21/100
#2,157 nationally
South Miami Hospital
6200 Sw 73Rd St, Miami, FL 33143 · (786) 662-4000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, South Miami Hospital billed $7.56 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
- 7.6x
- volume-weighted across all its priced work
- Procedures priced
- 73
- inpatient and outpatient combined
- Rank in FL
- #73
- 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 16% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 52% 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 |
888 | $21,511 | $2,455 | +11% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
165 | $108,542 | $16,360 | +66% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
163 | $40,955 | $2,956 | +62% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
132 | $88,948 | $12,535 | +105% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
116 | $67,887 | $5,191 | +93% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
90 | $87,856 | $13,561 | +60% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
84 | $46,959 | $4,554 | +71% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
73 | $186,105 | $21,187 | +40% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
58 | $81,882 | $11,382 | +76% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
56 | $208,929 | $27,366 | +68% |
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 |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$101,514 | $13,335 | +109% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$88,948 | $12,535 | +105% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$23,802 | $1,680 | +103% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$67,887 | $5,191 | +93% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$43,657 | $3,009 | +88% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$37,370 | $2,932 | +83% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$55,775 | $7,662 | +83% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$110,002 | $13,332 | +79% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$155,968 | $29,712 | +5% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$41,207 | $8,333 | +5% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$32,765 | $7,931 | +7% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$21,511 | $2,455 | +11% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$21,477 | $2,888 | +12% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$20,113 | $2,536 | +14% |
|
Concomitant Left Atrial Appendage Closure and Cardiac Ablation
MS-DRG 317 · Inpatient stay |
$398,596 | $55,508 | +14% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$76,001 | $13,699 | +18% |
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.