Healthcare Pricing Data: HIALEAH, FL
3 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
3
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
8.7x
Across all procedures
vs National Average
+44%
Chargemaster rates
About This Data
HIALEAH, FL has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 8.7x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in HIALEAH is CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O (DRG 023), with an average chargemaster rate of $383,975 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $125,530 | 3 | 8.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $98,243 | 3 | 9.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $97,240 | 3 | 6.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $91,893 | 3 | 6.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $90,504 | 3 | 10.0x |
| RENAL FAILURE WITH MCC | 682 | $84,013 | 3 | 7.0x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $80,740 | 3 | 8.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $80,499 | 3 | 7.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $64,951 | 3 | 9.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $64,012 | 3 | 9.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $316,705 | 2 | 8.0x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $302,939 | 2 | 7.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $109,231 | 2 | 9.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $79,720 | 2 | 8.0x |
| RENAL FAILURE WITH CC | 683 | $70,562 | 2 | 10.6x |
| SEIZURES WITHOUT MCC | 101 | $67,994 | 2 | 9.2x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $383,975 | 1 | 8.2x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $322,828 | 1 | 11.2x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $300,803 | 1 | 5.8x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $255,130 | 1 | 6.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $235,025 | 1 | 9.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $153,482 | 1 | 11.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $134,407 | 1 | 13.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $127,322 | 1 | 4.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $125,127 | 1 | 11.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $121,906 | 1 | 6.3x |
| SEIZURES WITH MCC | 100 | $118,874 | 1 | 8.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $88,555 | 1 | 12.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $83,709 | 1 | 11.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $81,576 | 1 | 5.0x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in HIALEAH With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
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