Emg 3 ext w-w/o paraspinal area 95863 at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$408.85
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.
$629.00
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.
$82.42 with AMERIGROUP vs $629.00 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 | $82.42 | ↓ -80% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $82.42 | ↓ -80% |
| UNITED HEALTHCARE | UNITED MD HMO | $86.54 | ↓ -79% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $86.54 | ↓ -79% |
| WELLCARE | WELL CARE MD HMONC | $86.54 | ↓ -79% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $87.36 | ↓ -79% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $89.01 | ↓ -78% |
| VISTA | COVENTRY MEDICAID | $89.01 | ↓ -78% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $89.01 | ↓ -78% |
| MEDICAID | PRESTIGE MD HMO NC | $90.66 | ↓ -78% |
| BLUE CROSS | MY BLUE EX | $107.56 | ↓ -74% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $134.37 | ↓ -67% |
| MEDICARE MANAGED CARE | PROMINENCE | $134.37 | ↓ -67% |
| BLUE CROSS | BCBS MEDICARE PPO | $139.07 | ↓ -66% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $143.78 | ↓ -65% |
| HUMANA | HUMANA MEDICARE | $146.46 | ↓ -64% |
| HUMANA | CAREPLUS MC HMO | $146.46 | ↓ -64% |
| AVMED | AVMED MEDICARE | $147.81 | ↓ -64% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $147.81 | ↓ -64% |
| LEON MEDICAL | LEON MED MC HMO NC | $150.49 | ↓ -63% |
| LEON MEDICAL | LEON HEALTH MC HMO | $150.49 | ↓ -63% |
| AETNA | AETNA MEDICARE | $150.49 | ↓ -63% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $153.18 | ↓ -63% |
| MEDICARE | DEVOTED HEALTH MC HMO | $181.40 | ↓ -56% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $197.51 | ↓ -52% |
| AVMED | AVMED ENTRUST | $220.78 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $230.84 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $239.02 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $239.02 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $250.97 | ↓ -39% |
| AVMED | AVMED HMO | $257.26 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $264.18 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $272.36 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $283.05 | ↓ -31% |
| AVMED | AVMED PPO | $306.32 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $320.79 | ↓ -22% |
| AETNA | AETNA TIER 2 | $320.79 | ↓ -22% |
| AETNA | AETNA HMO | $320.79 | ↓ -22% |
| CIGNA | CIGNA HMO | $327.08 | ↓ -20% |
| BLUE CROSS | BCBS NETWORKBLUE | $377.40 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $377.40 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $377.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $377.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $407.59 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $408.85 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $471.75 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $503.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $503.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $503.20 | ↑ +23% |
| AETNA | AETNA PPO | $503.20 | ↑ +23% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $566.10 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $566.10 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $566.10 | ↑ +38% |
| PHCS | PHCS | $566.10 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $566.10 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $629.00 | ↑ +54% |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $408.85 | $85.02 – $566.10 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $123.50 – $126.10 |
| Adventhealth Tampa | Tampa | $2,680.19 | $134.37 – $298.30 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $3,796.00 | $113.05 – $115.43 |
| cleveland clinic florida weston hospital | Weston | $1,363.70 | $62.46 – $1,147.50 |
| martin north hospital | Stuart | $877.50 | $86.94 – $748.00 |
| indian river hospital | Vero Beach | $877.50 | $82.59 – $1,080.00 |
| Bethesda Hospital East | BOYNTON BEACH | $408.85 | $85.02 – $566.10 |