Consult comp w/report rfrd material at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$590.85
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.
$909.00
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.
$58.85 with AMERIGROUP vs $673.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $58.85 | ↓ -90% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $58.85 | ↓ -90% |
| UNITED HEALTHCARE | UNITED MD HMO | $61.80 | ↓ -90% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $61.80 | ↓ -90% |
| WELLCARE | WELL CARE MD HMONC | $61.80 | ↓ -90% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $62.38 | ↓ -89% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $63.56 | ↓ -89% |
| VISTA | COVENTRY MEDICAID | $63.56 | ↓ -89% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $63.56 | ↓ -89% |
| MEDICAID | PRESTIGE MD HMO NC | $64.74 | ↓ -89% |
| BLUE CROSS | MY BLUE EX | $115.08 | ↓ -81% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $177.91 | ↓ -70% |
| MEDICARE MANAGED CARE | PROMINENCE | $177.91 | ↓ -70% |
| BLUE CROSS | BCBS MEDICARE PPO | $184.14 | ↓ -69% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $190.37 | ↓ -68% |
| HUMANA | HUMANA MEDICARE | $193.93 | ↓ -67% |
| HUMANA | CAREPLUS MC HMO | $193.93 | ↓ -67% |
| AVMED | AVMED MEDICARE | $195.71 | ↓ -67% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $195.71 | ↓ -67% |
| LEON MEDICAL | LEON MED MC HMO NC | $199.26 | ↓ -66% |
| LEON MEDICAL | LEON HEALTH MC HMO | $199.26 | ↓ -66% |
| AETNA | AETNA MEDICARE | $199.26 | ↓ -66% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $202.82 | ↓ -66% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $211.32 | ↓ -64% |
| AVMED | AVMED ENTRUST | $236.22 | ↓ -60% |
| MEDICARE | DEVOTED HEALTH MC HMO | $240.18 | ↓ -59% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $246.99 | ↓ -58% |
| AETNA | AETNA HMO EXCHANGE | $255.74 | ↓ -57% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $255.74 | ↓ -57% |
| AVMED | AVMED INDIVIDUAL | $268.53 | ↓ -55% |
| AVMED | AVMED HMO | $275.26 | ↓ -53% |
| BLUE CROSS | BLUE SELECT | $282.66 | ↓ -52% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $291.41 | ↓ -51% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $302.85 | ↓ -49% |
| AVMED | AVMED PPO | $327.75 | ↓ -45% |
| AETNA | AETNA CATASTROPHIC | $343.23 | ↓ -42% |
| AETNA | AETNA TIER 2 | $343.23 | ↓ -42% |
| AETNA | AETNA HMO | $343.23 | ↓ -42% |
| CIGNA | CIGNA HMO | $349.96 | ↓ -41% |
| BLUE CROSS | BCBS NETWORKBLUE | $403.80 | ↓ -32% |
| UNITED HEALTHCARE | NHP HMO | $403.80 | ↓ -32% |
| UNITED HEALTHCARE | UNITED HMO | $403.80 | ↓ -32% |
| BLUE CROSS | BLUE CARE HMO | $403.80 | ↓ -32% |
| BLUE CROSS | BLUE CROSS | $436.10 | ↓ -26% |
| INTERNATIONAL | INTERNATIONAL AETNA | $437.45 | ↓ -26% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $504.75 | ↓ -15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $538.40 | ↓ -9% |
| UNITED HEALTHCARE | UNITED PPO | $538.40 | ↓ -9% |
| CIGNA | CIGNA PPO | $538.40 | ↓ -9% |
| AETNA | AETNA PPO | $538.40 | ↓ -9% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $605.70 | ↑ +3% |
| QUALITY HEALTH | MULTIPLAN | $605.70 | ↑ +3% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $605.70 | ↑ +3% |
| PHCS | PHCS | $605.70 | ↑ +3% |
| AFFORDABLE | AFFORDABLE PPO | $605.70 | ↑ +3% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $673.00 | ↑ +14% |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $590.85 | $4.94 – $605.70 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | $494.00 | $149.16 – $305.71 |
| Adventhealth Daytona Beach | Daytona Beach | $718.66 | $169.02 – $296.94 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $298.31 | $169.02 – $388.65 |
| Adventhealth Port Charlotte | Port Charlotte | $996.14 | $177.91 – $324.87 |
| cleveland clinic florida weston hospital | Weston | $796.90 | $56.79 – $613.00 |
| martin north hospital | Stuart | $187.85 | $49.47 – $216.75 |
| Bethesda Hospital East | BOYNTON BEACH | $590.85 | $43.97 – $605.70 |