ER Visit (level 2) at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$698.75
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.
?
What you pay up front if you don't use insurance.
$1,075.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$160.34 with MEDICARE MANAGED CARE vs $1,075.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| MEDICARE MANAGED CARE | PROMINENCE | $160.34 | ↓ -77% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $160.34 | ↓ -77% |
| BLUE CROSS | BCBS MEDICARE PPO | $165.96 | ↓ -76% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $171.57 | ↓ -75% |
| HUMANA | CAREPLUS MC HMO | $174.77 | ↓ -75% |
| HUMANA | HUMANA MEDICARE | $174.77 | ↓ -75% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $176.38 | ↓ -75% |
| AVMED | AVMED MEDICARE | $176.38 | ↓ -75% |
| AETNA | AETNA MEDICARE | $179.58 | ↓ -74% |
| LEON MEDICAL | LEON HEALTH MC HMO | $179.58 | ↓ -74% |
| LEON MEDICAL | LEON MED MC HMO NC | $179.58 | ↓ -74% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $182.79 | ↓ -74% |
| BLUE CROSS | MY BLUE EX | $183.83 | ↓ -74% |
| MEDICARE | DEVOTED HEALTH MC HMO | $216.46 | ↓ -69% |
| AVMED | AVMED ENTRUST | $377.33 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $394.53 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $408.50 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $408.50 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $428.93 | ↓ -39% |
| AVMED | AVMED HMO | $439.68 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $451.50 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $465.48 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $483.75 | ↓ -31% |
| AETNA | AETNA TIER 2 | $505.25 | ↓ -28% |
| AETNA | AETNA CATASTROPHIC | $505.25 | ↓ -28% |
| AETNA | AETNA HMO | $505.25 | ↓ -28% |
| AVMED | AVMED PPO | $523.53 | ↓ -25% |
| CIGNA | CIGNA HMO | $607.38 | ↓ -13% |
| BLUE CROSS | BLUE CARE HMO | $645.00 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $645.00 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $645.00 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $645.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $696.60 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $698.75 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $806.25 | ↑ +15% |
| CIGNA | CIGNA PPO | $860.00 | ↑ +23% |
| AETNA | AETNA PPO | $860.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $860.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $860.00 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $967.50 | ↑ +38% |
| PHCS | PHCS | $967.50 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $967.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $967.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $967.50 | ↑ +38% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $1,075.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,075.00 | ↑ +54% |
| VISTA | COVENTRY MEDICAID | not published by hospital | — |
| MEDICAID | SIMPLYHLTH MD HMO NC | not published by hospital | — |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | not published by hospital | — |
| AMERIGROUP | AMERIGROUP | not published by hospital | — |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | not published by hospital | — |
| WELLCARE | WELL CARE MD HMONC | not published by hospital | — |
| AETNA | AETNA BETTER HEALTH MEDICAID | not published by hospital | — |
| MEDICAID | PRESTIGE MD HMO NC | not published by hospital | — |
| UNITED HEALTHCARE | UNITED MD HMO | not published by hospital | — |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 2) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $698.75 | $160.34 – $967.50 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $52.25 – $53.35 |
| Adventhealth Daytona Beach | Daytona Beach | $749.79 | $152.33 – $267.61 |
| Adventhealth Lake Wales | Lake Wales | $746.62 | $160.34 – $355.96 |
| Adventhealth Palm Coast Parkway | Palm Coast | $653.33 | $152.33 – $342.48 |
| Adventhealth Tampa | Tampa | $908.86 | $160.34 – $355.96 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $841.68 | $152.33 – $350.27 |
| Adventhealth Port Charlotte | Port Charlotte | $2,584.59 | $160.34 – $292.79 |