Vaccine pneumococcal conjugate 13 valent (pcv13) im at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$393.25
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.
?
What you pay up front if you don't use insurance.
$605.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$75.54 with MEDICAID vs $605.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $75.54 | ↓ -81% |
| AMERIGROUP | AMERIGROUP | $75.54 | ↓ -81% |
| WELLCARE | WELL CARE MD HMONC | $79.32 | ↓ -80% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $79.32 | ↓ -80% |
| UNITED HEALTHCARE | UNITED MD HMO | $79.32 | ↓ -80% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $80.08 | ↓ -80% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $81.59 | ↓ -79% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $81.59 | ↓ -79% |
| VISTA | COVENTRY MEDICAID | $81.59 | ↓ -79% |
| MEDICAID | PRESTIGE MD HMO NC | $83.10 | ↓ -79% |
| BLUE CROSS | MY BLUE EX | $105.88 | ↓ -73% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $163.35 | ↓ -58% |
| BLUE CROSS | BCBS MEDICARE PPO | $169.07 | ↓ -57% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $174.78 | ↓ -56% |
| HUMANA | CAREPLUS MC HMO | $178.05 | ↓ -55% |
| HUMANA | HUMANA MEDICARE | $178.05 | ↓ -55% |
| AVMED | AVMED MEDICARE | $179.69 | ↓ -54% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $179.69 | ↓ -54% |
| AETNA | AETNA MEDICARE | $182.95 | ↓ -53% |
| LEON MEDICAL | LEON HEALTH MC HMO | $182.95 | ↓ -53% |
| LEON MEDICAL | LEON MED MC HMO NC | $182.95 | ↓ -53% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $186.22 | ↓ -53% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $189.97 | ↓ -52% |
| MEDICARE MANAGED CARE | PROMINENCE | $210.72 | ↓ -46% |
| AVMED | AVMED ENTRUST | $215.99 | ↓ -45% |
| MEDICARE | DEVOTED HEALTH MC HMO | $220.52 | ↓ -44% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $222.04 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $229.90 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $229.90 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $245.63 | ↓ -38% |
| AVMED | AVMED HMO | $251.68 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $254.10 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $266.81 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $272.25 | ↓ -31% |
| AVMED | AVMED PPO | $299.48 | ↓ -24% |
| AETNA | AETNA TIER 2 | $308.55 | ↓ -22% |
| AETNA | AETNA HMO | $308.55 | ↓ -22% |
| CIGNA | CIGNA HMO | $314.60 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $363.00 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $363.00 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $363.00 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $363.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $392.04 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $393.25 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $453.75 | ↑ +15% |
| CIGNA | CIGNA PPO | $484.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $484.00 | ↑ +23% |
| AETNA | AETNA PPO | $484.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $484.00 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $514.25 | ↑ +31% |
| PHCS | PHCS | $544.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $544.50 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $544.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $544.50 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $605.00 | ↑ +54% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $599.00 | $257.99 – $702.93 |
| cleveland clinic florida weston hospital | Weston | $1,089.31 | $79.26 – $1,381.16 |
| martin north hospital | Stuart | $1,089.31 | $83.43 – $814.00 |
| indian river hospital | Vero Beach | $1,089.31 | $79.26 – $814.00 |
| Baptist Hospital | MIAMI | $393.25 | $77.93 – $544.50 |
| Bethesda Hospital East | BOYNTON BEACH | $393.25 | $77.93 – $544.50 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $393.25 | $75.54 – $544.50 |
| Fishermens Community Hospital | MARATHON | $393.25 | $75.54 – $544.50 |