Rmv&rplcmt phrnc nrv stim pg at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$85,705.10
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.
$131,854.00
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.
$11,907.38 with MEDICAID vs $131,854.00 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 | $11,907.38 | ↓ -86% |
| AMERIGROUP | AMERIGROUP | $11,907.38 | ↓ -86% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $12,502.74 | ↓ -85% |
| UNITED HEALTHCARE | UNITED MD HMO | $12,502.74 | ↓ -85% |
| WELLCARE | WELL CARE MD HMONC | $12,502.74 | ↓ -85% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $12,621.82 | ↓ -85% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $12,859.97 | ↓ -85% |
| VISTA | COVENTRY MEDICAID | $12,859.97 | ↓ -85% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $12,859.97 | ↓ -85% |
| MEDICAID | PRESTIGE MD HMO NC | $13,098.11 | ↓ -85% |
| BLUE CROSS | MY BLUE EX | $23,074.45 | ↓ -73% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $32,224.05 | ↓ -62% |
| BLUE CROSS | BCBS MEDICARE PPO | $33,351.89 | ↓ -61% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $34,479.73 | ↓ -60% |
| HUMANA | CAREPLUS MC HMO | $35,124.21 | ↓ -59% |
| HUMANA | HUMANA MEDICARE | $35,124.21 | ↓ -59% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $35,446.45 | ↓ -59% |
| AVMED | AVMED MEDICARE | $35,446.45 | ↓ -59% |
| CIGNA | CIGNA HMO | $35,600.58 | ↓ -58% |
| LEON MEDICAL | LEON MED MC HMO NC | $36,090.93 | ↓ -58% |
| AETNA | AETNA MEDICARE | $36,090.93 | ↓ -58% |
| LEON MEDICAL | LEON HEALTH MC HMO | $36,090.93 | ↓ -58% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $36,735.41 | ↓ -57% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $41,402.16 | ↓ -52% |
| MEDICARE MANAGED CARE | PROMINENCE | $41,569.02 | ↓ -51% |
| MEDICARE | DEVOTED HEALTH MC HMO | $43,502.46 | ↓ -49% |
| AVMED | AVMED ENTRUST | $47,071.88 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $48,390.42 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $50,104.52 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $50,104.52 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $53,532.72 | ↓ -38% |
| AVMED | AVMED HMO | $54,851.26 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $55,378.68 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $58,147.61 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $59,334.30 | ↓ -31% |
| AVMED | AVMED PPO | $65,267.73 | ↓ -24% |
| AETNA | AETNA TIER 2 | $67,245.54 | ↓ -22% |
| AETNA | AETNA HMO | $67,245.54 | ↓ -22% |
| UNITED HEALTHCARE | NHP HMO | $79,112.40 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $79,112.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $79,112.40 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $79,112.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $85,441.39 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $85,705.10 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $98,890.50 | ↑ +15% |
| CIGNA | CIGNA PPO | $105,483.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $105,483.20 | ↑ +23% |
| AETNA | AETNA PPO | $105,483.20 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $105,483.20 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $112,075.90 | ↑ +31% |
| PHCS | PHCS | $118,668.60 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $118,668.60 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $118,668.60 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $118,668.60 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $131,854.00 | ↑ +54% |
Visitor-reported prices
Comments
Rmv&rplcmt phrnc nrv stim pg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $85,705.10 | $173.17 – $118,668.60 |
| Bethesda Hospital East | BOYNTON BEACH | $85,705.10 | $3,651.00 – $118,668.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $85,705.10 | $11,907.38 – $118,668.60 |
| Fishermens Community Hospital | MARATHON | $85,705.10 | $11,907.38 – $118,668.60 |
| West Kendall Baptist Hospital | MIAMI | $85,705.10 | $11,907.38 – $118,668.60 |
| AdventHealth Orlando | Orlando | $43,741.00 | $32,224.05 – $85,393.72 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $30,612.84 – $53,781.93 |
| Adventhealth Tampa | Tampa | not published | $32,224.05 – $71,537.38 |