Baptist Hospital of Miami
Baptist Hospital of Miami charges 8.6x the Medicare reimbursement rate across 118 analyzed procedures, with 18% showing particularly high markups compared to the Medicare benchmark.
Miami, FL 33176 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.62x
Charge / Medicare rate
Max markup
15.06x
Worst procedure
Procedures analyzed
118
With pricing data
Outlier procedures
17.8%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $141,246 | $70,623 | — | 15.1x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $222,215 | $111,107 | — | 13.2x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $229,127 | $114,564 | — | 11.8x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $201,876 | $100,938 | — | 11.5x |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $217,094 | $108,547 | — | 11.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $146,699 | $73,349 | — | 11.3x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $95,458 | $47,729 | — | 11.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $125,713 | $62,856 | — | 11x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $74,930 | $37,465 | — | 10.9x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $243,765 | $121,882 | — | 10.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $77,471 | $38,736 | — | 10.5x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $79,048 | $39,524 | — | 10.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $177,035 | $88,518 | — | 10.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $85,183 | $42,591 | — | 10.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $141,819 | $70,909 | — | 10.4x |
| OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | 167 | $145,010 | $72,505 | — | 10.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $108,865 | $54,432 | — | 10.3x |
| DIABETES WITH MCC | 637 | $103,912 | $51,956 | — | 10.3x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $104,984 | $52,492 | — | 10.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $81,031 | $40,515 | — | 10.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $144,080 | $72,040 | — | 10.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $101,385 | $50,693 | — | 10.1x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $335,470 | $167,735 | — | 9.9x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $114,214 | $57,107 | — | 9.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $50,268 | $25,134 | — | 9.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $54,150 | $27,075 | — | 9.8x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $78,119 | $39,059 | — | 9.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $124,994 | $62,497 | — | 9.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $75,893 | $37,946 | — | 9.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $260,548 | $130,274 | — | 9.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $112,421 | $56,211 | — | 9.6x |
| DIABETES WITH CC | 638 | $61,703 | $30,852 | — | 9.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $136,057 | $68,028 | — | 9.4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $67,000 | $33,500 | — | 9.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $179,906 | $89,953 | — | 9.3x |
| EPISTAXIS WITHOUT MCC | 151 | $54,779 | $27,389 | — | 9.3x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $155,127 | $77,563 | — | 9.2x |
| RENAL FAILURE WITH MCC | 682 | $104,590 | $52,295 | — | 9.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $68,272 | $34,136 | — | 9.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $58,383 | $29,192 | — | 9.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $88,712 | $44,356 | — | 9.1x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $85,929 | $42,965 | — | 9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $85,396 | $42,698 | — | 9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $144,618 | $72,309 | — | 9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $52,781 | $26,391 | — | 9x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $152,452 | $76,226 | — | 9x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $131,519 | $65,760 | — | 9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $372,433 | $186,217 | — | 8.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $209,868 | $104,934 | — | 8.7x |
| RENAL FAILURE WITH CC | 683 | $61,191 | $30,595 | — | 8.7x |
Showing 50 of 118 procedures
How BAPTIST HOSPITAL OF MIAMI compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use