healthcosts.net
ER Visit (level 3) at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$1,179.10
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.
$1,814.00
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.
$285.06 with MEDICARE MANAGED CARE vs $1,814.00 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 |
|---|---|---|---|
| MEDICARE MANAGED CARE | PROMINENCE | $285.06 | ↓ -76% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $285.06 | ↓ -76% |
| BLUE CROSS | BCBS MEDICARE PPO | $295.04 | ↓ -75% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $305.02 | ↓ -74% |
| BLUE CROSS | MY BLUE EX | $310.19 | ↓ -74% |
| HUMANA | HUMANA MEDICARE | $310.72 | ↓ -74% |
| HUMANA | CAREPLUS MC HMO | $310.72 | ↓ -74% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $313.57 | ↓ -73% |
| AVMED | AVMED MEDICARE | $313.57 | ↓ -73% |
| AETNA | AETNA MEDICARE | $319.27 | ↓ -73% |
| LEON MEDICAL | LEON MED MC HMO NC | $319.27 | ↓ -73% |
| LEON MEDICAL | LEON HEALTH MC HMO | $319.27 | ↓ -73% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $324.97 | ↓ -72% |
| MEDICARE | DEVOTED HEALTH MC HMO | $384.84 | ↓ -67% |
| AVMED | AVMED ENTRUST | $636.71 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $665.74 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $689.32 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $689.32 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $723.79 | ↓ -39% |
| AVMED | AVMED HMO | $741.93 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $761.88 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $785.46 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $816.30 | ↓ -31% |
| AETNA | AETNA CATASTROPHIC | $852.58 | ↓ -28% |
| AETNA | AETNA TIER 2 | $852.58 | ↓ -28% |
| AETNA | AETNA HMO | $852.58 | ↓ -28% |
| AVMED | AVMED PPO | $883.42 | ↓ -25% |
| CIGNA | CIGNA HMO | $1,024.91 | ↓ -13% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,088.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $1,088.40 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $1,088.40 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $1,088.40 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $1,089.20 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $1,175.47 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $1,179.10 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $1,360.50 | ↑ +15% |
| CIGNA | CIGNA PPO | $1,451.20 | ↑ +23% |
| AETNA | AETNA PPO | $1,451.20 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $1,451.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $1,451.20 | ↑ +23% |
| PHCS | PHCS | $1,632.60 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $1,632.60 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $1,632.60 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $1,632.60 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $1,632.60 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,814.00 | ↑ +54% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | not published by hospital | — |
| AETNA | AETNA BETTER HEALTH MEDICAID | not published by hospital | — |
| MEDICAID | SIMPLYHLTH MD HMO NC | not published by hospital | — |
| VISTA | COVENTRY MEDICAID | not published by hospital | — |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | not published by hospital | — |
| UNITED HEALTHCARE | UNITED MD HMO | not published by hospital | — |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | not published by hospital | — |
| AMERIGROUP | AMERIGROUP | not published by hospital | — |
| WELLCARE | WELL CARE MD HMONC | not published by hospital | — |
| MEDICAID | PRESTIGE MD HMO NC | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 3) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $1,179.10 | $173.17 – $1,632.60 |
| cleveland clinic florida weston hospital | Weston | $1,552.85 | $35.80 – $2,030.65 |
| martin north hospital | Stuart | $1,552.85 | $46.22 – $1,194.50 |
| indian river hospital | Vero Beach | $1,552.85 | $35.80 – $1,911.20 |
| Bethesda Hospital East | BOYNTON BEACH | $1,179.10 | $285.06 – $1,632.60 |
| Boca Raton Regional Hospital | BOCA RATON | $1,008.80 | $279.94 – $1,552.00 |
| Doctors Hospital | CORAL GABLES | $1,179.10 | $285.06 – $1,632.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $1,179.10 | $285.06 – $1,632.60 |