Removal duct glbldr calculi at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$2,379.00
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.
$3,660.00
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.
$366.00 with UNITED HEALTHCARE vs $3,847.79 with MEDICAID — 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 | UNITED HMO | $366.00 | ↓ -85% |
| UNITED HEALTHCARE | NHP HMO | $366.00 | ↓ -85% |
| BLUE CROSS | MY BLUE EX | $625.86 | ↓ -74% |
| CIGNA | CIGNA HMO | $988.20 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $1,149.24 | ↓ -52% |
| AVMED | AVMED ENTRUST | $1,284.66 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $1,343.22 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $1,390.80 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $1,390.80 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $1,460.34 | ↓ -39% |
| AVMED | AVMED HMO | $1,496.94 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $1,537.20 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $1,584.78 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $1,647.00 | ↓ -31% |
| AVMED | AVMED PPO | $1,782.42 | ↓ -25% |
| AETNA | AETNA TIER 2 | $1,866.60 | ↓ -22% |
| AETNA | AETNA HMO | $1,866.60 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $1,866.60 | ↓ -22% |
| BLUE CROSS | BLUE CARE HMO | $2,196.00 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $2,196.00 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $2,371.68 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $2,379.00 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $2,745.00 | ↑ +15% |
| AETNA | AETNA PPO | $2,928.00 | ↑ +23% |
| CIGNA | CIGNA PPO | $2,928.00 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $2,928.00 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $2,928.00 | ↑ +23% |
| QUALITY HEALTH | MULTIPLAN | $3,294.00 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $3,294.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $3,294.00 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $3,294.00 | ↑ +38% |
| PHCS | PHCS | $3,294.00 | ↑ +38% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $3,497.99 | ↑ +47% |
| AMERIGROUP | AMERIGROUP | $3,497.99 | ↑ +47% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $3,660.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED MD HMO | $3,672.89 | ↑ +54% |
| WELLCARE | WELL CARE MD HMONC | $3,672.89 | ↑ +54% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $3,672.89 | ↑ +54% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $3,707.87 | ↑ +56% |
| VISTA | COVENTRY MEDICAID | $3,777.83 | ↑ +59% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $3,777.83 | ↑ +59% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $3,777.83 | ↑ +59% |
| MEDICAID | PRESTIGE MD HMO NC | $3,847.79 | ↑ +62% |
Visitor-reported prices
Comments
Removal duct glbldr calculi at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $2,379.00 | $173.17 – $3,788.85 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $256.49 – $261.89 |
| Adventhealth Tampa | Tampa | $5,928.94 | not published |
| cleveland clinic florida weston hospital | Weston | $3,786.90 | $145.51 – $4,952.10 |
| martin north hospital | Stuart | $3,786.90 | $192.68 – $4,369.50 |
| indian river hospital | Vero Beach | $3,786.90 | $145.51 – $4,660.80 |
| Bethesda Hospital East | BOYNTON BEACH | $2,379.00 | $1,032.12 – $3,788.85 |
| Boca Raton Regional Hospital | BOCA RATON | $4,022.20 | $591.00 – $4,040.76 |