Perq nl/pl lithotrp cplx>2cm at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$52,499.20
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.
$80,768.00
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.
$3,320.00 with UNITED HEALTHCARE vs $40,384.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | NHP HMO | $3,320.00 | ↓ -94% |
| UNITED HEALTHCARE | UNITED HMO | $3,320.00 | ↓ -94% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $4,286.38 | ↓ -92% |
| AMERIGROUP | AMERIGROUP | $4,286.38 | ↓ -92% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $4,500.70 | ↓ -91% |
| UNITED HEALTHCARE | UNITED MD HMO | $4,500.70 | ↓ -91% |
| WELLCARE | WELL CARE MD HMONC | $4,500.70 | ↓ -91% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $4,543.56 | ↓ -91% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $4,629.29 | ↓ -91% |
| VISTA | COVENTRY MEDICAID | $4,629.29 | ↓ -91% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $4,629.29 | ↓ -91% |
| MEDICAID | PRESTIGE MD HMO NC | $4,715.02 | ↓ -91% |
| BLUE CROSS | MY BLUE EX | $6,905.66 | ↓ -87% |
| MEDICARE MANAGED CARE | PROMINENCE | $9,885.63 | ↓ -81% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $9,885.63 | ↓ -81% |
| BLUE CROSS | BCBS MEDICARE PPO | $10,231.62 | ↓ -81% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $10,577.62 | ↓ -80% |
| HUMANA | HUMANA MEDICARE | $10,775.33 | ↓ -79% |
| HUMANA | CAREPLUS MC HMO | $10,775.33 | ↓ -79% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $10,874.19 | ↓ -79% |
| AVMED | AVMED MEDICARE | $10,874.19 | ↓ -79% |
| CIGNA | CIGNA HMO | $10,903.68 | ↓ -79% |
| LEON MEDICAL | LEON HEALTH MC HMO | $11,071.90 | ↓ -79% |
| AETNA | AETNA MEDICARE | $11,071.90 | ↓ -79% |
| LEON MEDICAL | LEON MED MC HMO NC | $11,071.90 | ↓ -79% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $11,269.61 | ↓ -79% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $12,680.58 | ↓ -76% |
| MEDICARE | DEVOTED HEALTH MC HMO | $13,345.60 | ↓ -75% |
| AVMED | AVMED ENTRUST | $14,174.78 | ↓ -73% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $14,820.93 | ↓ -72% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $15,345.92 | ↓ -71% |
| AETNA | AETNA HMO EXCHANGE | $15,345.92 | ↓ -71% |
| AVMED | AVMED INDIVIDUAL | $16,113.22 | ↓ -69% |
| AVMED | AVMED HMO | $16,517.06 | ↓ -69% |
| BLUE CROSS | BLUE SELECT | $16,961.28 | ↓ -68% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $17,486.27 | ↓ -67% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $18,172.80 | ↓ -65% |
| AVMED | AVMED PPO | $19,667.01 | ↓ -63% |
| AETNA | AETNA HMO | $20,595.84 | ↓ -61% |
| AETNA | AETNA TIER 2 | $20,595.84 | ↓ -61% |
| AETNA | AETNA CATASTROPHIC | $20,595.84 | ↓ -61% |
| BLUE CROSS | BLUE CARE HMO | $24,230.40 | ↓ -54% |
| BLUE CROSS | BCBS NETWORKBLUE | $24,230.40 | ↓ -54% |
| BLUE CROSS | BLUE CROSS | $26,168.83 | ↓ -50% |
| INTERNATIONAL | INTERNATIONAL AETNA | $26,249.60 | ↓ -50% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $30,288.00 | ↓ -42% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $32,307.20 | ↓ -38% |
| AETNA | AETNA PPO | $32,307.20 | ↓ -38% |
| UNITED HEALTHCARE | UNITED PPO | $32,307.20 | ↓ -38% |
| CIGNA | CIGNA PPO | $32,307.20 | ↓ -38% |
| PHCS | PHCS | $36,345.60 | ↓ -31% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $36,345.60 | ↓ -31% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $36,345.60 | ↓ -31% |
| AFFORDABLE | AFFORDABLE PPO | $36,345.60 | ↓ -31% |
| QUALITY HEALTH | MULTIPLAN | $36,345.60 | ↓ -31% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $40,384.00 | ↓ -23% |
Visitor-reported prices
Comments
Perq nl/pl lithotrp cplx>2cm at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $52,499.20 | $173.17 – $36,345.60 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $1,048.99 – $1,071.07 |
| cleveland clinic florida weston hospital | Weston | $5,980.00 | $858.40 – $10,874.19 |
| martin north hospital | Stuart | $5,980.00 | $858.40 – $10,874.19 |
| indian river hospital | Vero Beach | $5,980.00 | $858.40 – $10,874.19 |
| Bethesda Hospital East | BOYNTON BEACH | $52,499.20 | $3,651.00 – $36,345.60 |
| Doctors Hospital | CORAL GABLES | $52,499.20 | $3,320.00 – $36,345.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $52,499.20 | $3,320.00 – $36,345.60 |