Revision tips at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$26,740.35
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.
$41,139.00
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.
$4,036.22 with MEDICAID vs $41,139.00 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 | $4,036.22 | ↓ -85% |
| AMERIGROUP | AMERIGROUP | $4,036.22 | ↓ -85% |
| WELLCARE | WELL CARE MD HMONC | $4,238.03 | ↓ -84% |
| UNITED HEALTHCARE | UNITED MD HMO | $4,238.03 | ↓ -84% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $4,238.03 | ↓ -84% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $4,278.39 | ↓ -84% |
| VISTA | COVENTRY MEDICAID | $4,359.12 | ↓ -84% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $4,359.12 | ↓ -84% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $4,359.12 | ↓ -84% |
| MEDICAID | PRESTIGE MD HMO NC | $4,439.84 | ↓ -83% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $5,943.58 | ↓ -78% |
| BLUE CROSS | BCBS MEDICARE PPO | $6,151.61 | ↓ -77% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $6,359.63 | ↓ -76% |
| HUMANA | CAREPLUS MC HMO | $6,478.50 | ↓ -76% |
| HUMANA | HUMANA MEDICARE | $6,478.50 | ↓ -76% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $6,537.94 | ↓ -76% |
| AVMED | AVMED MEDICARE | $6,537.94 | ↓ -76% |
| LEON MEDICAL | LEON HEALTH MC HMO | $6,656.81 | ↓ -75% |
| AETNA | AETNA MEDICARE | $6,656.81 | ↓ -75% |
| LEON MEDICAL | LEON MED MC HMO NC | $6,656.81 | ↓ -75% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $6,775.68 | ↓ -75% |
| BLUE CROSS | MY BLUE EX | $7,199.33 | ↓ -73% |
| UNITED HEALTHCARE | NHP HMO | $7,368.00 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HMO | $7,368.00 | ↓ -72% |
| MEDICARE MANAGED CARE | PROMINENCE | $7,667.22 | ↓ -71% |
| MEDICARE | DEVOTED HEALTH MC HMO | $8,023.83 | ↓ -70% |
| CIGNA | CIGNA HMO | $11,107.53 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $12,917.65 | ↓ -52% |
| AVMED | AVMED ENTRUST | $14,686.62 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $15,098.01 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $15,632.82 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $15,632.82 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $16,702.43 | ↓ -38% |
| AVMED | AVMED HMO | $17,113.82 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $17,278.38 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $18,142.30 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $18,512.55 | ↓ -31% |
| AVMED | AVMED PPO | $20,363.81 | ↓ -24% |
| AETNA | AETNA TIER 2 | $20,980.89 | ↓ -22% |
| AETNA | AETNA HMO | $20,980.89 | ↓ -22% |
| BLUE CROSS | BLUE CARE HMO | $24,683.40 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $24,683.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $26,658.07 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $26,740.35 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $30,854.25 | ↑ +15% |
| AETNA | AETNA PPO | $32,911.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $32,911.20 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $32,911.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $32,911.20 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $34,968.15 | ↑ +31% |
| QUALITY HEALTH | MULTIPLAN | $37,025.10 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $37,025.10 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $37,025.10 | ↑ +38% |
| PHCS | PHCS | $37,025.10 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $41,139.00 | ↑ +54% |
Visitor-reported prices
Comments
Revision tips at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $34,198.27 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $19,980.04 | $5,646.40 – $12,694.89 |
| Adventhealth Tampa | Tampa | $41,443.06 | $5,943.58 – $13,194.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $19,049.05 | $5,646.40 – $12,983.75 |
| Adventhealth Port Charlotte | Port Charlotte | $39,370.91 | $5,943.58 – $10,852.98 |
| cleveland clinic florida weston hospital | Weston | $16,565.25 | $231.76 – $21,662.25 |
| martin north hospital | Stuart | $16,565.25 | $310.55 – $12,742.50 |
| indian river hospital | Vero Beach | $16,565.25 | $231.76 – $20,388.00 |