7/100
#2,460 nationally
Coral Gables Hospital
3100 Douglas Rd, Coral Gables, FL 33134 · (305) 445-8461
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Coral Gables Hospital billed $10.62 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 10.6x
- volume-weighted across all its priced work
- Procedures priced
- 13
- inpatient and outpatient combined
- Rank in FL
- #115
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 5% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 28% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
70 | $148,857 | $15,186 | +128% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
57 | $40,077 | $2,445 | +106% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
48 | $118,890 | $10,937 | +155% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
34 | $98,899 | $9,868 | +143% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
33 | $121,722 | $11,726 | +130% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
26 | $85,103 | $7,068 | +186% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
19 | $96,577 | $7,425 | +193% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
17 | $99,963 | $10,864 | +106% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
16 | $151,942 | $13,459 | +176% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
13 | $124,140 | $12,659 | +102% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$96,577 | $7,425 | +193% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$85,103 | $7,068 | +186% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$151,942 | $13,459 | +176% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$103,962 | $8,525 | +176% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$118,890 | $10,937 | +155% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$80,163 | $6,857 | +149% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$98,899 | $9,868 | +143% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$121,722 | $11,726 | +130% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$76,796 | $10,173 | +77% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$124,140 | $12,659 | +102% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$99,963 | $10,864 | +106% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$40,077 | $2,445 | +106% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$148,857 | $15,186 | +128% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$121,722 | $11,726 | +130% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$98,899 | $9,868 | +143% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$80,163 | $6,857 | +149% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.