Prcrd drg 0-5yr or w/anomly at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$1,745.25
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.
$2,685.00
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.
$459.14 with BLUE CROSS vs $2,685.00 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 | $459.14 | ↓ -74% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $620.75 | ↓ -64% |
| AMERIGROUP | AMERIGROUP | $620.75 | ↓ -64% |
| WELLCARE | WELL CARE MD HMONC | $651.79 | ↓ -63% |
| UNITED HEALTHCARE | UNITED MD HMO | $651.79 | ↓ -63% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $651.79 | ↓ -63% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $658.00 | ↓ -62% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $670.41 | ↓ -62% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $670.41 | ↓ -62% |
| VISTA | COVENTRY MEDICAID | $670.41 | ↓ -62% |
| MEDICAID | PRESTIGE MD HMO NC | $682.83 | ↓ -61% |
| CIGNA | CIGNA HMO | $724.95 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $843.09 | ↓ -52% |
| AVMED | AVMED ENTRUST | $942.44 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $985.40 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $1,020.30 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $1,020.30 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $1,071.32 | ↓ -39% |
| AVMED | AVMED HMO | $1,098.17 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $1,127.70 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $1,162.61 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $1,208.25 | ↓ -31% |
| AVMED | AVMED PPO | $1,307.60 | ↓ -25% |
| AETNA | AETNA HMO | $1,369.35 | ↓ -22% |
| AETNA | AETNA TIER 2 | $1,369.35 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $1,369.35 | ↓ -22% |
| BLUE CROSS | BLUE CARE HMO | $1,611.00 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,611.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $1,739.88 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $1,745.25 | ↑ +0% |
| UNITED HEALTHCARE | UNITED HMO | $1,954.00 | ↑ +12% |
| UNITED HEALTHCARE | NHP HMO | $1,954.00 | ↑ +12% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $2,013.75 | ↑ +15% |
| AETNA | AETNA PPO | $2,148.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $2,148.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $2,148.00 | ↑ +23% |
| CIGNA | CIGNA PPO | $2,148.00 | ↑ +23% |
| QUALITY HEALTH | MULTIPLAN | $2,416.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $2,416.50 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $2,416.50 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $2,416.50 | ↑ +38% |
| PHCS | PHCS | $2,416.50 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $2,685.00 | ↑ +54% |
Visitor-reported prices
Comments
Prcrd drg 0-5yr or w/anomly at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $1,745.25 | $173.17 – $2,416.50 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $542.30 – $553.71 |
| cleveland clinic florida weston hospital | Weston | $4,317.95 | $217.28 – $5,646.55 |
| martin north hospital | Stuart | $4,317.95 | $217.28 – $3,321.50 |
| indian river hospital | Vero Beach | $4,317.95 | $217.28 – $5,314.40 |
| Bethesda Hospital East | BOYNTON BEACH | $1,745.25 | $640.35 – $2,685.00 |
| Boca Raton Regional Hospital | BOCA RATON | $1,562.60 | $723.60 – $2,404.00 |
| Doctors Hospital | CORAL GABLES | $1,745.25 | $469.88 – $2,416.50 |