57/100
#1,050 nationally
Jackson Health System
1611 Nw 12Th Ave, Miami, FL 33136 · (305) 585-1111
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Jackson Health System billed $3.21 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
- 3.2x
- volume-weighted across all its priced work
- Procedures priced
- 163
- inpatient and outpatient combined
- Rank in FL
- #7
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 70% of U.S. hospitals.
Better than 68% of U.S. hospitals.
Better than 42% of U.S. hospitals.
Better than 30% 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 |
1,237 | $14,835 | $2,470 | -24% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
346 | $65,145 | $22,060 | +50% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
343 | $81,786 | $26,934 | +25% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
153 | $32,338 | $16,101 | +9% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
135 | $64,887 | $24,624 | +18% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
132 | $18,943 | $2,922 | -25% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
117 | $44,787 | $18,533 | +19% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
111 | $61,724 | $21,379 | +32% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
110 | $47,821 | $20,165 | +17% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
104 | $219,079 | $67,700 | -18% |
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 |
|---|---|---|---|
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$170,322 | $46,664 | +124% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$163,846 | $41,964 | +105% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
$81,309 | $22,825 | +96% |
|
Cardiac Arrest, Unexplained with Major Complications
MS-DRG 296 · Inpatient stay |
$102,722 | $29,232 | +93% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$100,751 | $22,416 | +85% |
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay |
$127,063 | $32,839 | +71% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
$307,516 | $56,717 | +71% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications
MS-DRG 442 · Inpatient stay |
$69,317 | $20,005 | +65% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Major Skin Disorders without Major Complications
MS-DRG 596 · Inpatient stay |
$33,751 | $17,394 | -66% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$10,406 | $3,387 | -54% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$7,893 | $2,543 | -52% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$29,061 | $9,306 | -51% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$5,772 | $1,536 | -49% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$6,422 | $1,714 | -45% |
|
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
MS-DRG 457 · Inpatient stay |
$170,173 | $63,144 | -41% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$13,942 | $3,132 | -40% |
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.