Biopsy of heart lining at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$9,134.45
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.
$14,053.00
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.
$1,521.09 with MEDICAID vs $14,053.00 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 | $1,521.09 | ↓ -83% |
| AMERIGROUP | AMERIGROUP | $1,521.09 | ↓ -83% |
| UNITED HEALTHCARE | UNITED MD HMO | $1,597.15 | ↓ -83% |
| WELLCARE | WELL CARE MD HMONC | $1,597.15 | ↓ -83% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $1,597.15 | ↓ -83% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $1,612.36 | ↓ -82% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $1,642.78 | ↓ -82% |
| VISTA | COVENTRY MEDICAID | $1,642.78 | ↓ -82% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $1,642.78 | ↓ -82% |
| MEDICAID | PRESTIGE MD HMO NC | $1,673.20 | ↓ -82% |
| BLUE CROSS | MY BLUE EX | $2,403.06 | ↓ -74% |
| MEDICARE MANAGED CARE | PROMINENCE | $3,297.29 | ↓ -64% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $3,297.29 | ↓ -64% |
| BLUE CROSS | BCBS MEDICARE PPO | $3,412.70 | ↓ -63% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $3,528.10 | ↓ -61% |
| HUMANA | CAREPLUS MC HMO | $3,594.05 | ↓ -61% |
| HUMANA | HUMANA MEDICARE | $3,594.05 | ↓ -61% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $3,627.02 | ↓ -60% |
| AVMED | AVMED MEDICARE | $3,627.02 | ↓ -60% |
| LEON MEDICAL | LEON HEALTH MC HMO | $3,692.97 | ↓ -60% |
| LEON MEDICAL | LEON MED MC HMO NC | $3,692.97 | ↓ -60% |
| AETNA | AETNA MEDICARE | $3,692.97 | ↓ -60% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $3,758.91 | ↓ -59% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $4,412.64 | ↓ -52% |
| MEDICARE | DEVOTED HEALTH MC HMO | $4,451.34 | ↓ -51% |
| AVMED | AVMED ENTRUST | $4,932.60 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $5,157.45 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $5,340.14 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $5,340.14 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $5,607.15 | ↓ -39% |
| AVMED | AVMED HMO | $5,747.68 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $5,902.26 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $6,084.95 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $6,323.85 | ↓ -31% |
| AVMED | AVMED PPO | $6,843.81 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $7,167.03 | ↓ -22% |
| AETNA | AETNA TIER 2 | $7,167.03 | ↓ -22% |
| AETNA | AETNA HMO | $7,167.03 | ↓ -22% |
| CIGNA | CIGNA HMO | $7,307.56 | ↓ -20% |
| BLUE CROSS | BLUE CARE HMO | $8,431.80 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $8,431.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $9,106.34 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $9,134.45 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $10,539.75 | ↑ +15% |
| CIGNA | CIGNA PPO | $11,242.40 | ↑ +23% |
| AETNA | AETNA PPO | $11,242.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $12,647.70 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $12,647.70 | ↑ +38% |
| PHCS | PHCS | $12,647.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $12,647.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $12,647.70 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $14,053.00 | ↑ +54% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $9,134.45 | $173.17 – $12,647.70 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $531.05 – $542.23 |
| Adventhealth Tampa | Tampa | $8,333.83 | $3,297.29 – $7,319.99 |
| cleveland clinic florida weston hospital | Weston | $15,883.40 | $212.48 – $19,229.55 |
| martin north hospital | Stuart | $14,704.95 | $473.63 – $11,311.50 |
| indian river hospital | Vero Beach | $14,704.95 | $327.28 – $18,098.40 |
| Bethesda Hospital East | BOYNTON BEACH | $9,134.45 | $1,324.00 – $12,647.70 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $9,134.45 | $1,521.09 – $12,647.70 |