13/100
#2,328 nationally
Palmetto General Hospital
2001 W 68Th St, Hialeah, FL 33016 · (305) 823-5000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Palmetto General Hospital billed $7.54 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
- 7.5x
- volume-weighted across all its priced work
- Procedures priced
- 35
- inpatient and outpatient combined
- Rank in FL
- #86
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 7% of U.S. hospitals.
Better than 14% of U.S. hospitals.
Better than 22% 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 |
131 | $115,894 | $16,248 | +78% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
78 | $103,950 | $14,743 | +69% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
72 | $39,790 | $2,480 | +105% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
37 | $260,446 | $40,556 | +37% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
36 | $82,134 | $11,818 | +89% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
35 | $79,137 | $11,109 | +94% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
31 | $118,198 | $15,432 | +115% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
29 | $120,555 | $16,410 | +58% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
27 | $82,645 | $11,826 | +77% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
26 | $64,611 | $7,286 | +117% |
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 |
|---|---|---|---|
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$127,579 | $10,737 | +180% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$51,487 | $3,158 | +149% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$64,611 | $7,286 | +117% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$118,198 | $15,432 | +115% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$69,019 | $7,554 | +114% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$81,272 | $9,269 | +108% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$20,864 | $1,469 | +107% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$366,830 | $43,431 | +106% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$93,925 | $23,463 | -17% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
$35,541 | $6,640 | +5% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$139,849 | $27,329 | +12% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$326,198 | $44,688 | +21% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$31,902 | $2,957 | +26% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$260,446 | $40,556 | +37% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$67,492 | $11,333 | +39% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
$326,508 | $39,540 | +45% |
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.