Ghs layered repair 12.6 - 20.0 cm -12055 at Baptist Health Hospital Doral

6200 SW 73 STREET, SOUTH MIAMI, FL · Baptist Health South Florida · · NPI 1982688230

Source: hospital's published price file ↗ · Published Mar 30, 2026 · Ingested Aug 13, 2026

$559.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$860.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$149.64 with BLUE CROSS vs $860.00 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 →

Payer
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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
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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 $149.64 ↓ -73%
AMERIGROUP AMERIGROUP $240.71 ↓ -57%
MEDICAID SIMPLYHLTH MD HMO NC $240.71 ↓ -57%
UNITED HEALTHCARE UNITED HEALTHY KIDS $252.75 ↓ -55%
WELLCARE WELL CARE MD HMONC $252.75 ↓ -55%
UNITED HEALTHCARE UNITED MD HMO $252.75 ↓ -55%
SUNSHINE STATE SUNSHINE ST MD HMONC $255.16 ↓ -54%
AETNA AETNA BETTER HEALTH HEALTHY KIDS $259.97 ↓ -53%
AETNA AETNA BETTER HEALTH MEDICAID $259.97 ↓ -53%
VISTA COVENTRY MEDICAID $259.97 ↓ -53%
MEDICAID PRESTIGE MD HMO NC $264.78 ↓ -53%
UNITED HEALTHCARE UNITED HLTH MC HMO $270.04 ↓ -52%
AVMED AVMED ENTRUST $307.02 ↓ -45%
NON CONTRACTED OSCAR HEALTH EXCHANGE $315.62 ↓ -44%
CIGNA CIGNA CONNECT NETWORK EXCHANGE $326.80 ↓ -42%
AETNA AETNA HMO EXCHANGE $326.80 ↓ -42%
AVMED AVMED INDIVIDUAL $349.16 ↓ -38%
AVMED AVMED HMO $357.76 ↓ -36%
BLUE CROSS BLUE SELECT $361.20 ↓ -35%
BLUE CROSS BCBS FL SIMPLYBLUE HMO $379.26 ↓ -32%
AMERIHEALTH AMERIHTH CARITAS NXT EX $387.00 ↓ -31%
MEDICARE SIMPLYHLTH MC HMO NC $424.52 ↓ -24%
AVMED AVMED PPO $425.70 ↓ -24%
AETNA AETNA TIER 2 $438.60 ↓ -22%
AETNA AETNA HMO $438.60 ↓ -22%
BLUE CROSS BCBS MEDICARE PPO $439.37 ↓ -21%
CIGNA CIGNA HMO $447.20 ↓ -20%
MEDICA HEALTH PLAN MEDICA MCR HMO $454.23 ↓ -19%
HUMANA CAREPLUS MC HMO $462.72 ↓ -17%
HUMANA HUMANA MEDICARE $462.72 ↓ -17%
AVMED AVMED MEDICARE $466.97 ↓ -16%
LEON MEDICAL LEON HEALTH MC HMO $466.97 ↓ -16%
LEON MEDICAL LEON MED MC HMO NC $466.97 ↓ -16%
MEDICARE MANAGED CARE DOCTORS HEALTHCARE MC HMO $466.97 ↓ -16%
AETNA AETNA MEDICARE $475.46 ↓ -15%
CIGNA CIGNA MEDICARE ADVANTAGE $483.95 ↓ -13%
BLUE CROSS BCBS NETWORKBLUE $516.00 ↓ -8%
UNITED HEALTHCARE NHP HMO $516.00 ↓ -8%
UNITED HEALTHCARE UNITED HMO $516.00 ↓ -8%
BLUE CROSS BLUE CARE HMO $516.00 ↓ -8%
MEDICARE MANAGED CARE PROMINENCE $547.62 ↓ -2%
BLUE CROSS BLUE CROSS $557.28 ↓ -0%
INTERNATIONAL INTERNATIONAL AETNA $559.00 ↑ +0%
MEDICARE DEVOTED HEALTH MC HMO $573.10 ↑ +3%
DIMENSION HEALTH PLAN DIMENSION PLUS $645.00 ↑ +15%
UNITED HEALTHCARE INTL UNITED HEALTH $688.00 ↑ +23%
CIGNA CIGNA PPO $688.00 ↑ +23%
AETNA AETNA PPO $688.00 ↑ +23%
UNITED HEALTHCARE UNITED PPO $688.00 ↑ +23%
AFFORDABLE AFFORDABLE PPO $731.00 ↑ +31%
PHCS PHCS $774.00 ↑ +38%
DIMENSION HEALTH PLAN DIMENSION HEALTH PLANS $774.00 ↑ +38%
DIMENSION HEALTH PLAN DIMENSION 2 $774.00 ↑ +38%
QUALITY HEALTH MULTIPLAN $774.00 ↑ +38%
UNITED HEALTHCARE UNITED INDIVIDUAL EXCHANGE $860.00 ↑ +54%

Visitor-reported prices

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Ghs layered repair 12.6 - 20.0 cm -12055 at other Florida hospitals

Hospital City Cash price Negotiated range
Adventhealth Daytona Beach Daytona Beach $1,225.93 $403.29 – $708.52
Adventhealth Tampa Tampa $4,243.77 $424.52 – $942.42
Adventhealth Port Charlotte Port Charlotte $2,092.66 $424.52 – $775.16
cleveland clinic florida weston hospital Weston $1,287.00 $144.16 – $1,274.15
martin north hospital Stuart $1,287.00 $231.47 – $1,124.25
Baptist Hospital MIAMI $559.00 $148.78 – $774.00
Bethesda Hospital East BOYNTON BEACH $559.00 $172.86 – $774.00
Boca Raton Regional Hospital BOCA RATON $919.10 $416.89 – $1,414.00

All Florida hospitals for this procedure →