CORAL GABLES HOSPITAL
CORAL GABLES, FL 33134 · Acute Care Hospitals
12 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
12
With CMS pricing data
Avg Charge-to-Medicare Ratio
12.4x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Proprietary
Above 90th Percentile
83%
Compared to FL hospitals
Understanding Your Costs
When you receive a bill from CORAL GABLES HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, CORAL GABLES HOSPITAL lists chargemaster rates that average 12.4x the corresponding Medicare reimbursement amount across 12 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in FL has a chargemaster-to-Medicare ratio of 8.6x, with ratios across the state ranging from 1.0x to 20.0x. At 12.4x, this facility’s average ratio is above the state median. 165 hospitals in FL report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at CORAL GABLES HOSPITAL is KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC (DRG 690). The listed chargemaster rate is $78,709, while Medicare reimburses $5,302 for the same procedure — a ratio of 14.8x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
10 of 12 procedures (83%) at this facility have listed rates above the 90th percentile compared to other FL hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
CORAL GABLES HOSPITAL is a proprietary acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $78,709 | $5,302 | 14.8x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $98,014 | $6,681 | 14.7x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $71,202 | $5,073 | 14.0x | 1th | Compare your bill |
| RENAL FAILURE WITH CC | 683 | $82,597 | $5,899 | 14.0x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $98,118 | $7,381 | 13.3x | 1th | Compare your bill |
| RENAL FAILURE WITH MCC | 682 | $132,829 | $10,125 | 13.1x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $110,576 | $9,020 | 12.3x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $94,773 | $8,572 | 11.1x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $90,019 | $8,202 | 11.0x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $137,791 | $13,196 | 10.4x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $122,695 | $12,149 | 10.1x | 1th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $131,143 | $13,351 | 9.8x | 1th | Compare your bill |
Showing 12 of 12 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across FL hospitals
165 hospitals in FL report pricing data to CMS. This facility's average ratio of 12.4x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About CORAL GABLES HOSPITAL
How much does CORAL GABLES HOSPITAL charge compared to Medicare?
According to CMS IPPS data, CORAL GABLES HOSPITAL's listed chargemaster rates average 12.4x the Medicare reimbursement amount across 12 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at CORAL GABLES HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at CORAL GABLES HOSPITAL is KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC (DRG 690), with a listed charge of $78,709 compared to Medicare reimbursement of $5,302 — a ratio of 14.8x. Source: CMS IPPS Provider Summary.
Is CORAL GABLES HOSPITAL expensive compared to other FL hospitals?
CORAL GABLES HOSPITAL's average chargemaster-to-Medicare ratio is 12.4x. Ratios vary significantly across FL hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for CORAL GABLES HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from CORAL GABLES HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does CORAL GABLES HOSPITAL in CORAL GABLES, FL accept Medicare?
CORAL GABLES HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact CORAL GABLES HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.