Artery to vein shunt at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$10,476.70
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.
$16,118.00
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.
$2,210.41 with MEDICAID vs $16,118.00 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 |
|---|---|---|---|
| MEDICAID | SIMPLYHLTH MD HMO NC | $2,210.41 | ↓ -79% |
| AMERIGROUP | AMERIGROUP | $2,210.41 | ↓ -79% |
| UNITED HEALTHCARE | UNITED MD HMO | $2,320.93 | ↓ -78% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $2,320.93 | ↓ -78% |
| WELLCARE | WELL CARE MD HMONC | $2,320.93 | ↓ -78% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $2,343.03 | ↓ -78% |
| VISTA | COVENTRY MEDICAID | $2,387.24 | ↓ -77% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $2,387.24 | ↓ -77% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $2,387.24 | ↓ -77% |
| MEDICAID | PRESTIGE MD HMO NC | $2,431.45 | ↓ -77% |
| UNITED HEALTHCARE | NHP HMO | $2,637.00 | ↓ -75% |
| UNITED HEALTHCARE | UNITED HMO | $2,637.00 | ↓ -75% |
| BLUE CROSS | MY BLUE EX | $2,756.18 | ↓ -74% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $3,297.29 | ↓ -69% |
| MEDICARE MANAGED CARE | PROMINENCE | $3,297.29 | ↓ -69% |
| BLUE CROSS | BCBS MEDICARE PPO | $3,412.70 | ↓ -67% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $3,528.10 | ↓ -66% |
| HUMANA | HUMANA MEDICARE | $3,594.05 | ↓ -66% |
| HUMANA | CAREPLUS MC HMO | $3,594.05 | ↓ -66% |
| AVMED | AVMED MEDICARE | $3,627.02 | ↓ -65% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $3,627.02 | ↓ -65% |
| LEON MEDICAL | LEON MED MC HMO NC | $3,692.97 | ↓ -65% |
| AETNA | AETNA MEDICARE | $3,692.97 | ↓ -65% |
| LEON MEDICAL | LEON HEALTH MC HMO | $3,692.97 | ↓ -65% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $3,758.91 | ↓ -64% |
| CIGNA | CIGNA HMO | $4,351.86 | ↓ -58% |
| MEDICARE | DEVOTED HEALTH MC HMO | $4,451.34 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $5,061.05 | ↓ -52% |
| AVMED | AVMED ENTRUST | $5,657.42 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $5,915.31 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $6,124.84 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $6,124.84 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $6,431.08 | ↓ -39% |
| AVMED | AVMED HMO | $6,592.26 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $6,769.56 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $6,979.09 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $7,253.10 | ↓ -31% |
| AVMED | AVMED PPO | $7,849.47 | ↓ -25% |
| AETNA | AETNA TIER 2 | $8,220.18 | ↓ -22% |
| AETNA | AETNA HMO | $8,220.18 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $8,220.18 | ↓ -22% |
| BLUE CROSS | BCBS NETWORKBLUE | $9,670.80 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $9,670.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $10,444.46 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $10,476.70 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $12,088.50 | ↑ +15% |
| AETNA | AETNA PPO | $12,894.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $12,894.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $12,894.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $12,894.40 | ↑ +23% |
| QUALITY HEALTH | MULTIPLAN | $14,506.20 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $14,506.20 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $14,506.20 | ↑ +38% |
| PHCS | PHCS | $14,506.20 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $14,506.20 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $16,118.00 | ↑ +54% |
Visitor-reported prices
Comments
Artery to vein shunt at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $10,476.70 | $173.17 – $14,506.20 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $2,762.77 – $2,820.93 |
| Bethesda Hospital East | BOYNTON BEACH | $10,476.70 | $2,280.19 – $14,506.20 |
| Doctors Hospital | CORAL GABLES | $10,476.70 | $2,210.41 – $14,506.20 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $10,476.70 | $2,210.41 – $14,506.20 |
| Homestead Hospital | HOMESTEAD | $10,476.70 | $167.89 – $14,506.20 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $3,132.43 – $5,503.18 |
| Adventhealth Lake Wales | Lake Wales | not published | $3,297.29 – $7,319.99 |