Inj., guselkumab, 1 mg at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$620.75
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.
$955.00
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.
$75.97 with MEDICARE vs $5,150.76 with MEDICAID — 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 | SIMPLYHLTH MC HMO NC | $75.97 | ↓ -88% |
| MEDICARE MANAGED CARE | PROMINENCE | $75.97 | ↓ -88% |
| BLUE CROSS | BCBS MEDICARE PPO | $78.63 | ↓ -87% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $81.29 | ↓ -87% |
| HUMANA | CAREPLUS MC HMO | $82.81 | ↓ -87% |
| HUMANA | HUMANA MEDICARE | $82.81 | ↓ -87% |
| AVMED | AVMED MEDICARE | $83.57 | ↓ -87% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $83.57 | ↓ -87% |
| LEON MEDICAL | LEON MED MC HMO NC | $85.09 | ↓ -86% |
| AETNA | AETNA MEDICARE | $85.09 | ↓ -86% |
| LEON MEDICAL | LEON HEALTH MC HMO | $85.09 | ↓ -86% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $86.61 | ↓ -86% |
| MEDICARE | DEVOTED HEALTH MC HMO | $102.56 | ↓ -83% |
| BLUE CROSS | MY BLUE EX | $163.31 | ↓ -74% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $299.87 | ↓ -52% |
| AVMED | AVMED ENTRUST | $335.21 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $350.49 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $362.90 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $362.90 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $381.05 | ↓ -39% |
| AVMED | AVMED HMO | $390.60 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $401.10 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $413.52 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $429.75 | ↓ -31% |
| AVMED | AVMED PPO | $465.09 | ↓ -25% |
| AETNA | AETNA HMO | $487.05 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $487.05 | ↓ -22% |
| AETNA | AETNA TIER 2 | $487.05 | ↓ -22% |
| CIGNA | CIGNA HMO | $496.60 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $573.00 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $573.00 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $573.00 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $573.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $618.84 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $620.75 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $716.25 | ↑ +15% |
| AETNA | AETNA PPO | $764.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $764.00 | ↑ +23% |
| CIGNA | CIGNA PPO | $764.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $764.00 | ↑ +23% |
| QUALITY HEALTH | MULTIPLAN | $859.50 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $859.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $859.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $859.50 | ↑ +38% |
| PHCS | PHCS | $859.50 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $955.00 | ↑ +54% |
| AMERIGROUP | AMERIGROUP | $4,682.51 | ↑ +654% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $4,682.51 | ↑ +654% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $4,916.64 | ↑ +692% |
| WELLCARE | WELL CARE MD HMONC | $4,916.64 | ↑ +692% |
| UNITED HEALTHCARE | UNITED MD HMO | $4,916.64 | ↑ +692% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $4,963.46 | ↑ +700% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $5,057.11 | ↑ +715% |
| VISTA | COVENTRY MEDICAID | $5,057.11 | ↑ +715% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $5,057.11 | ↑ +715% |
| MEDICAID | PRESTIGE MD HMO NC | $5,150.76 | ↑ +730% |
Visitor-reported prices
Comments
Inj., guselkumab, 1 mg at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $620.75 | $75.97 – $5,071.87 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $68.32 – $120.35 |
| Bethesda Hospital East | BOYNTON BEACH | $620.75 | $75.97 – $5,071.87 |
| Doctors Hospital | CORAL GABLES | $620.75 | $75.97 – $5,057.11 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $620.75 | $75.97 – $5,057.11 |
| Fishermens Community Hospital | MARATHON | $681.20 | $175.02 – $5,057.11 |
| Homestead Hospital | HOMESTEAD | $620.75 | $75.97 – $4,916.64 |
| Mariners Hospital | TAVERNIER | $681.20 | $181.30 – $5,057.11 |