M/phmtrc alys ishquant/semiq at Baptist Health Hospital Doral
6200 SW 73 STREET, SOUTH MIAMI, FL · Baptist Health South Florida · · NPI 1982688230
$245.05
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.
$377.00
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.
$20.02 with AMERIGROUP vs $336.00 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 | $20.02 | ↓ -92% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $20.02 | ↓ -92% |
| WELLCARE | WELL CARE MD HMONC | $21.02 | ↓ -91% |
| UNITED HEALTHCARE | UNITED MD HMO | $21.02 | ↓ -91% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $21.02 | ↓ -91% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $21.22 | ↓ -91% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $21.62 | ↓ -91% |
| VISTA | COVENTRY MEDICAID | $21.62 | ↓ -91% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $21.62 | ↓ -91% |
| MEDICAID | PRESTIGE MD HMO NC | $22.02 | ↓ -91% |
| BLUE CROSS | MY BLUE EX | $58.46 | ↓ -76% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $105.50 | ↓ -57% |
| AVMED | AVMED ENTRUST | $119.95 | ↓ -51% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $123.31 | ↓ -50% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $127.68 | ↓ -48% |
| AETNA | AETNA HMO EXCHANGE | $127.68 | ↓ -48% |
| AVMED | AVMED INDIVIDUAL | $136.42 | ↓ -44% |
| AVMED | AVMED HMO | $139.78 | ↓ -43% |
| BLUE CROSS | BLUE SELECT | $141.12 | ↓ -42% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $148.18 | ↓ -40% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $151.20 | ↓ -38% |
| AVMED | AVMED PPO | $166.32 | ↓ -32% |
| AETNA | AETNA TIER 2 | $171.36 | ↓ -30% |
| AETNA | AETNA HMO | $171.36 | ↓ -30% |
| CIGNA | CIGNA HMO | $174.72 | ↓ -29% |
| BLUE CROSS | BCBS NETWORKBLUE | $201.60 | ↓ -18% |
| UNITED HEALTHCARE | UNITED HMO | $201.60 | ↓ -18% |
| UNITED HEALTHCARE | NHP HMO | $201.60 | ↓ -18% |
| BLUE CROSS | BLUE CARE HMO | $201.60 | ↓ -18% |
| BLUE CROSS | BLUE CROSS | $217.73 | ↓ -11% |
| INTERNATIONAL | INTERNATIONAL AETNA | $218.40 | ↓ -11% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $252.00 | ↑ +3% |
| AETNA | AETNA PPO | $268.80 | ↑ +10% |
| CIGNA | CIGNA PPO | $268.80 | ↑ +10% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $268.80 | ↑ +10% |
| UNITED HEALTHCARE | UNITED PPO | $268.80 | ↑ +10% |
| AFFORDABLE | AFFORDABLE PPO | $285.60 | ↑ +17% |
| QUALITY HEALTH | MULTIPLAN | $302.40 | ↑ +23% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $302.40 | ↑ +23% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $302.40 | ↑ +23% |
| PHCS | PHCS | $302.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $336.00 | ↑ +37% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Port Charlotte | Port Charlotte | $972.76 | not published |
| cleveland clinic florida weston hospital | Weston | $95.55 | $14.58 – $147.00 |
| Baptist Hospital | MIAMI | $245.05 | $20.65 – $302.40 |
| Bethesda Hospital East | BOYNTON BEACH | $245.05 | $20.65 – $302.40 |
| Boca Raton Regional Hospital | BOCA RATON | $398.45 | $21.60 – $60.00 |
| Doctors Hospital | CORAL GABLES | $245.05 | $20.02 – $302.40 |
| Fishermens Community Hospital | MARATHON | $245.05 | $20.02 – $302.40 |
| Homestead Hospital | HOMESTEAD | $245.05 | $20.02 – $302.40 |