Ghs simple repair 12.6 - 20.0 cm - 12005 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

$278.85

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.

Full explanation →

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

$429.00

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.

Full explanation →

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

$74.65 with BLUE CROSS vs $573.10 with MEDICARE — same scan, same building. Share

Negotiated rates by payer
?

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 $74.65 ↓ -73%
AMERIGROUP AMERIGROUP $116.77 ↓ -58%
MEDICAID SIMPLYHLTH MD HMO NC $116.77 ↓ -58%
UNITED HEALTHCARE UNITED HEALTHY KIDS $122.61 ↓ -56%
WELLCARE WELL CARE MD HMONC $122.61 ↓ -56%
UNITED HEALTHCARE UNITED MD HMO $122.61 ↓ -56%
SUNSHINE STATE SUNSHINE ST MD HMONC $123.78 ↓ -56%
AETNA AETNA BETTER HEALTH HEALTHY KIDS $126.11 ↓ -55%
AETNA AETNA BETTER HEALTH MEDICAID $126.11 ↓ -55%
VISTA COVENTRY MEDICAID $126.11 ↓ -55%
MEDICAID PRESTIGE MD HMO NC $128.45 ↓ -54%
UNITED HEALTHCARE UNITED HLTH MC HMO $134.71 ↓ -52%
AVMED AVMED ENTRUST $153.15 ↓ -45%
NON CONTRACTED OSCAR HEALTH EXCHANGE $157.44 ↓ -44%
CIGNA CIGNA CONNECT NETWORK EXCHANGE $163.02 ↓ -42%
AETNA AETNA HMO EXCHANGE $163.02 ↓ -42%
AVMED AVMED INDIVIDUAL $174.17 ↓ -38%
AVMED AVMED HMO $178.46 ↓ -36%
BLUE CROSS BLUE SELECT $180.18 ↓ -35%
BLUE CROSS BCBS FL SIMPLYBLUE HMO $189.19 ↓ -32%
AMERIHEALTH AMERIHTH CARITAS NXT EX $193.05 ↓ -31%
AVMED AVMED PPO $212.36 ↓ -24%
AETNA AETNA TIER 2 $218.79 ↓ -22%
AETNA AETNA HMO $218.79 ↓ -22%
CIGNA CIGNA HMO $223.08 ↓ -20%
BLUE CROSS BCBS NETWORKBLUE $257.40 ↓ -8%
BLUE CROSS BLUE CARE HMO $257.40 ↓ -8%
UNITED HEALTHCARE NHP HMO $257.40 ↓ -8%
UNITED HEALTHCARE UNITED HMO $257.40 ↓ -8%
BLUE CROSS BLUE CROSS $277.99 ↓ -0%
INTERNATIONAL INTERNATIONAL AETNA $278.85 ↑ +0%
DIMENSION HEALTH PLAN DIMENSION PLUS $321.75 ↑ +15%
AETNA AETNA PPO $343.20 ↑ +23%
UNITED HEALTHCARE INTL UNITED HEALTH $343.20 ↑ +23%
CIGNA CIGNA PPO $343.20 ↑ +23%
UNITED HEALTHCARE UNITED PPO $343.20 ↑ +23%
AFFORDABLE AFFORDABLE PPO $364.65 ↑ +31%
PHCS PHCS $386.10 ↑ +38%
DIMENSION HEALTH PLAN DIMENSION 2 $386.10 ↑ +38%
QUALITY HEALTH MULTIPLAN $386.10 ↑ +38%
DIMENSION HEALTH PLAN DIMENSION HEALTH PLANS $386.10 ↑ +38%
MEDICARE SIMPLYHLTH MC HMO NC $424.52 ↑ +52%
UNITED HEALTHCARE UNITED INDIVIDUAL EXCHANGE $429.00 ↑ +54%
BLUE CROSS BCBS MEDICARE PPO $439.37 ↑ +58%
MEDICA HEALTH PLAN MEDICA MCR HMO $454.23 ↑ +63%
HUMANA CAREPLUS MC HMO $462.72 ↑ +66%
HUMANA HUMANA MEDICARE $462.72 ↑ +66%
LEON MEDICAL LEON MED MC HMO NC $466.97 ↑ +67%
MEDICARE MANAGED CARE DOCTORS HEALTHCARE MC HMO $466.97 ↑ +67%
AVMED AVMED MEDICARE $466.97 ↑ +67%
LEON MEDICAL LEON HEALTH MC HMO $466.97 ↑ +67%
AETNA AETNA MEDICARE $475.46 ↑ +71%
CIGNA CIGNA MEDICARE ADVANTAGE $483.95 ↑ +74%
MEDICARE MANAGED CARE PROMINENCE $547.62 ↑ +96%
MEDICARE DEVOTED HEALTH MC HMO $573.10 ↑ +106%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Ghs simple repair 12.6 - 20.0 cm - 12005 at other Florida hospitals

Hospital City Cash price Negotiated range
Adventhealth Daytona Beach Daytona Beach $1,225.93 $403.29 – $708.52
Adventhealth Lake Wales Lake Wales $1,225.93 $424.52 – $942.42
Adventhealth Palm Coast Parkway Palm Coast $1,225.93 $403.29 – $906.72
Adventhealth Tampa Tampa $2,827.66 $424.52 – $942.42
AdventHealth New Smyrna Beach New Smyrna Beach $926.37 $403.29 – $927.35
Adventhealth Port Charlotte Port Charlotte $2,092.66 $424.52 – $775.16
cleveland clinic florida weston hospital Weston $974.35 $64.56 – $1,274.15
martin north hospital Stuart $974.35 $83.54 – $749.50

All Florida hospitals for this procedure →