Pt evaluation low complexity patient/family at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$261.30
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.
$402.00
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.
$68.74 with BLUE CROSS vs $402.00 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 | $68.74 | ↓ -74% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $100.27 | ↓ -62% |
| MEDICARE MANAGED CARE | PROMINENCE | $100.27 | ↓ -62% |
| BLUE CROSS | BCBS MEDICARE PPO | $103.78 | ↓ -60% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $107.29 | ↓ -59% |
| HUMANA | HUMANA MEDICARE | $109.29 | ↓ -58% |
| HUMANA | CAREPLUS MC HMO | $109.29 | ↓ -58% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $110.30 | ↓ -58% |
| AVMED | AVMED MEDICARE | $110.30 | ↓ -58% |
| LEON MEDICAL | LEON MED MC HMO NC | $112.30 | ↓ -57% |
| LEON MEDICAL | LEON HEALTH MC HMO | $112.30 | ↓ -57% |
| AETNA | AETNA MEDICARE | $112.30 | ↓ -57% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $114.31 | ↓ -56% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $126.23 | ↓ -52% |
| MEDICARE | DEVOTED HEALTH MC HMO | $135.36 | ↓ -48% |
| AVMED | AVMED ENTRUST | $141.10 | ↓ -46% |
| AMERIGROUP | AMERIGROUP | $143.21 | ↓ -45% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $143.21 | ↓ -45% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $147.53 | ↓ -44% |
| UNITED HEALTHCARE | UNITED MD HMO | $150.37 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $150.37 | ↓ -42% |
| WELLCARE | WELL CARE MD HMONC | $150.37 | ↓ -42% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $151.80 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $152.76 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $152.76 | ↓ -42% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $154.67 | ↓ -41% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $154.67 | ↓ -41% |
| VISTA | COVENTRY MEDICAID | $154.67 | ↓ -41% |
| MEDICAID | PRESTIGE MD HMO NC | $157.53 | ↓ -40% |
| AVMED | AVMED INDIVIDUAL | $160.40 | ↓ -39% |
| AVMED | AVMED HMO | $164.42 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $168.84 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $174.07 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $180.90 | ↓ -31% |
| AVMED | AVMED PPO | $195.77 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $205.02 | ↓ -22% |
| AETNA | AETNA HMO | $205.02 | ↓ -22% |
| AETNA | AETNA TIER 2 | $205.02 | ↓ -22% |
| CIGNA | CIGNA HMO | $209.04 | ↓ -20% |
| BLUE CROSS | BLUE CARE HMO | $241.20 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $241.20 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $241.20 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $241.20 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $260.50 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $261.30 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $301.50 | ↑ +15% |
| CIGNA | CIGNA PPO | $321.60 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $321.60 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $321.60 | ↑ +23% |
| AETNA | AETNA PPO | $321.60 | ↑ +23% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $361.80 | ↑ +38% |
| PHCS | PHCS | $361.80 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $361.80 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $361.80 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $361.80 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $402.00 | ↑ +54% |
Visitor-reported prices
Comments
Pt evaluation low complexity patient/family at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $261.30 | $69.55 – $361.80 |
| Adventhealth Daytona Beach | Daytona Beach | $384.35 | $93.79 – $164.78 |
| Adventhealth Lake Wales | Lake Wales | $589.05 | $98.73 – $219.18 |
| Adventhealth Palm Coast Parkway | Palm Coast | $448.92 | not published |
| Adventhealth Tampa | Tampa | $579.30 | $98.73 – $219.18 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $296.52 | $93.79 – $215.68 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | $692.00 | $67.58 – $101.38 |
| Adventhealth Port Charlotte | Port Charlotte | $494.86 | not published |