healthcosts.net
Established Patient Office Visit (level 5) at Baptist Hospital
8900 NORTH KENDALL DRIVE, MIAMI, FL · Baptist Health South Florida · · NPI 1528042884
$526.50
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.
?
What you pay up front if you don't use insurance.
$810.00
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.
$12.11 with BLUE CROSS vs $396.90 with CIGNA — 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 |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $12.11 | ↓ -98% |
| AETNA | AETNA MEDICARE | $14.98 | ↓ -97% |
| AVMED | AVMED MEDICARE | $17.50 | ↓ -97% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $21.98 | ↓ -96% |
| AVMED | AVMED ENTRUST | $24.85 | ↓ -95% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $25.69 | ↓ -95% |
| AETNA | AETNA HMO EXCHANGE | $26.60 | ↓ -95% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $26.60 | ↓ -95% |
| AVMED | AVMED INDIVIDUAL | $28.28 | ↓ -95% |
| AVMED | AVMED HMO | $28.98 | ↓ -94% |
| BLUE CROSS | BLUE SELECT | $29.40 | ↓ -94% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $30.80 | ↓ -94% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $31.50 | ↓ -94% |
| AVMED | AVMED PPO | $34.44 | ↓ -93% |
| AETNA | AETNA CATASTROPHIC | $35.70 | ↓ -93% |
| AETNA | AETNA TIER 2 | $35.70 | ↓ -93% |
| AETNA | AETNA HMO | $35.70 | ↓ -93% |
| BLUE CROSS | BCBS NETWORKBLUE | $42.00 | ↓ -92% |
| BLUE CROSS | BLUE CARE HMO | $42.00 | ↓ -92% |
| UNITED HEALTHCARE | NHP HMO | $42.00 | ↓ -92% |
| UNITED HEALTHCARE | UNITED HMO | $42.00 | ↓ -92% |
| BLUE CROSS | BLUE CROSS | $45.36 | ↓ -91% |
| INTERNATIONAL | INTERNATIONAL AETNA | $45.50 | ↓ -91% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $52.50 | ↓ -90% |
| CIGNA | CIGNA PPO | $56.00 | ↓ -89% |
| AETNA | AETNA PPO | $56.00 | ↓ -89% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $56.00 | ↓ -89% |
| UNITED HEALTHCARE | UNITED PPO | $56.00 | ↓ -89% |
| AFFORDABLE | AFFORDABLE PPO | $59.50 | ↓ -89% |
| PHCS | PHCS | $63.00 | ↓ -88% |
| QUALITY HEALTH | MULTIPLAN | $63.00 | ↓ -88% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $63.00 | ↓ -88% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $63.00 | ↓ -88% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $70.00 | ↓ -87% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $74.29 | ↓ -86% |
| VISTA | COVENTRY MEDICAID | $173.17 | ↓ -67% |
| CIGNA | CIGNA HMO | $396.90 | ↓ -25% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $728.00 | $50.40 – $560.00 |
| martin north hospital | Stuart | $728.00 | $62.40 – $225.00 |
| indian river hospital | Vero Beach | $728.00 | $68.00 – $952.00 |
| Bethesda Hospital East | BOYNTON BEACH | $770.90 | $271.59 – $1,067.40 |
| Boca Raton Regional Hospital | BOCA RATON | $679.25 | $182.71 – $476.00 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $770.90 | $12.18 – $63.00 |
| Fishermens Community Hospital | MARATHON | $770.90 | $198.06 – $1,067.40 |
| Homestead Hospital | HOMESTEAD | $770.90 | $167.89 – $1,067.40 |