Dilate biliary duct/ampulla at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$1,217.45
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.
$1,873.00
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.
$320.28 with BLUE CROSS vs $3,847.79 with MEDICAID — 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 |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $320.28 | ↓ -74% |
| UNITED HEALTHCARE | UNITED HMO | $366.00 | ↓ -70% |
| UNITED HEALTHCARE | NHP HMO | $366.00 | ↓ -70% |
| CIGNA | CIGNA HMO | $505.71 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $588.12 | ↓ -52% |
| AVMED | AVMED ENTRUST | $657.42 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $687.39 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $711.74 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $711.74 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $747.33 | ↓ -39% |
| AVMED | AVMED HMO | $766.06 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $786.66 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $811.01 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $842.85 | ↓ -31% |
| AVMED | AVMED PPO | $912.15 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $955.23 | ↓ -22% |
| AETNA | AETNA TIER 2 | $955.23 | ↓ -22% |
| AETNA | AETNA HMO | $955.23 | ↓ -22% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,123.80 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $1,123.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $1,213.70 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $1,217.45 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $1,404.75 | ↑ +15% |
| AETNA | AETNA PPO | $1,498.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $1,498.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $1,498.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $1,498.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $1,685.70 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $1,685.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $1,685.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $1,685.70 | ↑ +38% |
| PHCS | PHCS | $1,685.70 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,873.00 | ↑ +54% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $3,497.99 | ↑ +187% |
| AMERIGROUP | AMERIGROUP | $3,497.99 | ↑ +187% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $3,672.89 | ↑ +202% |
| UNITED HEALTHCARE | UNITED MD HMO | $3,672.89 | ↑ +202% |
| WELLCARE | WELL CARE MD HMONC | $3,672.89 | ↑ +202% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $3,707.87 | ↑ +205% |
| VISTA | COVENTRY MEDICAID | $3,777.83 | ↑ +210% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $3,777.83 | ↑ +210% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $3,777.83 | ↑ +210% |
| MEDICAID | PRESTIGE MD HMO NC | $3,847.79 | ↑ +216% |
Visitor-reported prices
Comments
Dilate biliary duct/ampulla at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $1,217.45 | $173.17 – $3,788.85 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $256.49 – $261.89 |
| Adventhealth Daytona Beach | Daytona Beach | $2,997.18 | not published |
| Adventhealth Tampa | Tampa | $1,616.79 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $1,616.79 | not published |
| cleveland clinic florida weston hospital | Weston | $3,354.65 | $103.52 – $4,386.85 |
| martin north hospital | Stuart | $3,354.65 | $167.56 – $4,330.07 |
| indian river hospital | Vero Beach | $3,354.65 | $103.52 – $4,128.80 |