Immune complex assay at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$45.50
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.
$70.00
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.
$5.71 with AMERIGROUP vs $43.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $5.71 | ↓ -87% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $5.71 | ↓ -87% |
| WELLCARE | WELL CARE MD HMONC | $6.00 | ↓ -87% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $6.00 | ↓ -87% |
| UNITED HEALTHCARE | UNITED MD HMO | $6.00 | ↓ -87% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $6.06 | ↓ -87% |
| VISTA | COVENTRY MEDICAID | $6.17 | ↓ -86% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $6.17 | ↓ -86% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $6.17 | ↓ -86% |
| MEDICAID | PRESTIGE MD HMO NC | $6.28 | ↓ -86% |
| BLUE CROSS | MY BLUE EX | $7.35 | ↓ -84% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $13.50 | ↓ -70% |
| AVMED | AVMED ENTRUST | $15.09 | ↓ -67% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $15.78 | ↓ -65% |
| AETNA | AETNA HMO EXCHANGE | $16.34 | ↓ -64% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $16.34 | ↓ -64% |
| AVMED | AVMED INDIVIDUAL | $17.16 | ↓ -62% |
| AVMED | AVMED HMO | $17.59 | ↓ -61% |
| BLUE CROSS | BLUE SELECT | $18.06 | ↓ -60% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $18.62 | ↓ -59% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $19.35 | ↓ -57% |
| AVMED | AVMED PPO | $20.94 | ↓ -54% |
| AETNA | AETNA TIER 2 | $21.93 | ↓ -52% |
| AETNA | AETNA CATASTROPHIC | $21.93 | ↓ -52% |
| AETNA | AETNA HMO | $21.93 | ↓ -52% |
| CIGNA | CIGNA HMO | $22.36 | ↓ -51% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $24.37 | ↓ -46% |
| MEDICARE MANAGED CARE | PROMINENCE | $24.37 | ↓ -46% |
| BLUE CROSS | BCBS MEDICARE PPO | $25.22 | ↓ -45% |
| BLUE CROSS | BLUE CARE HMO | $25.80 | ↓ -43% |
| UNITED HEALTHCARE | NHP HMO | $25.80 | ↓ -43% |
| BLUE CROSS | BCBS NETWORKBLUE | $25.80 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HMO | $25.80 | ↓ -43% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $26.08 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $26.56 | ↓ -42% |
| HUMANA | CAREPLUS MC HMO | $26.56 | ↓ -42% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $26.81 | ↓ -41% |
| AVMED | AVMED MEDICARE | $26.81 | ↓ -41% |
| AETNA | AETNA MEDICARE | $27.29 | ↓ -40% |
| LEON MEDICAL | LEON HEALTH MC HMO | $27.29 | ↓ -40% |
| LEON MEDICAL | LEON MED MC HMO NC | $27.29 | ↓ -40% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $27.78 | ↓ -39% |
| BLUE CROSS | BLUE CROSS | $27.86 | ↓ -39% |
| INTERNATIONAL | INTERNATIONAL AETNA | $27.95 | ↓ -39% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $32.25 | ↓ -29% |
| MEDICARE | DEVOTED HEALTH MC HMO | $32.90 | ↓ -28% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $34.40 | ↓ -24% |
| CIGNA | CIGNA PPO | $34.40 | ↓ -24% |
| UNITED HEALTHCARE | UNITED PPO | $34.40 | ↓ -24% |
| AETNA | AETNA PPO | $34.40 | ↓ -24% |
| AFFORDABLE | AFFORDABLE PPO | $38.70 | ↓ -15% |
| PHCS | PHCS | $38.70 | ↓ -15% |
| QUALITY HEALTH | MULTIPLAN | $38.70 | ↓ -15% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $38.70 | ↓ -15% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $38.70 | ↓ -15% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $43.00 | ↓ -5% |
Visitor-reported prices
Comments
Immune complex assay at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $45.50 | $5.89 – $38.70 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $24.13 – $96.20 |
| Adventhealth Daytona Beach | Daytona Beach | $84.64 | $23.15 – $40.67 |
| Adventhealth Palm Coast Parkway | Palm Coast | $84.64 | $23.15 – $52.05 |
| Adventhealth Tampa | Tampa | $376.15 | $24.37 – $54.10 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $80.61 | $23.15 – $53.24 |
| Adventhealth Port Charlotte | Port Charlotte | $179.73 | $24.37 – $44.50 |
| cleveland clinic florida weston hospital | Weston | $84.50 | $5.23 – $32.00 |