Mrgfus strtctc ablt trgt icr at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$98,996.95
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.
$152,303.00
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.
$13,562.60 with MEDICARE vs $152,303.00 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 |
|---|---|---|---|
| MEDICARE | SIMPLYHLTH MC HMO NC | $13,562.60 | ↓ -86% |
| BLUE CROSS | BCBS MEDICARE PPO | $14,037.29 | ↓ -86% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $14,511.98 | ↓ -85% |
| HUMANA | HUMANA MEDICARE | $14,783.24 | ↓ -85% |
| HUMANA | CAREPLUS MC HMO | $14,783.24 | ↓ -85% |
| AVMED | AVMED MEDICARE | $14,918.86 | ↓ -85% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $14,918.86 | ↓ -85% |
| LEON MEDICAL | LEON HEALTH MC HMO | $15,190.11 | ↓ -85% |
| LEON MEDICAL | LEON MED MC HMO NC | $15,190.11 | ↓ -85% |
| AETNA | AETNA MEDICARE | $15,190.11 | ↓ -85% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $15,461.37 | ↓ -84% |
| MEDICARE MANAGED CARE | PROMINENCE | $17,495.76 | ↓ -82% |
| MEDICARE | DEVOTED HEALTH MC HMO | $18,309.51 | ↓ -82% |
| BLUE CROSS | MY BLUE EX | $26,653.03 | ↓ -73% |
| CIGNA | CIGNA HMO | $41,121.81 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $47,823.14 | ↓ -52% |
| AVMED | AVMED ENTRUST | $54,372.17 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $55,895.20 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $57,875.14 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $57,875.14 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $61,835.02 | ↓ -38% |
| AVMED | AVMED HMO | $63,358.05 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $63,967.26 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $67,165.62 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $68,536.35 | ↓ -31% |
| AVMED | AVMED PPO | $75,389.99 | ↓ -24% |
| AETNA | AETNA HMO | $77,674.53 | ↓ -22% |
| AETNA | AETNA TIER 2 | $77,674.53 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HMO | $91,381.80 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $91,381.80 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $91,381.80 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $91,381.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $98,692.34 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $98,996.95 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $114,227.25 | ↑ +15% |
| UNITED HEALTHCARE | UNITED PPO | $121,842.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $121,842.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $121,842.40 | ↑ +23% |
| AETNA | AETNA PPO | $121,842.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $129,457.55 | ↑ +31% |
| QUALITY HEALTH | MULTIPLAN | $137,072.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $137,072.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $137,072.70 | ↑ +38% |
| PHCS | PHCS | $137,072.70 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $152,303.00 | ↑ +54% |
Visitor-reported prices
Comments
Mrgfus strtctc ablt trgt icr at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5,720.65 | $872.92 – $13,018.15 |
| martin north hospital | Stuart | $5,720.65 | $2,661.41 – $13,143.32 |
| indian river hospital | Vero Beach | $5,720.65 | $872.92 – $13,018.15 |
| Baptist Hospital | MIAMI | $98,996.95 | $173.17 – $137,072.70 |
| Bethesda Hospital East | BOYNTON BEACH | $98,996.95 | $3,651.00 – $137,072.70 |
| Boca Raton Regional Hospital | BOCA RATON | $94,362.45 | $2,718.00 – $94,797.97 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $98,996.95 | $14,247.96 – $137,072.70 |
| Fishermens Community Hospital | MARATHON | $98,996.95 | $25,434.60 – $137,072.70 |