Ghs musc tst done w/nerv tst lim at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$388.05
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.
$597.00
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 MEDICAID vs $597.00 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 |
|---|---|---|---|
| MEDICAID | SIMPLYHLTH MD HMO NC | $82.42 | ↓ -79% |
| AMERIGROUP | AMERIGROUP | $82.42 | ↓ -79% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $86.54 | ↓ -78% |
| UNITED HEALTHCARE | UNITED MD HMO | $86.54 | ↓ -78% |
| WELLCARE | WELL CARE MD HMONC | $86.54 | ↓ -78% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $87.36 | ↓ -77% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $89.01 | ↓ -77% |
| VISTA | COVENTRY MEDICAID | $89.01 | ↓ -77% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $89.01 | ↓ -77% |
| MEDICAID | PRESTIGE MD HMO NC | $90.66 | ↓ -77% |
| BLUE CROSS | MY BLUE EX | $102.09 | ↓ -74% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $187.46 | ↓ -52% |
| AVMED | AVMED ENTRUST | $209.55 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $219.10 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $226.86 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $226.86 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $238.20 | ↓ -39% |
| AVMED | AVMED HMO | $244.17 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $250.74 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $258.50 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $268.65 | ↓ -31% |
| AVMED | AVMED PPO | $290.74 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $304.47 | ↓ -22% |
| AETNA | AETNA HMO | $304.47 | ↓ -22% |
| AETNA | AETNA TIER 2 | $304.47 | ↓ -22% |
| CIGNA | CIGNA HMO | $310.44 | ↓ -20% |
| UNITED HEALTHCARE | UNITED HMO | $358.20 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $358.20 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $358.20 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $358.20 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $386.86 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $388.05 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $447.75 | ↑ +15% |
| CIGNA | CIGNA PPO | $477.60 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $477.60 | ↑ +23% |
| AETNA | AETNA PPO | $477.60 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $477.60 | ↑ +23% |
| QUALITY HEALTH | MULTIPLAN | $537.30 | ↑ +38% |
| PHCS | PHCS | $537.30 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $537.30 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $537.30 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $537.30 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $597.00 | ↑ +54% |
Visitor-reported prices
Comments
Ghs musc tst done w/nerv tst lim at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $388.05 | $85.02 – $537.30 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | $780.00 | $48.45 – $49.47 |
| Adventhealth Daytona Beach | Daytona Beach | $175.74 | not published |
| Adventhealth Tampa | Tampa | $419.91 | not published |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $837.00 | $44.65 – $45.59 |
| cleveland clinic florida weston hospital | Weston | $900.90 | $14.92 – $1,059.10 |
| martin north hospital | Stuart | $809.90 | $42.26 – $623.00 |
| indian river hospital | Vero Beach | $809.90 | $31.56 – $996.80 |