West Kendall Baptist Hospital
9555 Sw 162 Ave, Miami, FL 33196 · 84 Priced Procedures · 75% Patient Recommendation
Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.98× fair market pricing.
Aligned Regional Benchmark Peer
West Kendall Baptist Hospital prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.98× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
- Self-pay cash beats commercial insurance on 30% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 75% patient recommendation (69/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (38.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
- Commercial insurance median sits at 0.94× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 17.9× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at West Kendall Baptist Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 84 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $591 | 1.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $377 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $377 | 0.7× |
| Rabies immune globulin HCPCS Code: 90375 | $319 | 1.0× |
| Blood transfusion CPT Code: 36430 | $288 | 0.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $258 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $258 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $258 | 0.7× |
| Hospital observation (per hour) HCPCS Code: G0378 | $198 | 2.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $205 | 0.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $205 | 0.8× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $153 | 1.0× |
| CT scan, head (no contrast) CPT Code: 70450 | $124 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $145 | 0.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $145 | 0.4× |
| Speech therapy (language evaluation) CPT Code: 92507 | $89 | 1.0× |
| X-ray, pelvis CPT Code: 72170 | $113 | 1.0× |
| X-ray, chest (single view) CPT Code: 71045 | $94 | 1.0× |
| X-ray, chest (two views) CPT Code: 71046 | $94 | 1.0× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $94 | 1.0× |
| X-ray, hip CPT Code: 73502 | $94 | 1.0× |
| X-ray, lower back CPT Code: 72110 | $113 | 1.0× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $113 | 0.9× |
| Ultrasound, pelvis CPT Code: 76856 | $113 | 0.9× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $113 | 0.9× |
Audit a Bill or Quote at West Kendall Baptist Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,402
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (38.0% of gross = $2,402).
Self-Pay Cash Rate ($4,109) Beats Your Bill
West Kendall Baptist Hospital's published 45 CFR § 180 self-pay cash rate is $4,109 (vs. $591 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $583 Fair BaseRate ($558 Medicare)
Your bill ($6,321) is $5,738 above the denoised Fair BaseRate ($583) and 11.3× the $558 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (38.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (713 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for West Kendall Baptist Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.