Rmvl icd gen w/rplc icd gen sgl lead sys at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$20,892.95
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.
$32,143.00
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.
$5,496.45 with BLUE CROSS vs $32,143.00 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 | $5,496.45 | ↓ -74% |
| CIGNA | CIGNA HMO | $8,678.61 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $10,092.90 | ↓ -52% |
| AVMED | AVMED ENTRUST | $11,282.19 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $11,796.48 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $12,214.34 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $12,214.34 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $12,825.06 | ↓ -39% |
| AVMED | AVMED HMO | $13,146.49 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $13,500.06 | ↓ -35% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $13,768.55 | ↓ -34% |
| AMERIGROUP | AMERIGROUP | $13,768.55 | ↓ -34% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $13,917.92 | ↓ -33% |
| UNITED HEALTHCARE | UNITED HMO | $14,356.00 | ↓ -31% |
| UNITED HEALTHCARE | NHP HMO | $14,356.00 | ↓ -31% |
| WELLCARE | WELL CARE MD HMONC | $14,456.98 | ↓ -31% |
| UNITED HEALTHCARE | UNITED MD HMO | $14,456.98 | ↓ -31% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $14,456.98 | ↓ -31% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $14,464.35 | ↓ -31% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $14,594.66 | ↓ -30% |
| VISTA | COVENTRY MEDICAID | $14,870.03 | ↓ -29% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $14,870.03 | ↓ -29% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $14,870.03 | ↓ -29% |
| MEDICAID | PRESTIGE MD HMO NC | $15,145.41 | ↓ -28% |
| AVMED | AVMED PPO | $15,653.64 | ↓ -25% |
| AETNA | AETNA HMO | $16,392.93 | ↓ -22% |
| AETNA | AETNA TIER 2 | $16,392.93 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $16,392.93 | ↓ -22% |
| BLUE CROSS | BLUE CARE HMO | $19,285.80 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $19,285.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $20,828.66 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $20,892.95 | ↑ +0% |
| MEDICARE MANAGED CARE | PROMINENCE | $23,228.50 | ↑ +11% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $23,228.50 | ↑ +11% |
| BLUE CROSS | BCBS MEDICARE PPO | $24,041.50 | ↑ +15% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $24,107.25 | ↑ +15% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $24,854.49 | ↑ +19% |
| HUMANA | CAREPLUS MC HMO | $25,319.06 | ↑ +21% |
| HUMANA | HUMANA MEDICARE | $25,319.06 | ↑ +21% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $25,551.35 | ↑ +22% |
| AVMED | AVMED MEDICARE | $25,551.35 | ↑ +22% |
| UNITED HEALTHCARE | UNITED PPO | $25,714.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $25,714.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $25,714.40 | ↑ +23% |
| AETNA | AETNA PPO | $25,714.40 | ↑ +23% |
| LEON MEDICAL | LEON MED MC HMO NC | $26,015.92 | ↑ +25% |
| AETNA | AETNA MEDICARE | $26,015.92 | ↑ +25% |
| LEON MEDICAL | LEON HEALTH MC HMO | $26,015.92 | ↑ +25% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $26,480.49 | ↑ +27% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $28,928.70 | ↑ +38% |
| PHCS | PHCS | $28,928.70 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $28,928.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $28,928.70 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $28,928.70 | ↑ +38% |
| MEDICARE | DEVOTED HEALTH MC HMO | $31,358.47 | ↑ +50% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $32,143.00 | ↑ +54% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen sgl lead sys at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $20,892.95 | $173.17 – $28,928.70 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $542.30 – $553.71 |
| Adventhealth Daytona Beach | Daytona Beach | $122,332.21 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast | $81,789.16 | not published |
| Adventhealth Tampa | Tampa | $88,950.90 | $23,228.50 – $51,567.27 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $33,593.55 | not published |
| Adventhealth Port Charlotte | Port Charlotte | $84,503.36 | $23,228.50 – $42,415.24 |
| cleveland clinic florida weston hospital | Weston | $34,175.70 | $182.13 – $44,691.30 |