Pulm endartercomy w/bypass 33916 at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$5,105.10
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.
$7,854.00
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.
$1,343.03 with BLUE CROSS vs $7,854.00 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 | $1,343.03 | ↓ -74% |
| UNITED HEALTHCARE | NHP HMO | $1,954.00 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HMO | $1,954.00 | ↓ -62% |
| CIGNA | CIGNA HMO | $2,120.58 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $2,466.16 | ↓ -52% |
| AVMED | AVMED ENTRUST | $2,756.75 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $2,882.42 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $2,984.52 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $2,984.52 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $3,133.75 | ↓ -39% |
| AVMED | AVMED HMO | $3,212.29 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $3,298.68 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $3,400.78 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $3,534.30 | ↓ -31% |
| AVMED | AVMED PPO | $3,824.90 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $4,005.54 | ↓ -22% |
| AETNA | AETNA TIER 2 | $4,005.54 | ↓ -22% |
| AETNA | AETNA HMO | $4,005.54 | ↓ -22% |
| BLUE CROSS | BCBS NETWORKBLUE | $4,712.40 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $4,712.40 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $5,089.39 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $5,105.10 | ↑ +0% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $5,253.53 | ↑ +3% |
| AMERIGROUP | AMERIGROUP | $5,253.53 | ↑ +3% |
| WELLCARE | WELL CARE MD HMONC | $5,516.20 | ↑ +8% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $5,516.20 | ↑ +8% |
| UNITED HEALTHCARE | UNITED MD HMO | $5,516.20 | ↑ +8% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $5,568.74 | ↑ +9% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $5,673.81 | ↑ +11% |
| VISTA | COVENTRY MEDICAID | $5,673.81 | ↑ +11% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $5,673.81 | ↑ +11% |
| MEDICAID | PRESTIGE MD HMO NC | $5,778.88 | ↑ +13% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $5,890.50 | ↑ +15% |
| AETNA | AETNA PPO | $6,283.20 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $6,283.20 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $6,283.20 | ↑ +23% |
| CIGNA | CIGNA PPO | $6,283.20 | ↑ +23% |
| QUALITY HEALTH | MULTIPLAN | $7,068.60 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $7,068.60 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $7,068.60 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $7,068.60 | ↑ +38% |
| PHCS | PHCS | $7,068.60 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $7,854.00 | ↑ +54% |
Visitor-reported prices
Comments
Pulm endartercomy w/bypass 33916 at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $5,105.10 | $173.17 – $7,068.60 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $542.30 – $553.71 |
| cleveland clinic florida weston hospital | Weston | $20,280.00 | $2,011.02 – $31,200.00 |
| Bethesda Hospital East | BOYNTON BEACH | $5,105.10 | $2,214.83 – $7,854.00 |
| Doctors Hospital | CORAL GABLES | $5,105.10 | $1,374.45 – $7,068.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $5,105.10 | $1,366.60 – $7,068.60 |
| Homestead Hospital | HOMESTEAD | $5,105.10 | $167.89 – $7,068.60 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE | not published | $497.36 – $507.83 |