Splint rstrc wrst/cmc right med at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$72.80
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.
$112.00
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.
$19.15 with BLUE CROSS vs $135.87 with MEDICARE — 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 | $19.15 | ↓ -74% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $35.17 | ↓ -52% |
| AVMED | AVMED ENTRUST | $39.31 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $41.10 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $42.56 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $42.56 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $44.69 | ↓ -39% |
| AVMED | AVMED HMO | $45.81 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $47.04 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $48.50 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $50.40 | ↓ -31% |
| AVMED | AVMED PPO | $54.54 | ↓ -25% |
| AETNA | AETNA TIER 2 | $57.12 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $57.12 | ↓ -22% |
| AETNA | AETNA HMO | $57.12 | ↓ -22% |
| CIGNA | CIGNA HMO | $58.24 | ↓ -20% |
| BLUE CROSS | BCBS NETWORKBLUE | $67.20 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $67.20 | ↓ -8% |
| UNITED HEALTHCARE | NHP HMO | $67.20 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $67.20 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $72.58 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $72.80 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $84.00 | ↑ +15% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $89.60 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $89.60 | ↑ +23% |
| CIGNA | CIGNA PPO | $89.60 | ↑ +23% |
| AETNA | AETNA PPO | $89.60 | ↑ +23% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $100.65 | ↑ +38% |
| MEDICARE MANAGED CARE | PROMINENCE | $100.65 | ↑ +38% |
| PHCS | PHCS | $100.80 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $100.80 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $100.80 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $100.80 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $100.80 | ↑ +38% |
| BLUE CROSS | BCBS MEDICARE PPO | $104.17 | ↑ +43% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $107.69 | ↑ +48% |
| HUMANA | HUMANA MEDICARE | $109.71 | ↑ +51% |
| HUMANA | CAREPLUS MC HMO | $109.71 | ↑ +51% |
| AVMED | AVMED MEDICARE | $110.71 | ↑ +52% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $110.71 | ↑ +52% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $112.00 | ↑ +54% |
| LEON MEDICAL | LEON HEALTH MC HMO | $112.73 | ↑ +55% |
| AETNA | AETNA MEDICARE | $112.73 | ↑ +55% |
| LEON MEDICAL | LEON MED MC HMO NC | $112.73 | ↑ +55% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $114.74 | ↑ +58% |
| MEDICARE | DEVOTED HEALTH MC HMO | $135.87 | ↑ +87% |
Visitor-reported prices
Comments
Splint rstrc wrst/cmc right med at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $72.80 | $19.38 – $173.17 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $94.88 – $141.82 |
| cleveland clinic florida weston hospital | Weston | $35.10 | $5.04 – $37.46 |
| martin north hospital | Stuart | $155.35 | $11.23 – $114.00 |
| Bethesda Hospital East | BOYNTON BEACH | $72.80 | $22.51 – $104.67 |
| Doctors Hospital | CORAL GABLES | $72.80 | $19.60 – $112.73 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $72.80 | $19.49 – $110.71 |
| Fishermens Community Hospital | MARATHON | $72.80 | $18.70 – $100.80 |