $18,013.95 | ↓ -31% |
| AVMED | AVMED PPO | $19,815.35 | ↓ -24% |
| AETNA | AETNA TIER 2 | $20,415.81 | ↓ -22% |
| AETNA | AETNA HMO | $20,415.81 | ↓ -22% |
| CIGNA | CIGNA HMO | $20,816.12 | ↓ -20% |
| BLUE CROSS | BCBS NETWORKBLUE | $24,018.60 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $24,018.60 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $24,018.60 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $24,018.60 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $25,940.09 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $26,020.15 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $30,023.25 | ↑ +15% |
| AETNA | AETNA PPO | $32,024.80 | ↑ +23% |
| CIGNA | CIGNA PPO | $32,024.80 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $32,024.80 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $32,024.80 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $34,026.35 | ↑ +31% |
| QUALITY HEALTH | MULTIPLAN | $36,027.90 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $36,027.90 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $36,027.90 | ↑ +38% |
| PHCS | PHCS | $36,027.90 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $40,031.00 | ↑ +54% |
Visitor-reported prices
Comments
Insj stablj dev w/dcmprn at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $1,040.00 | $190.42 – $12,346.69 |
| martin north hospital | Stuart | $1,040.00 | $249.50 – $10,803.36 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $5,658.26 – $5,777.38 |
| indian river hospital | Vero Beach | not published | $9,774.46 – $12,346.69 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA | not published | $5,743.91 – $5,864.83 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $5,940.97 – $6,066.04 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $6,169.39 – $6,299.27 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE | not published | $5,264.13 – $5,541.19 |