22/100
#2,113 nationally
Lower Keys Medical Center
5900 College Road, Key West, FL 33040 · (305) 294-5531
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Lower Keys Medical Center billed $6.52 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
- 6.5x
- volume-weighted across all its priced work
- Procedures priced
- 27
- inpatient and outpatient combined
- Rank in FL
- #70
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 29% of U.S. hospitals.
Better than 13% of U.S. hospitals.
Better than 17% of U.S. hospitals.
Better than 37% 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 |
144 | $33,013 | $2,608 | +70% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
51 | $11,897 | $1,552 | +18% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
47 | $56,275 | $13,789 | +30% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
39 | $14,336 | $1,846 | +22% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
36 | $116,970 | $21,758 | +79% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
33 | $70,415 | $15,919 | +51% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
32 | $84,995 | $17,575 | +54% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
31 | $25,575 | $2,261 | +118% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
25 | $87,549 | $6,719 | +120% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
24 | $50,196 | $8,516 | +56% |
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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$140,044 | $12,749 | +124% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$87,549 | $6,719 | +120% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$25,575 | $2,261 | +118% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$43,495 | $3,140 | +113% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$100,181 | $18,316 | +89% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$149,425 | $19,826 | +87% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$116,970 | $21,758 | +79% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$31,342 | $2,757 | +77% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$11,897 | $1,552 | +18% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$14,336 | $1,846 | +22% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$49,839 | $12,358 | +22% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$38,023 | $9,528 | +28% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$56,275 | $13,789 | +30% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$42,187 | $9,320 | +38% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$45,627 | $9,411 | +38% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$27,859 | $2,680 | +46% |
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.