21/100
#2,145 nationally
Doctors Hospital
5000 University Dr, Coral Gables, FL 33146 · (786) 308-3000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Doctors Hospital billed $7.41 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
- 7.4x
- volume-weighted across all its priced work
- Procedures priced
- 37
- inpatient and outpatient combined
- Rank in FL
- #72
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 13% of U.S. hospitals.
Better than 35% of U.S. hospitals.
Better than 17% of U.S. hospitals.
Better than 25% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
540 | $77,317 | $11,754 | +24% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
285 | $23,920 | $2,473 | +23% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
111 | $109,138 | $15,168 | +67% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
75 | $78,764 | $6,412 | +98% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
65 | $85,019 | $9,962 | +96% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
55 | $89,002 | $10,711 | +91% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
53 | $105,888 | $13,010 | +92% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
37 | $128,586 | $16,434 | +55% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
36 | $61,000 | $8,625 | +50% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
32 | $47,545 | $6,458 | +60% |
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 |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$28,768 | $1,456 | +156% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
$237,008 | $27,972 | +133% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$47,203 | $2,841 | +132% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$84,305 | $7,484 | +127% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$78,764 | $6,412 | +98% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$85,019 | $9,962 | +96% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$94,540 | $10,719 | +95% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$105,888 | $13,010 | +92% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$13,368 | $2,723 | -30% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$34,597 | $6,770 | +11% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$48,384 | $7,146 | +17% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
$138,895 | $17,842 | +18% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$23,920 | $2,473 | +23% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$77,317 | $11,754 | +24% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$102,227 | $14,406 | +28% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$115,928 | $20,499 | +35% |
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.