Teaec w/wo patch graft iliofemoral at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$26,857.35
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.
$41,319.00
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.
$1,954.00 with UNITED HEALTHCARE vs $21,280.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | NHP HMO | $1,954.00 | ↓ -93% |
| UNITED HEALTHCARE | UNITED HMO | $1,954.00 | ↓ -93% |
| AMERIGROUP | AMERIGROUP | $2,491.97 | ↓ -91% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $2,491.97 | ↓ -91% |
| WELLCARE | WELL CARE MD HMONC | $2,616.57 | ↓ -90% |
| UNITED HEALTHCARE | UNITED MD HMO | $2,616.57 | ↓ -90% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $2,616.57 | ↓ -90% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $2,641.49 | ↓ -90% |
| VISTA | COVENTRY MEDICAID | $2,691.33 | ↓ -90% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $2,691.33 | ↓ -90% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $2,691.33 | ↓ -90% |
| MEDICAID | PRESTIGE MD HMO NC | $2,741.17 | ↓ -90% |
| BLUE CROSS | MY BLUE EX | $3,724.00 | ↓ -86% |
| CIGNA | CIGNA HMO | $5,745.60 | ↓ -79% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $6,681.92 | ↓ -75% |
| AVMED | AVMED ENTRUST | $7,596.96 | ↓ -72% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $7,809.76 | ↓ -71% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $8,086.40 | ↓ -70% |
| AETNA | AETNA HMO EXCHANGE | $8,086.40 | ↓ -70% |
| AVMED | AVMED INDIVIDUAL | $8,639.68 | ↓ -68% |
| AVMED | AVMED HMO | $8,852.48 | ↓ -67% |
| BLUE CROSS | BLUE SELECT | $8,937.60 | ↓ -67% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $9,384.48 | ↓ -65% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $9,576.00 | ↓ -64% |
| AVMED | AVMED PPO | $10,533.60 | ↓ -61% |
| AETNA | AETNA TIER 2 | $10,852.80 | ↓ -60% |
| AETNA | AETNA HMO | $10,852.80 | ↓ -60% |
| BLUE CROSS | BCBS NETWORKBLUE | $12,768.00 | ↓ -52% |
| BLUE CROSS | BLUE CARE HMO | $12,768.00 | ↓ -52% |
| BLUE CROSS | BLUE CROSS | $13,789.44 | ↓ -49% |
| INTERNATIONAL | INTERNATIONAL AETNA | $13,832.00 | ↓ -48% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $15,960.00 | ↓ -41% |
| AETNA | AETNA PPO | $17,024.00 | ↓ -37% |
| CIGNA | CIGNA PPO | $17,024.00 | ↓ -37% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $17,024.00 | ↓ -37% |
| UNITED HEALTHCARE | UNITED PPO | $17,024.00 | ↓ -37% |
| AFFORDABLE | AFFORDABLE PPO | $18,088.00 | ↓ -33% |
| QUALITY HEALTH | MULTIPLAN | $19,152.00 | ↓ -29% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $19,152.00 | ↓ -29% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $19,152.00 | ↓ -29% |
| PHCS | PHCS | $19,152.00 | ↓ -29% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $21,280.00 | ↓ -21% |
Visitor-reported prices
Comments
Teaec w/wo patch graft iliofemoral at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $5,409.95 | $769.80 – $18,285.00 |
| martin north hospital | Stuart | $5,409.95 | $769.80 – $15,852.00 |
| indian river hospital | Vero Beach | $5,409.95 | $1,285.01 – $6,658.40 |
| Baptist Hospital | MIAMI | $26,857.35 | $173.17 – $19,152.00 |
| Bethesda Hospital East | BOYNTON BEACH | $26,857.35 | $2,570.65 – $19,152.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $26,857.35 | $1,954.00 – $19,152.00 |
| Homestead Hospital | HOMESTEAD | $26,857.35 | $167.89 – $19,152.00 |
| West Kendall Baptist Hospital | MIAMI | $26,857.35 | $1,954.00 – $19,152.00 |