Ot evaluation high complexity patient/family at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$586.95
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.
$903.00
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.
$103.05 with MEDICARE vs $903.00 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 | $103.05 | ↓ -82% |
| BLUE CROSS | BCBS MEDICARE PPO | $106.66 | ↓ -82% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $110.26 | ↓ -81% |
| HUMANA | HUMANA MEDICARE | $112.32 | ↓ -81% |
| HUMANA | CAREPLUS MC HMO | $112.32 | ↓ -81% |
| AVMED | AVMED MEDICARE | $113.36 | ↓ -81% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $113.36 | ↓ -81% |
| LEON MEDICAL | LEON HEALTH MC HMO | $115.42 | ↓ -80% |
| AETNA | AETNA MEDICARE | $115.42 | ↓ -80% |
| LEON MEDICAL | LEON MED MC HMO NC | $115.42 | ↓ -80% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $117.48 | ↓ -80% |
| MEDICARE MANAGED CARE | PROMINENCE | $132.93 | ↓ -77% |
| MEDICARE | DEVOTED HEALTH MC HMO | $139.12 | ↓ -76% |
| BLUE CROSS | MY BLUE EX | $158.03 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $283.54 | ↓ -52% |
| AVMED | AVMED ENTRUST | $322.37 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $331.40 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $343.14 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $343.14 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $366.62 | ↓ -38% |
| AVMED | AVMED HMO | $375.65 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $379.26 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $398.22 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $406.35 | ↓ -31% |
| AVMED | AVMED PPO | $446.99 | ↓ -24% |
| AETNA | AETNA HMO | $460.53 | ↓ -22% |
| AETNA | AETNA TIER 2 | $460.53 | ↓ -22% |
| CIGNA | CIGNA HMO | $469.56 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $541.80 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $541.80 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $541.80 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $541.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $585.14 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $586.95 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $677.25 | ↑ +15% |
| UNITED HEALTHCARE | UNITED PPO | $722.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $722.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $722.40 | ↑ +23% |
| AETNA | AETNA PPO | $722.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $767.55 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $812.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $812.70 | ↑ +38% |
| PHCS | PHCS | $812.70 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $812.70 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $903.00 | ↑ +54% |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $369.90 | $93.63 – $164.50 |
| Adventhealth Lake Wales | Lake Wales | $758.39 | $98.56 – $218.80 |
| Adventhealth Palm Coast Parkway | Palm Coast | $474.36 | not published |
| Adventhealth Tampa | Tampa | $846.31 | $98.56 – $218.80 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $562.30 | $93.63 – $215.30 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $1,109.00 | $69.39 – $104.08 |
| Adventhealth Port Charlotte | Port Charlotte | $906.00 | not published |
| cleveland clinic florida weston hospital | Weston | $547.95 | $66.98 – $716.55 |