Crtj pericardial window/prtl resecj w/drg/bx at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$59,813.00
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.
$92,020.00
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.
$6,892.92 with AMERIGROUP vs $92,020.00 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 | $6,892.92 | ↓ -88% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $6,892.92 | ↓ -88% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $7,237.57 | ↓ -88% |
| WELLCARE | WELL CARE MD HMONC | $7,237.57 | ↓ -88% |
| UNITED HEALTHCARE | UNITED MD HMO | $7,237.57 | ↓ -88% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $7,306.50 | ↓ -88% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $7,444.35 | ↓ -88% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $7,444.35 | ↓ -88% |
| VISTA | COVENTRY MEDICAID | $7,444.35 | ↓ -88% |
| MEDICAID | PRESTIGE MD HMO NC | $7,582.21 | ↓ -87% |
| BLUE CROSS | MY BLUE EX | $15,735.42 | ↓ -74% |
| CIGNA | CIGNA HMO | $24,845.40 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $28,894.28 | ↓ -52% |
| AVMED | AVMED ENTRUST | $32,299.02 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $33,771.34 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $34,967.60 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $34,967.60 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $36,715.98 | ↓ -39% |
| AVMED | AVMED HMO | $37,636.18 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $38,648.40 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $39,844.66 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $41,409.00 | ↓ -31% |
| AVMED | AVMED PPO | $44,813.74 | ↓ -25% |
| AETNA | AETNA HMO | $46,930.20 | ↓ -22% |
| AETNA | AETNA TIER 2 | $46,930.20 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $46,930.20 | ↓ -22% |
| BLUE CROSS | BLUE CARE HMO | $55,212.00 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $55,212.00 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $55,212.00 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $55,212.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $59,628.96 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $59,813.00 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $69,015.00 | ↑ +15% |
| CIGNA | CIGNA PPO | $73,616.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $73,616.00 | ↑ +23% |
| AETNA | AETNA PPO | $73,616.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $73,616.00 | ↑ +23% |
| QUALITY HEALTH | MULTIPLAN | $82,818.00 | ↑ +38% |
| PHCS | PHCS | $82,818.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $82,818.00 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $82,818.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $82,818.00 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $92,020.00 | ↑ +54% |
Visitor-reported prices
Comments
Crtj pericardial window/prtl resecj w/drg/bx at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $542.30 – $553.71 |
| cleveland clinic florida weston hospital | Weston | $7,231.25 | $585.46 – $18,285.00 |
| martin north hospital | Stuart | $7,231.25 | $585.46 – $15,852.00 |
| indian river hospital | Vero Beach | $7,231.25 | $554.00 – $8,900.00 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $497.36 – $507.83 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $522.22 – $533.21 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL | not published | $542.30 – $553.71 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness | not published | $469.80 – $479.69 |