Visc & infraren abd 1 prosth at Doctors Hospital
5000 UNIVERSITY DRIVE, CORAL GABLES, FL · Baptist Health South Florida · · NPI 1952351983
$28,091.70
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.
$43,218.00
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 $43,218.00 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 | UNITED HMO | $1,954.00 | ↓ -93% |
| UNITED HEALTHCARE | NHP HMO | $1,954.00 | ↓ -93% |
| BLUE CROSS | MY BLUE EX | $7,563.15 | ↓ -73% |
| AMERIGROUP | AMERIGROUP | $9,518.43 | ↓ -66% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $9,518.43 | ↓ -66% |
| UNITED HEALTHCARE | UNITED MD HMO | $9,994.35 | ↓ -64% |
| WELLCARE | WELL CARE MD HMONC | $9,994.35 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $9,994.35 | ↓ -64% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $10,089.54 | ↓ -64% |
| VISTA | COVENTRY MEDICAID | $10,279.91 | ↓ -63% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $10,279.91 | ↓ -63% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $10,279.91 | ↓ -63% |
| MEDICAID | PRESTIGE MD HMO NC | $10,470.28 | ↓ -63% |
| CIGNA | CIGNA HMO | $11,668.86 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $13,570.45 | ↓ -52% |
| AVMED | AVMED ENTRUST | $15,428.83 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $15,861.01 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $16,422.84 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $16,422.84 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $17,546.51 | ↓ -38% |
| AVMED | AVMED HMO | $17,978.69 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $18,151.56 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $19,059.14 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $19,448.10 | ↓ -31% |
| AVMED | AVMED PPO | $21,392.91 | ↓ -24% |
| AETNA | AETNA HMO | $22,041.18 | ↓ -22% |
| AETNA | AETNA TIER 2 | $22,041.18 | ↓ -22% |
| BLUE CROSS | BLUE CARE HMO | $25,930.80 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $25,930.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $28,005.26 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $28,091.70 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $32,413.50 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $34,574.40 | ↑ +23% |
| AETNA | AETNA PPO | $34,574.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $34,574.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $34,574.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $36,735.30 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $38,896.20 | ↑ +38% |
| PHCS | PHCS | $38,896.20 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $38,896.20 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $38,896.20 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $43,218.00 | ↑ +54% |
Visitor-reported prices
Comments
Visc & infraren abd 1 prosth at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $25,595.05 | $1,940.00 – $33,470.45 |
| martin north hospital | Stuart | $25,595.05 | $2,500.00 – $19,688.50 |
| indian river hospital | Vero Beach | $25,595.05 | $923.01 – $31,501.60 |
| Baptist Hospital | MIAMI | $28,091.70 | $173.17 – $38,896.20 |
| Bethesda Hospital East | BOYNTON BEACH | $28,091.70 | $3,651.00 – $38,896.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $28,091.70 | $1,954.00 – $38,896.20 |
| Homestead Hospital | HOMESTEAD | $28,091.70 | $167.89 – $38,896.20 |
| West Kendall Baptist Hospital | MIAMI | $28,091.70 | $1,954.00 – $38,896.20 |