Tbs techl calculation only at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$253.50
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.
$390.00
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.
$46.38 with MEDICAID vs $390.00 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 | $46.38 | ↓ -82% |
| AMERIGROUP | AMERIGROUP | $46.38 | ↓ -82% |
| WELLCARE | WELL CARE MD HMONC | $48.70 | ↓ -81% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $48.70 | ↓ -81% |
| UNITED HEALTHCARE | UNITED MD HMO | $48.70 | ↓ -81% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $49.16 | ↓ -81% |
| VISTA | COVENTRY MEDICAID | $50.09 | ↓ -80% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $50.09 | ↓ -80% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $50.09 | ↓ -80% |
| MEDICAID | PRESTIGE MD HMO NC | $51.02 | ↓ -80% |
| BLUE CROSS | MY BLUE EX | $68.25 | ↓ -73% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $90.88 | ↓ -64% |
| BLUE CROSS | BCBS MEDICARE PPO | $94.06 | ↓ -63% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $97.24 | ↓ -62% |
| HUMANA | CAREPLUS MC HMO | $99.06 | ↓ -61% |
| HUMANA | HUMANA MEDICARE | $99.06 | ↓ -61% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $99.97 | ↓ -61% |
| AVMED | AVMED MEDICARE | $99.97 | ↓ -61% |
| LEON MEDICAL | LEON HEALTH MC HMO | $101.78 | ↓ -60% |
| AETNA | AETNA MEDICARE | $101.78 | ↓ -60% |
| LEON MEDICAL | LEON MED MC HMO NC | $101.78 | ↓ -60% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $103.60 | ↓ -59% |
| MEDICARE MANAGED CARE | PROMINENCE | $117.23 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $122.46 | ↓ -52% |
| MEDICARE | DEVOTED HEALTH MC HMO | $122.69 | ↓ -52% |
| AVMED | AVMED ENTRUST | $139.23 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $143.13 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $148.20 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $148.20 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $158.34 | ↓ -38% |
| AVMED | AVMED HMO | $162.24 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $163.80 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $171.99 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $175.50 | ↓ -31% |
| AVMED | AVMED PPO | $193.05 | ↓ -24% |
| AETNA | AETNA TIER 2 | $198.90 | ↓ -22% |
| AETNA | AETNA HMO | $198.90 | ↓ -22% |
| CIGNA | CIGNA HMO | $202.80 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $234.00 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $234.00 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $234.00 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $234.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $252.72 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $253.50 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $292.50 | ↑ +15% |
| CIGNA | CIGNA PPO | $312.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $312.00 | ↑ +23% |
| AETNA | AETNA PPO | $312.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $312.00 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $331.50 | ↑ +31% |
| PHCS | PHCS | $351.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $351.00 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $351.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $351.00 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $390.00 | ↑ +54% |
Visitor-reported prices
Comments
Tbs techl calculation only at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Daytona Beach | Daytona Beach | $220.51 | $86.33 – $151.68 |
| Adventhealth Palm Coast Parkway | Palm Coast | $215.13 | $86.33 – $206.53 |
| Adventhealth Tampa | Tampa | $299.00 | $90.88 – $201.75 |
| cleveland clinic florida weston hospital | Weston | $494.00 | $3.08 – $646.00 |
| martin north hospital | Stuart | $494.00 | $27.47 – $380.00 |
| indian river hospital | Vero Beach | $494.00 | $3.08 – $608.00 |
| Baptist Hospital | MIAMI | $253.50 | $47.84 – $351.00 |
| Bethesda Hospital East | BOYNTON BEACH | $253.50 | $47.84 – $351.00 |