HIV prep, inj, cabotegravir at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$63.70
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.
$98.00
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.
$7.02 with MEDICARE vs $1,176.37 with MEDICAID — 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 | SIMPLYHLTH MC HMO NC | $7.02 | ↓ -89% |
| MEDICARE MANAGED CARE | PROMINENCE | $7.02 | ↓ -89% |
| BLUE CROSS | BCBS MEDICARE PPO | $7.27 | ↓ -89% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $7.51 | ↓ -88% |
| HUMANA | CAREPLUS MC HMO | $7.65 | ↓ -88% |
| HUMANA | HUMANA MEDICARE | $7.65 | ↓ -88% |
| AVMED | AVMED MEDICARE | $7.72 | ↓ -88% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $7.72 | ↓ -88% |
| LEON MEDICAL | LEON MED MC HMO NC | $7.86 | ↓ -88% |
| AETNA | AETNA MEDICARE | $7.86 | ↓ -88% |
| LEON MEDICAL | LEON HEALTH MC HMO | $7.86 | ↓ -88% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $8.00 | ↓ -87% |
| MEDICARE | DEVOTED HEALTH MC HMO | $9.48 | ↓ -85% |
| BLUE CROSS | MY BLUE EX | $16.76 | ↓ -74% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $30.77 | ↓ -52% |
| AVMED | AVMED ENTRUST | $34.40 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $35.97 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $37.24 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $37.24 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $39.10 | ↓ -39% |
| AVMED | AVMED HMO | $40.08 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $41.16 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $42.43 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $44.10 | ↓ -31% |
| AVMED | AVMED PPO | $47.73 | ↓ -25% |
| AETNA | AETNA HMO | $49.98 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $49.98 | ↓ -22% |
| AETNA | AETNA TIER 2 | $49.98 | ↓ -22% |
| CIGNA | CIGNA HMO | $50.96 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $58.80 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $58.80 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $58.80 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $58.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $63.50 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $63.70 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $73.50 | ↑ +15% |
| AETNA | AETNA PPO | $78.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $78.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $78.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $78.40 | ↑ +23% |
| QUALITY HEALTH | MULTIPLAN | $88.20 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $88.20 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $88.20 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $88.20 | ↑ +38% |
| PHCS | PHCS | $88.20 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $98.00 | ↑ +54% |
| AMERIGROUP | AMERIGROUP | $1,069.43 | ↑ +1579% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $1,069.43 | ↑ +1579% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $1,122.90 | ↑ +1663% |
| WELLCARE | WELL CARE MD HMONC | $1,122.90 | ↑ +1663% |
| UNITED HEALTHCARE | UNITED MD HMO | $1,122.90 | ↑ +1663% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $1,133.59 | ↑ +1680% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $1,154.98 | ↑ +1713% |
| VISTA | COVENTRY MEDICAID | $1,154.98 | ↑ +1713% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $1,154.98 | ↑ +1713% |
| MEDICAID | PRESTIGE MD HMO NC | $1,176.37 | ↑ +1747% |
Visitor-reported prices
Comments
HIV prep, inj, cabotegravir at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $63.70 | $7.02 – $1,158.35 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $6.68 – $11.80 |
| Bethesda Hospital East | BOYNTON BEACH | $63.70 | $7.02 – $1,158.35 |
| Doctors Hospital | CORAL GABLES | $63.70 | $7.02 – $1,154.98 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $63.70 | $7.02 – $1,154.98 |
| Fishermens Community Hospital | MARATHON | $70.85 | $18.20 – $1,154.98 |
| Homestead Hospital | HOMESTEAD | $63.70 | $7.02 – $1,122.90 |
| Mariners Hospital | TAVERNIER | $70.85 | $18.86 – $1,154.98 |