Electrophysiology evaluation at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$12,242.75
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.
$18,835.00
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.
$3,220.79 with BLUE CROSS vs $18,835.00 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 |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $3,220.79 | ↓ -74% |
| AMERIGROUP | AMERIGROUP | $4,189.88 | ↓ -66% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $4,189.88 | ↓ -66% |
| UNITED HEALTHCARE | UNITED MD HMO | $4,399.38 | ↓ -64% |
| WELLCARE | WELL CARE MD HMONC | $4,399.38 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $4,399.38 | ↓ -64% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $4,441.28 | ↓ -64% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $4,525.08 | ↓ -63% |
| VISTA | COVENTRY MEDICAID | $4,525.08 | ↓ -63% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $4,525.08 | ↓ -63% |
| MEDICAID | PRESTIGE MD HMO NC | $4,608.87 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $5,914.19 | ↓ -52% |
| AVMED | AVMED ENTRUST | $6,611.09 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $6,912.45 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $7,157.30 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $7,157.30 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $7,515.17 | ↓ -39% |
| AVMED | AVMED HMO | $7,703.52 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $7,910.70 | ↓ -35% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $8,145.02 | ↓ -33% |
| MEDICARE MANAGED CARE | PROMINENCE | $8,145.02 | ↓ -33% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $8,155.56 | ↓ -33% |
| BLUE CROSS | BCBS MEDICARE PPO | $8,430.10 | ↓ -31% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $8,475.75 | ↓ -31% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $8,715.18 | ↓ -29% |
| HUMANA | CAREPLUS MC HMO | $8,878.08 | ↓ -27% |
| HUMANA | HUMANA MEDICARE | $8,878.08 | ↓ -27% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $8,959.53 | ↓ -27% |
| AVMED | AVMED MEDICARE | $8,959.53 | ↓ -27% |
| LEON MEDICAL | LEON MED MC HMO NC | $9,122.43 | ↓ -25% |
| AETNA | AETNA MEDICARE | $9,122.43 | ↓ -25% |
| LEON MEDICAL | LEON HEALTH MC HMO | $9,122.43 | ↓ -25% |
| AVMED | AVMED PPO | $9,172.65 | ↓ -25% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $9,285.33 | ↓ -24% |
| AETNA | AETNA TIER 2 | $9,605.85 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $9,605.85 | ↓ -22% |
| AETNA | AETNA HMO | $9,605.85 | ↓ -22% |
| CIGNA | CIGNA HMO | $9,794.20 | ↓ -20% |
| MEDICARE | DEVOTED HEALTH MC HMO | $10,995.78 | ↓ -10% |
| BLUE CROSS | BCBS NETWORKBLUE | $11,301.00 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $11,301.00 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $11,301.00 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $11,301.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $12,205.08 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $12,242.75 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $14,126.25 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $15,068.00 | ↑ +23% |
| CIGNA | CIGNA PPO | $15,068.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $15,068.00 | ↑ +23% |
| AETNA | AETNA PPO | $15,068.00 | ↑ +23% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $16,951.50 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $16,951.50 | ↑ +38% |
| PHCS | PHCS | $16,951.50 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $16,951.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $16,951.50 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $18,835.00 | ↑ +54% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $12,242.75 | $173.17 – $16,951.50 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $275.50 – $281.30 |
| Adventhealth Daytona Beach | Daytona Beach | $16,705.22 | $7,737.77 – $13,594.05 |
| Adventhealth Tampa | Tampa | $15,945.81 | $8,145.02 – $18,081.96 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $38,984.00 | $275.50 – $281.30 |
| Adventhealth Port Charlotte | Port Charlotte | $18,337.68 | $8,145.02 – $14,872.82 |
| cleveland clinic florida weston hospital | Weston | $37,401.00 | $307.88 – $46,359.00 |
| martin north hospital | Stuart | $35,451.00 | $506.91 – $27,270.00 |