Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$18,983.90
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.
$29,206.00
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.
$4,863.22 with AMERIGROUP vs $29,206.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $4,863.22 | ↓ -74% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $4,863.22 | ↓ -74% |
| BLUE CROSS | MY BLUE EX | $4,994.23 | ↓ -74% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $5,106.38 | ↓ -73% |
| WELLCARE | WELL CARE MD HMONC | $5,106.38 | ↓ -73% |
| UNITED HEALTHCARE | UNITED MD HMO | $5,106.38 | ↓ -73% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $5,155.01 | ↓ -73% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $5,252.27 | ↓ -72% |
| VISTA | COVENTRY MEDICAID | $5,252.27 | ↓ -72% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $5,252.27 | ↓ -72% |
| MEDICAID | PRESTIGE MD HMO NC | $5,349.54 | ↓ -72% |
| CIGNA | CIGNA HMO | $7,885.62 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $9,170.68 | ↓ -52% |
| AVMED | AVMED ENTRUST | $10,251.31 | ↓ -46% |
| UNITED HEALTHCARE | NHP HMO | $10,553.00 | ↓ -44% |
| UNITED HEALTHCARE | UNITED HMO | $10,553.00 | ↓ -44% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $10,718.60 | ↓ -44% |
| MEDICARE MANAGED CARE | PROMINENCE | $10,914.80 | ↓ -43% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $10,914.80 | ↓ -43% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $11,098.28 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $11,098.28 | ↓ -42% |
| BLUE CROSS | BCBS MEDICARE PPO | $11,296.82 | ↓ -40% |
| AVMED | AVMED INDIVIDUAL | $11,653.19 | ↓ -39% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $11,678.84 | ↓ -38% |
| HUMANA | HUMANA MEDICARE | $11,897.13 | ↓ -37% |
| HUMANA | CAREPLUS MC HMO | $11,897.13 | ↓ -37% |
| AVMED | AVMED HMO | $11,945.25 | ↓ -37% |
| AVMED | AVMED MEDICARE | $12,006.28 | ↓ -37% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $12,006.28 | ↓ -37% |
| LEON MEDICAL | LEON MED MC HMO NC | $12,224.58 | ↓ -36% |
| AETNA | AETNA MEDICARE | $12,224.58 | ↓ -36% |
| LEON MEDICAL | LEON HEALTH MC HMO | $12,224.58 | ↓ -36% |
| BLUE CROSS | BLUE SELECT | $12,266.52 | ↓ -35% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $12,442.87 | ↓ -34% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $12,646.20 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $13,142.70 | ↓ -31% |
| AVMED | AVMED PPO | $14,223.32 | ↓ -25% |
| MEDICARE | DEVOTED HEALTH MC HMO | $14,734.98 | ↓ -22% |
| AETNA | AETNA HMO | $14,895.06 | ↓ -22% |
| AETNA | AETNA TIER 2 | $14,895.06 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $14,895.06 | ↓ -22% |
| BLUE CROSS | BCBS NETWORKBLUE | $17,523.60 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $17,523.60 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $18,925.49 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $18,983.90 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $21,904.50 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $23,364.80 | ↑ +23% |
| CIGNA | CIGNA PPO | $23,364.80 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $23,364.80 | ↑ +23% |
| AETNA | AETNA PPO | $23,364.80 | ↑ +23% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $26,285.40 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $26,285.40 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $26,285.40 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $26,285.40 | ↑ +38% |
| PHCS | PHCS | $26,285.40 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $29,206.00 | ↑ +54% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $18,983.90 | $173.17 – $26,285.40 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $9,467.12 – $9,666.43 |
| Adventhealth Daytona Beach | Daytona Beach | $38,571.92 | not published |
| Adventhealth Tampa | Tampa | $47,122.74 | $10,914.80 – $24,230.85 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $27,542.72 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $44,766.60 | $10,914.80 – $19,930.42 |
| cleveland clinic florida weston hospital | Weston | $20,838.35 | $390.65 – $27,250.15 |
| martin north hospital | Stuart | $20,838.35 | $390.65 – $16,029.50 |