Inj, micafungin (par pharm) at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$1,191.45
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.
$1,833.00
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.
$167.58 with BLUE CROSS vs $980.00 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 |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $167.58 | ↓ -86% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $307.72 | ↓ -74% |
| AVMED | AVMED ENTRUST | $343.98 | ↓ -71% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $359.66 | ↓ -70% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $372.40 | ↓ -69% |
| AETNA | AETNA HMO EXCHANGE | $372.40 | ↓ -69% |
| AVMED | AVMED INDIVIDUAL | $391.02 | ↓ -67% |
| AVMED | AVMED HMO | $400.82 | ↓ -66% |
| BLUE CROSS | BLUE SELECT | $411.60 | ↓ -65% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $424.34 | ↓ -64% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $441.00 | ↓ -63% |
| AVMED | AVMED PPO | $477.26 | ↓ -60% |
| AETNA | AETNA CATASTROPHIC | $499.80 | ↓ -58% |
| AETNA | AETNA HMO | $499.80 | ↓ -58% |
| AETNA | AETNA TIER 2 | $499.80 | ↓ -58% |
| CIGNA | CIGNA HMO | $509.60 | ↓ -57% |
| UNITED HEALTHCARE | UNITED HMO | $588.00 | ↓ -51% |
| UNITED HEALTHCARE | NHP HMO | $588.00 | ↓ -51% |
| BLUE CROSS | BCBS NETWORKBLUE | $588.00 | ↓ -51% |
| BLUE CROSS | BLUE CARE HMO | $588.00 | ↓ -51% |
| BLUE CROSS | BLUE CROSS | $635.04 | ↓ -47% |
| INTERNATIONAL | INTERNATIONAL AETNA | $637.00 | ↓ -47% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $735.00 | ↓ -38% |
| UNITED HEALTHCARE | UNITED PPO | $784.00 | ↓ -34% |
| CIGNA | CIGNA PPO | $784.00 | ↓ -34% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $784.00 | ↓ -34% |
| AETNA | AETNA PPO | $784.00 | ↓ -34% |
| AFFORDABLE | AFFORDABLE PPO | $882.00 | ↓ -26% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $882.00 | ↓ -26% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $882.00 | ↓ -26% |
| PHCS | PHCS | $882.00 | ↓ -26% |
| QUALITY HEALTH | MULTIPLAN | $882.00 | ↓ -26% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $980.00 | ↓ -18% |
Visitor-reported prices
Comments
Inj, micafungin (par pharm) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $0.21 – $0.36 |
| cleveland clinic florida weston hospital | Weston | $350.06 | $0.24 – $228.89 |
| martin north hospital | Stuart | $350.06 | $0.42 – $201.96 |
| indian river hospital | Vero Beach | $350.06 | $0.42 – $215.42 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE | $11.00 | $0.21 – $0.36 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART | $13.00 | $0.21 – $0.36 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $0.22 – $0.36 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS | not published | $0.21 – $0.36 |