Ins mark thor for right perq at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$4,790.50
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.
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What you pay up front if you don't use insurance.
$7,370.00
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.
$650.33 with MEDICAID vs $7,370.00 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 | $650.33 | ↓ -86% |
| AMERIGROUP | AMERIGROUP | $650.33 | ↓ -86% |
| UNITED HEALTHCARE | UNITED MD HMO | $682.84 | ↓ -86% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $682.84 | ↓ -86% |
| WELLCARE | WELL CARE MD HMONC | $682.84 | ↓ -86% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $689.35 | ↓ -86% |
| VISTA | COVENTRY MEDICAID | $702.35 | ↓ -85% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $702.35 | ↓ -85% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $702.35 | ↓ -85% |
| MEDICAID | PRESTIGE MD HMO NC | $715.36 | ↓ -85% |
| UNITED HEALTHCARE | NHP HMO | $803.00 | ↓ -83% |
| UNITED HEALTHCARE | UNITED HMO | $803.00 | ↓ -83% |
| BLUE CROSS | MY BLUE EX | $1,260.27 | ↓ -74% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $1,445.42 | ↓ -70% |
| MEDICARE MANAGED CARE | PROMINENCE | $1,445.42 | ↓ -70% |
| BLUE CROSS | BCBS MEDICARE PPO | $1,496.01 | ↓ -69% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $1,546.60 | ↓ -68% |
| HUMANA | HUMANA MEDICARE | $1,575.51 | ↓ -67% |
| HUMANA | CAREPLUS MC HMO | $1,575.51 | ↓ -67% |
| AVMED | AVMED MEDICARE | $1,589.96 | ↓ -67% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $1,589.96 | ↓ -67% |
| LEON MEDICAL | LEON MED MC HMO NC | $1,618.87 | ↓ -66% |
| AETNA | AETNA MEDICARE | $1,618.87 | ↓ -66% |
| LEON MEDICAL | LEON HEALTH MC HMO | $1,618.87 | ↓ -66% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $1,647.78 | ↓ -66% |
| MEDICARE | DEVOTED HEALTH MC HMO | $1,951.31 | ↓ -59% |
| CIGNA | CIGNA HMO | $1,989.90 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $2,314.18 | ↓ -52% |
| AVMED | AVMED ENTRUST | $2,586.87 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $2,704.79 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $2,800.60 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $2,800.60 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $2,940.63 | ↓ -39% |
| AVMED | AVMED HMO | $3,014.33 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $3,095.40 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $3,191.21 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $3,316.50 | ↓ -31% |
| AVMED | AVMED PPO | $3,589.19 | ↓ -25% |
| AETNA | AETNA TIER 2 | $3,758.70 | ↓ -22% |
| AETNA | AETNA HMO | $3,758.70 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $3,758.70 | ↓ -22% |
| BLUE CROSS | BCBS NETWORKBLUE | $4,422.00 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $4,422.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $4,775.76 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $4,790.50 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $5,527.50 | ↑ +15% |
| AETNA | AETNA PPO | $5,896.00 | ↑ +23% |
| CIGNA | CIGNA PPO | $5,896.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $5,896.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $5,896.00 | ↑ +23% |
| QUALITY HEALTH | MULTIPLAN | $6,633.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $6,633.00 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $6,633.00 | ↑ +38% |
| PHCS | PHCS | $6,633.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $6,633.00 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $7,370.00 | ↑ +54% |
Visitor-reported prices
Comments
Ins mark thor for right perq at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $4,790.50 | $173.17 – $6,633.00 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $1,746.23 – $1,783.00 |
| Adventhealth Tampa | Tampa | $3,246.42 | $1,445.42 – $3,208.83 |
| cleveland clinic florida weston hospital | Weston | $5,114.20 | $118.56 – $6,687.80 |
| martin north hospital | Stuart | $5,114.20 | $215.88 – $5,901.00 |
| indian river hospital | Vero Beach | $5,114.20 | $118.56 – $6,294.40 |
| Bethesda Hospital East | BOYNTON BEACH | $4,790.50 | $670.86 – $6,633.00 |
| Boca Raton Regional Hospital | BOCA RATON | $4,291.30 | $1,419.46 – $4,707.00 |