HCA Florida Kendall Hospital
HCA Florida Kendall Hospital in Miami charges 12.6x the Medicare reimbursement rate on average, with 92% of analyzed procedures showing significant price variations compared to other local facilities.
Miami, FL 33175 · Acute Care Hospitals · CMS Rating: 3/5
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.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
12.62x
Charge / Medicare rate
Max markup
20.22x
Worst procedure
Procedures analyzed
36
With pricing data
Outlier procedures
91.7%
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $176,013 | $88,006 | — | 20.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $323,218 | $161,609 | — | 19.5x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $196,123 | $98,061 | — | 17.9x |
| HYPERTENSION WITHOUT MCC | 305 | $101,130 | $50,565 | — | 16.9x |
| CONCUSSION WITH CC | 089 | $184,977 | $92,489 | — | 16.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $398,466 | $199,233 | — | 16.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $129,314 | $64,657 | — | 16.1x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $297,380 | $148,690 | — | 15.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $192,635 | $96,317 | — | 15x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $227,156 | $113,578 | — | 14.5x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $260,244 | $130,122 | — | 14.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $127,710 | $63,855 | — | 14.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $518,899 | $259,449 | — | 13.1x |
| SYNCOPE AND COLLAPSE | 312 | $103,886 | $51,943 | — | 13x |
| RENAL FAILURE WITH MCC | 682 | $143,581 | $71,791 | — | 13x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $609,303 | $304,651 | — | 11.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $85,536 | $42,768 | — | 11.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $121,704 | $60,852 | — | 11.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $170,490 | $85,245 | — | 11.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $91,632 | $45,816 | — | 11.2x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $467,109 | $233,555 | — | 11x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $90,324 | $45,162 | — | 10.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $252,392 | $126,196 | — | 10.9x |
| SEIZURES WITH MCC | 100 | $165,332 | $82,666 | — | 10.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $93,778 | $46,889 | — | 10.7x |
| SEIZURES WITHOUT MCC | 101 | $91,529 | $45,764 | — | 10.6x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $1,239,121 | $619,561 | — | 10.6x |
| TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU | 004 | $726,785 | $363,392 | — | 10.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $102,510 | $51,255 | — | 10.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $116,728 | $58,364 | — | 10.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $162,012 | $81,006 | — | 10x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $107,513 | $53,756 | — | 9.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $99,406 | $49,703 | — | 9.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $106,069 | $53,035 | — | 9.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $118,125 | $59,062 | — | 8.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $101,309 | $50,654 | — | 7.3x |
How HCA FLORIDA KENDALL 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.
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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