Doctors Hospital
DOCTORS HOSPITAL in Coral Gables, FL charges 8.6x the Medicare reimbursement rate on average across 24 analyzed procedures at this nonprofit facility.
Coral Gables, FL 33146 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
No credit card required. Results in 60 seconds.
Pricing grade
F
Very high
Avg markup vs Medicare
8.6x
Charge / Medicare rate
Max markup
12.27x
Worst procedure
Procedures analyzed
24
With pricing data
Outlier procedures
8.3%
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 |
|---|---|---|---|---|---|
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $53,072 | $26,536 | — | 12.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $56,417 | $28,209 | — | 11.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $92,395 | $46,198 | — | 10.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $139,285 | $69,643 | — | 10x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $165,642 | $82,821 | — | 9.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $81,143 | $40,571 | — | 9.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $49,193 | $24,597 | — | 9.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $84,589 | $42,295 | — | 9.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $128,679 | $64,339 | — | 9.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $63,051 | $31,525 | — | 9.1x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $170,774 | $85,387 | — | 8.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $42,799 | $21,399 | — | 8.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $248,209 | $124,105 | — | 8.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $53,629 | $26,815 | — | 8.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $54,405 | $27,203 | — | 8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $95,930 | $47,965 | — | 7.8x |
| CELLULITIS WITHOUT MCC | 603 | $37,270 | $18,635 | — | 7.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $111,146 | $55,573 | — | 7.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $64,835 | $32,418 | — | 7.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $91,893 | $45,946 | — | 7.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $33,268 | $16,634 | — | 6.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $42,443 | $21,222 | — | 6.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $253,587 | $126,794 | — | 6.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $96,758 | $48,379 | — | 6.2x |
How DOCTORS HOSPITAL 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.
Got a bill from DOCTORS HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Doctors Hospital?
Free guides to help you take action
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