Reconstruction of mouth at Baptist Hospital
8900 NORTH KENDALL DRIVE, MIAMI, FL · Baptist Health South Florida · · NPI 1528042884
$15,377.70
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.
$23,658.00
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.
$173.17 with VISTA vs $23,658.00 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 |
|---|---|---|---|
| VISTA | COVENTRY MEDICAID | $173.17 | ↓ -99% |
| AMERIGROUP | AMERIGROUP | $1,851.02 | ↓ -88% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $1,851.02 | ↓ -88% |
| WELLCARE | WELL CARE MD HMONC | $1,943.57 | ↓ -87% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $1,943.57 | ↓ -87% |
| UNITED HEALTHCARE | UNITED MD HMO | $1,943.57 | ↓ -87% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $1,962.08 | ↓ -87% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $1,999.10 | ↓ -87% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $1,999.10 | ↓ -87% |
| MEDICAID | PRESTIGE MD HMO NC | $2,036.12 | ↓ -87% |
| BLUE CROSS | MY BLUE EX | $4,092.83 | ↓ -73% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $6,181.95 | ↓ -60% |
| BLUE CROSS | BCBS MEDICARE PPO | $6,398.32 | ↓ -58% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $6,614.69 | ↓ -57% |
| HUMANA | HUMANA MEDICARE | $6,738.33 | ↓ -56% |
| HUMANA | CAREPLUS MC HMO | $6,738.33 | ↓ -56% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $6,800.15 | ↓ -56% |
| AVMED | AVMED MEDICARE | $6,800.15 | ↓ -56% |
| LEON MEDICAL | LEON HEALTH MC HMO | $6,923.79 | ↓ -55% |
| AETNA | AETNA MEDICARE | $6,923.79 | ↓ -55% |
| LEON MEDICAL | LEON MED MC HMO NC | $6,923.79 | ↓ -55% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $7,047.43 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $7,428.61 | ↓ -52% |
| MEDICARE MANAGED CARE | PROMINENCE | $7,974.72 | ↓ -48% |
| MEDICARE | DEVOTED HEALTH MC HMO | $8,345.64 | ↓ -46% |
| AVMED | AVMED ENTRUST | $8,398.59 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $8,682.49 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $8,990.04 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $8,990.04 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $9,557.83 | ↓ -38% |
| AVMED | AVMED HMO | $9,794.41 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $9,936.36 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $10,409.52 | ↓ -32% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $10,646.10 | ↓ -31% |
| AVMED | AVMED PPO | $11,639.74 | ↓ -24% |
| AETNA | AETNA HMO | $12,065.58 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $12,065.58 | ↓ -22% |
| AETNA | AETNA TIER 2 | $12,065.58 | ↓ -22% |
| CIGNA | CIGNA HMO | $12,302.16 | ↓ -20% |
| UNITED HEALTHCARE | UNITED HMO | $14,194.80 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $14,194.80 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $14,194.80 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $14,194.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $15,330.38 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $15,377.70 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $17,743.50 | ↑ +15% |
| AETNA | AETNA PPO | $18,926.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $18,926.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $18,926.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $18,926.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $20,109.30 | ↑ +31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $21,292.20 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $21,292.20 | ↑ +38% |
| PHCS | PHCS | $21,292.20 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $21,292.20 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $23,658.00 | ↑ +54% |
Visitor-reported prices
Comments
Reconstruction of mouth at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $681.53 – $695.88 |
| cleveland clinic florida weston hospital | Weston | $2,379.00 | $398.82 – $6,800.15 |
| Boca Raton Regional Hospital | BOCA RATON | $14,942.85 | $476.00 – $15,011.82 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $5,872.86 – $10,317.68 |
| Adventhealth Tampa | Tampa | not published | $537.00 – $13,723.94 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $625.07 – $638.23 |
| martin north hospital | Stuart | not published | $2,029.49 – $6,800.15 |
| indian river hospital | Vero Beach | not published | $1,928.02 – $6,800.15 |