Sim ang w/prs cath rad emb at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$31,254.60
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.
$48,084.00
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.
$8,414.70 with BLUE CROSS vs $48,084.00 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 |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $8,414.70 | ↓ -73% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $12,055.35 | ↓ -61% |
| BLUE CROSS | BCBS MEDICARE PPO | $12,477.29 | ↓ -60% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $12,899.23 | ↓ -59% |
| HUMANA | HUMANA MEDICARE | $13,140.34 | ↓ -58% |
| HUMANA | CAREPLUS MC HMO | $13,140.34 | ↓ -58% |
| AVMED | AVMED MEDICARE | $13,260.89 | ↓ -58% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $13,260.89 | ↓ -58% |
| LEON MEDICAL | LEON HEALTH MC HMO | $13,502.00 | ↓ -57% |
| LEON MEDICAL | LEON MED MC HMO NC | $13,502.00 | ↓ -57% |
| AETNA | AETNA MEDICARE | $13,502.00 | ↓ -57% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $13,743.10 | ↓ -56% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $15,098.38 | ↓ -52% |
| MEDICARE MANAGED CARE | PROMINENCE | $15,551.41 | ↓ -50% |
| MEDICARE | DEVOTED HEALTH MC HMO | $16,274.73 | ↓ -48% |
| AVMED | AVMED ENTRUST | $17,165.99 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $17,646.83 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $18,271.92 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $18,271.92 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $19,522.10 | ↓ -38% |
| AVMED | AVMED HMO | $20,002.94 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $20,195.28 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $21,205.04 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $21,637.80 | ↓ -31% |
| AVMED | AVMED PPO | $23,801.58 | ↓ -24% |
| AETNA | AETNA TIER 2 | $24,522.84 | ↓ -22% |
| AETNA | AETNA HMO | $24,522.84 | ↓ -22% |
| CIGNA | CIGNA HMO | $25,003.68 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $28,850.40 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $28,850.40 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $28,850.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $28,850.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $31,158.43 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $31,254.60 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $36,063.00 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $38,467.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $38,467.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $38,467.20 | ↑ +23% |
| AETNA | AETNA PPO | $38,467.20 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $40,871.40 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $43,275.60 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $43,275.60 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $43,275.60 | ↑ +38% |
| PHCS | PHCS | $43,275.60 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $48,084.00 | ↑ +54% |
Visitor-reported prices
Comments
Sim ang w/prs cath rad emb at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Tampa | Tampa | $25,107.44 | $12,055.35 – $26,762.89 |
| Baptist Hospital | MIAMI | $31,254.60 | $173.17 – $43,275.60 |
| Bethesda Hospital East | BOYNTON BEACH | $31,254.60 | $959.00 – $43,275.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $31,254.60 | $8,366.62 – $43,275.60 |
| Homestead Hospital | HOMESTEAD | $31,254.60 | $167.89 – $43,275.60 |
| West Kendall Baptist Hospital | MIAMI | $31,254.60 | $8,222.36 – $43,275.60 |
| Adventhealth Riverview | Riverview | $25,107.44 | not published |
| Adventhealth Daytona Beach | Daytona Beach | not published | $11,452.59 – $20,120.39 |