10/100
#2,391 nationally
Hialeah Hospital
651 E 25Th St, Hialeah, FL 33013 · (305) 693-6100
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Hialeah Hospital billed $8.36 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
- 8.4x
- volume-weighted across all its priced work
- Procedures priced
- 14
- inpatient and outpatient combined
- Rank in FL
- #97
- 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 10% of U.S. hospitals.
Better than 3% of U.S. hospitals.
Better than 9% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
76 | $47,494 | $2,480 | +144% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
70 | $118,856 | $16,326 | +82% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
62 | $114,901 | $13,919 | +87% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
43 | $102,880 | $11,676 | +121% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
27 | $71,672 | $11,742 | +65% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
20 | $106,392 | $14,455 | +93% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
20 | $100,136 | $13,120 | +89% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
20 | $87,131 | $10,888 | +114% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
17 | $112,233 | $15,350 | +58% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
13 | $118,474 | $10,825 | +183% |
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 |
|---|---|---|---|
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$118,474 | $10,825 | +183% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$47,494 | $2,480 | +144% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$72,553 | $8,417 | +144% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$102,880 | $11,676 | +121% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$87,131 | $10,888 | +114% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$117,919 | $13,978 | +108% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$106,392 | $14,455 | +93% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$100,136 | $13,120 | +89% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$112,233 | $15,350 | +58% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$441,097 | $48,810 | +64% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$71,672 | $11,742 | +65% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$83,262 | $11,800 | +72% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$118,856 | $16,326 | +82% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$114,901 | $13,919 | +87% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$100,136 | $13,120 | +89% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$106,392 | $14,455 | +93% |
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.