healthcosts.net
Shoulder MRI (with contrast) at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$3,842.80
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.
$5,912.00
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.
$247.73 with AMERIGROUP vs $5,912.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $247.73 | ↓ -94% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $247.73 | ↓ -94% |
| WELLCARE | WELL CARE MD HMONC | $260.12 | ↓ -93% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $260.12 | ↓ -93% |
| UNITED HEALTHCARE | UNITED MD HMO | $260.12 | ↓ -93% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $262.60 | ↓ -93% |
| VISTA | COVENTRY MEDICAID | $267.55 | ↓ -93% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $267.55 | ↓ -93% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $267.55 | ↓ -93% |
| MEDICAID | PRESTIGE MD HMO NC | $272.51 | ↓ -93% |
| MEDICARE MANAGED CARE | PROMINENCE | $818.63 | ↓ -79% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $818.63 | ↓ -79% |
| BLUE CROSS | BCBS MEDICARE PPO | $847.28 | ↓ -78% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $875.94 | ↓ -77% |
| HUMANA | HUMANA MEDICARE | $892.31 | ↓ -77% |
| HUMANA | CAREPLUS MC HMO | $892.31 | ↓ -77% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $900.50 | ↓ -77% |
| AVMED | AVMED MEDICARE | $900.50 | ↓ -77% |
| AETNA | AETNA MEDICARE | $916.87 | ↓ -76% |
| LEON MEDICAL | LEON MED MC HMO NC | $916.87 | ↓ -76% |
| LEON MEDICAL | LEON HEALTH MC HMO | $916.87 | ↓ -76% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $933.24 | ↓ -76% |
| BLUE CROSS | MY BLUE EX | $1,010.95 | ↓ -74% |
| MEDICARE | DEVOTED HEALTH MC HMO | $1,105.15 | ↓ -71% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $1,856.37 | ↓ -52% |
| AVMED | AVMED ENTRUST | $2,075.11 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $2,169.70 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $2,246.56 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $2,246.56 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $2,358.89 | ↓ -39% |
| AVMED | AVMED HMO | $2,418.01 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $2,483.04 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $2,559.90 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $2,660.40 | ↓ -31% |
| AVMED | AVMED PPO | $2,879.14 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $3,015.12 | ↓ -22% |
| AETNA | AETNA TIER 2 | $3,015.12 | ↓ -22% |
| AETNA | AETNA HMO | $3,015.12 | ↓ -22% |
| CIGNA | CIGNA HMO | $3,074.24 | ↓ -20% |
| BLUE CROSS | BCBS NETWORKBLUE | $3,547.20 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $3,547.20 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $3,547.20 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $3,547.20 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $3,830.98 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $3,842.80 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $4,434.00 | ↑ +15% |
| CIGNA | CIGNA PPO | $4,729.60 | ↑ +23% |
| AETNA | AETNA PPO | $4,729.60 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $4,729.60 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $4,729.60 | ↑ +23% |
| PHCS | PHCS | $5,320.80 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $5,320.80 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $5,320.80 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $5,320.80 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $5,320.80 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $5,912.00 | ↑ +54% |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $3,842.80 | $173.17 – $5,320.80 |
| cleveland clinic florida weston hospital | Weston | $4,850.30 | $67.61 – $5,791.90 |
| martin north hospital | Stuart | $4,429.10 | $60.50 – $3,407.00 |
| indian river hospital | Vero Beach | $4,429.10 | $72.36 – $5,451.20 |
| Bethesda Hospital East | BOYNTON BEACH | $3,842.80 | $255.55 – $5,320.80 |
| Boca Raton Regional Hospital | BOCA RATON | $3,445.00 | $726.91 – $3,460.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $3,842.80 | $247.73 – $5,320.80 |
| Doctors Hospital | CORAL GABLES | $3,842.80 | $247.73 – $5,320.80 |