Repair blood vessel w/graft lower extremity 35286 at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$20,522.45
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.
$31,573.00
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.
$2,491.97 with MEDICAID vs $15,787.00 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 |
|---|---|---|---|
| MEDICAID | SIMPLYHLTH MD HMO NC | $2,491.97 | ↓ -88% |
| AMERIGROUP | AMERIGROUP | $2,491.97 | ↓ -88% |
| WELLCARE | WELL CARE MD HMONC | $2,616.57 | ↓ -87% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $2,616.57 | ↓ -87% |
| UNITED HEALTHCARE | UNITED MD HMO | $2,616.57 | ↓ -87% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $2,641.49 | ↓ -87% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $2,691.33 | ↓ -87% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $2,691.33 | ↓ -87% |
| VISTA | COVENTRY MEDICAID | $2,691.33 | ↓ -87% |
| MEDICAID | PRESTIGE MD HMO NC | $2,741.17 | ↓ -87% |
| BLUE CROSS | MY BLUE EX | $2,762.73 | ↓ -87% |
| UNITED HEALTHCARE | UNITED HMO | $4,072.00 | ↓ -80% |
| UNITED HEALTHCARE | NHP HMO | $4,072.00 | ↓ -80% |
| CIGNA | CIGNA HMO | $4,262.49 | ↓ -79% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $4,957.12 | ↓ -76% |
| AVMED | AVMED ENTRUST | $5,635.96 | ↓ -73% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $5,793.83 | ↓ -72% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $5,810.88 | ↓ -72% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $5,999.06 | ↓ -71% |
| AETNA | AETNA HMO EXCHANGE | $5,999.06 | ↓ -71% |
| BLUE CROSS | BCBS MEDICARE PPO | $6,014.26 | ↓ -71% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $6,217.64 | ↓ -70% |
| HUMANA | HUMANA MEDICARE | $6,333.85 | ↓ -69% |
| HUMANA | CAREPLUS MC HMO | $6,333.85 | ↓ -69% |
| AVMED | AVMED MEDICARE | $6,391.96 | ↓ -69% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $6,391.96 | ↓ -69% |
| AVMED | AVMED INDIVIDUAL | $6,409.52 | ↓ -69% |
| AETNA | AETNA MEDICARE | $6,508.18 | ↓ -68% |
| LEON MEDICAL | LEON MED MC HMO NC | $6,508.18 | ↓ -68% |
| LEON MEDICAL | LEON HEALTH MC HMO | $6,508.18 | ↓ -68% |
| AVMED | AVMED HMO | $6,567.39 | ↓ -68% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $6,624.40 | ↓ -68% |
| BLUE CROSS | BLUE SELECT | $6,630.54 | ↓ -68% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $6,962.07 | ↓ -66% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $7,104.15 | ↓ -65% |
| MEDICARE MANAGED CARE | PROMINENCE | $7,496.03 | ↓ -63% |
| AVMED | AVMED PPO | $7,814.57 | ↓ -62% |
| MEDICARE | DEVOTED HEALTH MC HMO | $7,844.68 | ↓ -62% |
| AETNA | AETNA TIER 2 | $8,051.37 | ↓ -61% |
| AETNA | AETNA HMO | $8,051.37 | ↓ -61% |
| BLUE CROSS | BLUE CARE HMO | $9,472.20 | ↓ -54% |
| BLUE CROSS | BCBS NETWORKBLUE | $9,472.20 | ↓ -54% |
| BLUE CROSS | BLUE CROSS | $10,229.98 | ↓ -50% |
| INTERNATIONAL | INTERNATIONAL AETNA | $10,261.55 | ↓ -50% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $11,840.25 | ↓ -42% |
| AETNA | AETNA PPO | $12,629.60 | ↓ -38% |
| CIGNA | CIGNA PPO | $12,629.60 | ↓ -38% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $12,629.60 | ↓ -38% |
| UNITED HEALTHCARE | UNITED PPO | $12,629.60 | ↓ -38% |
| AFFORDABLE | AFFORDABLE PPO | $13,418.95 | ↓ -35% |
| QUALITY HEALTH | MULTIPLAN | $14,208.30 | ↓ -31% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $14,208.30 | ↓ -31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $14,208.30 | ↓ -31% |
| PHCS | PHCS | $14,208.30 | ↓ -31% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $15,787.00 | ↓ -23% |
Visitor-reported prices
Comments
Repair blood vessel w/graft lower extremity 35286 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $4,955.60 | $633.61 – $7,624.00 |
| martin north hospital | Stuart | $4,955.60 | $766.48 – $7,624.00 |
| Baptist Hospital | MIAMI | $20,522.45 | $173.17 – $14,208.30 |
| Bethesda Hospital East | BOYNTON BEACH | $20,522.45 | $2,570.65 – $14,208.30 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $20,522.45 | $2,491.97 – $14,208.30 |
| Homestead Hospital | HOMESTEAD | $20,522.45 | $167.89 – $14,208.30 |
| West Kendall Baptist Hospital | MIAMI | $20,522.45 | $2,491.97 – $14,208.30 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,520.33 – $9,698.35 |