M/phmtrc alys ishquant/semiq at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$540.15
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.
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What you pay up front if you don't use insurance.
$831.00
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.
$33.08 with BLUE CROSS vs $240.18 with MEDICARE — 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 | $33.08 | ↓ -94% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $59.35 | ↓ -89% |
| AVMED | AVMED ENTRUST | $67.47 | ↓ -88% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $69.36 | ↓ -87% |
| AETNA | AETNA HMO EXCHANGE | $71.82 | ↓ -87% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $71.82 | ↓ -87% |
| AVMED | AVMED INDIVIDUAL | $76.73 | ↓ -86% |
| AVMED | AVMED HMO | $78.62 | ↓ -85% |
| BLUE CROSS | BLUE SELECT | $79.38 | ↓ -85% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $83.35 | ↓ -85% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $85.05 | ↓ -84% |
| AVMED | AVMED PPO | $93.56 | ↓ -83% |
| AETNA | AETNA HMO | $96.39 | ↓ -82% |
| AETNA | AETNA TIER 2 | $96.39 | ↓ -82% |
| CIGNA | CIGNA HMO | $98.28 | ↓ -82% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $98.66 | ↓ -82% |
| AMERIGROUP | AMERIGROUP | $98.66 | ↓ -82% |
| WELLCARE | WELL CARE MD HMONC | $103.59 | ↓ -81% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $103.59 | ↓ -81% |
| UNITED HEALTHCARE | UNITED MD HMO | $103.59 | ↓ -81% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $104.58 | ↓ -81% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $106.55 | ↓ -80% |
| VISTA | COVENTRY MEDICAID | $106.55 | ↓ -80% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $106.55 | ↓ -80% |
| MEDICAID | PRESTIGE MD HMO NC | $108.53 | ↓ -80% |
| UNITED HEALTHCARE | UNITED HMO | $113.40 | ↓ -79% |
| BLUE CROSS | BLUE CARE HMO | $113.40 | ↓ -79% |
| UNITED HEALTHCARE | NHP HMO | $113.40 | ↓ -79% |
| BLUE CROSS | BCBS NETWORKBLUE | $113.40 | ↓ -79% |
| BLUE CROSS | BLUE CROSS | $122.47 | ↓ -77% |
| INTERNATIONAL | INTERNATIONAL AETNA | $122.85 | ↓ -77% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $141.75 | ↓ -74% |
| AETNA | AETNA PPO | $151.20 | ↓ -72% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $151.20 | ↓ -72% |
| UNITED HEALTHCARE | UNITED PPO | $151.20 | ↓ -72% |
| CIGNA | CIGNA PPO | $151.20 | ↓ -72% |
| AFFORDABLE | AFFORDABLE PPO | $160.65 | ↓ -70% |
| QUALITY HEALTH | MULTIPLAN | $170.10 | ↓ -69% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $170.10 | ↓ -69% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $170.10 | ↓ -69% |
| PHCS | PHCS | $170.10 | ↓ -69% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $177.91 | ↓ -67% |
| BLUE CROSS | BCBS MEDICARE PPO | $184.14 | ↓ -66% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $189.00 | ↓ -65% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $190.37 | ↓ -65% |
| HUMANA | HUMANA MEDICARE | $193.93 | ↓ -64% |
| HUMANA | CAREPLUS MC HMO | $193.93 | ↓ -64% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $195.71 | ↓ -64% |
| AVMED | AVMED MEDICARE | $195.71 | ↓ -64% |
| AETNA | AETNA MEDICARE | $199.26 | ↓ -63% |
| LEON MEDICAL | LEON MED MC HMO NC | $199.26 | ↓ -63% |
| LEON MEDICAL | LEON HEALTH MC HMO | $199.26 | ↓ -63% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $202.82 | ↓ -62% |
| MEDICARE MANAGED CARE | PROMINENCE | $229.51 | ↓ -58% |
| MEDICARE | DEVOTED HEALTH MC HMO | $240.18 | ↓ -56% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $326.82 | $169.02 – $296.94 |
| Adventhealth Lake Wales | Lake Wales | $455.16 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $1,202.54 | $169.02 – $380.01 |
| Adventhealth Tampa | Tampa | $1,666.44 | $177.91 – $394.97 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $745.57 | $169.02 – $388.65 |
| Adventhealth Port Charlotte | Port Charlotte | $1,101.73 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $971.10 | $37.09 – $603.00 |
| martin north hospital | Stuart | $971.10 | $15.00 – $603.00 |