Lung function test (mbc/mvv) at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$376.35
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.
$579.00
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.
$35.66 with MEDICAID vs $579.00 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 | $35.66 | ↓ -91% |
| AMERIGROUP | AMERIGROUP | $35.66 | ↓ -91% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $37.45 | ↓ -90% |
| UNITED HEALTHCARE | UNITED MD HMO | $37.45 | ↓ -90% |
| WELLCARE | WELL CARE MD HMONC | $37.45 | ↓ -90% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $37.80 | ↓ -90% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $38.52 | ↓ -90% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $38.52 | ↓ -90% |
| VISTA | COVENTRY MEDICAID | $38.52 | ↓ -90% |
| MEDICAID | PRESTIGE MD HMO NC | $39.23 | ↓ -90% |
| MEDICARE MANAGED CARE | PROMINENCE | $61.60 | ↓ -84% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $61.60 | ↓ -84% |
| BLUE CROSS | BCBS MEDICARE PPO | $63.76 | ↓ -83% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $65.92 | ↓ -82% |
| HUMANA | CAREPLUS MC HMO | $67.15 | ↓ -82% |
| HUMANA | HUMANA MEDICARE | $67.15 | ↓ -82% |
| AVMED | AVMED MEDICARE | $67.76 | ↓ -82% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $67.76 | ↓ -82% |
| LEON MEDICAL | LEON HEALTH MC HMO | $69.00 | ↓ -82% |
| AETNA | AETNA MEDICARE | $69.00 | ↓ -82% |
| LEON MEDICAL | LEON MED MC HMO NC | $69.00 | ↓ -82% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $70.23 | ↓ -81% |
| MEDICARE | DEVOTED HEALTH MC HMO | $83.17 | ↓ -78% |
| BLUE CROSS | MY BLUE EX | $99.01 | ↓ -74% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $181.81 | ↓ -52% |
| AVMED | AVMED ENTRUST | $203.23 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $212.49 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $220.02 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $220.02 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $231.02 | ↓ -39% |
| AVMED | AVMED HMO | $236.81 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $243.18 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $250.71 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $260.55 | ↓ -31% |
| AVMED | AVMED PPO | $281.97 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $295.29 | ↓ -22% |
| AETNA | AETNA HMO | $295.29 | ↓ -22% |
| AETNA | AETNA TIER 2 | $295.29 | ↓ -22% |
| CIGNA | CIGNA HMO | $301.08 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $347.40 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $347.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $347.40 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $347.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $375.19 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $376.35 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $434.25 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $463.20 | ↑ +23% |
| AETNA | AETNA PPO | $463.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $463.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $463.20 | ↑ +23% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $521.10 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $521.10 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $521.10 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $521.10 | ↑ +38% |
| PHCS | PHCS | $521.10 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $579.00 | ↑ +54% |
Visitor-reported prices
Comments
Lung function test (mbc/mvv) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $376.35 | $36.79 – $521.10 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $19.95 – $20.37 |
| Adventhealth Daytona Beach | Daytona Beach | $190.11 | $58.52 – $102.82 |
| Adventhealth Lake Wales | Lake Wales | $513.99 | $61.60 – $136.76 |
| Adventhealth Palm Coast Parkway | Palm Coast | $218.61 | $58.52 – $131.58 |
| Adventhealth Tampa | Tampa | $670.29 | $61.60 – $136.76 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $298.60 | $58.52 – $134.57 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $745.00 | $18.05 – $18.43 |