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PALMETTO GENERAL HOSPITAL

HIALEAH, FL 33016 · Acute Care Hospitals

36 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 29, 2026 · Methodology

Procedures Analyzed

36

With CMS pricing data

Avg Charge-to-Medicare Ratio

8.6x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Proprietary

Above 90th Percentile

14%

Compared to FL hospitals

Median 8.6x5.7x10.4x
8.6x
Medicare markup ratio
FL lowestPALMETTO GENERAL HOSPITALFL highest

Understanding Your Costs

When you receive a bill from PALMETTO GENERAL HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, PALMETTO GENERAL HOSPITAL lists chargemaster rates that average 8.6x the corresponding Medicare reimbursement amount across 36 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 8.6x, this facility’s average ratio is below 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 PALMETTO GENERAL HOSPITAL is Cardiac Arrhythmia and Conduction Disorders with Major Complications or Comorbidities (DRG 308). The listed chargemaster rate is $134,407, while Medicare reimburses $9,935 for the same procedure — a ratio of 13.5x (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.

5 of 36 procedures (14%) 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).

PALMETTO GENERAL HOSPITAL is a proprietary acute care hospitals facility with a CMS quality rating of 2/5 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

Listed Chargemaster Rate Medicare Reimbursement

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.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
Cardiac Arrhythmia and Conduction Disorders with Major Complications or Comorbidities308$134,407$9,93513.5x
1st
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Intracranial Hemorrhage or Cerebral Infarction with Complications or Tpa in 24 Hours065$88,555$6,85112.9x
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Intracranial Hemorrhage or Cerebral Infarction with Major Complications or Comorbidities064$153,482$13,05211.8x
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Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications247$125,127$10,99411.4x
1st
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Other Major Cardiovascular Procedures with Major Complications or Comorbidities270$322,828$28,75911.2x
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Gastrointestinal Hemorrhage with Complications378$83,709$7,53311.1x
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Infectious and Parasitic Diseases with Operating Room Procedures with Major Complications or Comorbidities853$379,843$36,42510.4x
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Seizures without Major Complications101$68,056$6,8559.9x
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Simple Pneumonia and Pleurisy with Major Complications or Comorbidities193$103,981$10,6209.8x
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Kidney and Urinary Tract Infections without Major Complications690$58,982$6,1399.6x
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Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with Major Complications or Comorbidities or 4 or More Arteries O246$235,025$24,5439.6x
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Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without Major Complications392$60,429$6,3359.5x
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Syncope and Collapse312$68,050$7,1509.5x
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Acute Myocardial Infarction, Discharged Alive with Major Complications or Comorbidities280$104,463$11,4319.1x
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Kidney and Urinary Tract Infections with Major Complications or Comorbidities689$74,477$8,3198.9x
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Chronic Obstructive Pulmonary Disease with Major Complications or Comorbidities190$69,462$7,9558.7x
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Acute Myocardial Infarction, Discharged Alive with Complications281$64,789$7,4498.7x
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Pulmonary Edema and Respiratory Failure189$79,744$9,5758.3x
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Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours with Major Complications or Comorbidities871$114,128$13,8718.2x
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Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Major Complications or Comorbidities O023$383,975$46,6838.2x
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Seizures with Major Complications or Comorbidities100$118,874$14,4778.2x
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Renal Failure with Major Complications or Comorbidities682$90,927$11,3618.0x
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Heart Failure and Shock with Major Complications or Comorbidities291$74,030$9,6127.7x
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Signs and Symptoms without Major Complications948$50,611$6,7047.5x
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Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with Major Complications or Comorbidities640$76,186$10,1817.5x
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Renal Failure with Complications683$48,556$6,5137.5x
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Chest Pain313$42,697$5,8787.3x
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Septicemia or Severe Sepsis with Mechanical Ventilation over 96 Hours870$278,296$42,5666.5x
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Respiratory Infections and Inflammations with Major Complications or Comorbidities177$82,673$12,8266.5x
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Endovascular Cardiac Valve Replacement and Supplement Procedures without Major Complications267$255,130$40,1686.3x
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Respiratory System Diagnosis with Ventilator Support up to 96 Hours208$121,906$19,3276.3x
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Other Kidney and Urinary Tract Diagnoses with Major Complications or Comorbidities698$76,392$12,2366.2x
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Gastrointestinal Hemorrhage with Major Complications or Comorbidities377$82,974$13,3046.2x
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Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications or Comorbidities266$300,803$51,8885.8x
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Other Circulatory System Diagnoses with Major Complications or Comorbidities314$80,808$16,4064.9x
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Percutaneous and Other Intracardiac Procedures without Major Complications274$127,322$26,6564.8x
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Showing 36 of 36 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

1.0x
Median: 8.6x
20.0x
8.6x

165 hospitals in FL report pricing data to CMS. This facility's average ratio of 8.6x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

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Data: 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.

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Frequently Asked Questions About PALMETTO GENERAL HOSPITAL

How much does PALMETTO GENERAL HOSPITAL charge compared to Medicare?

According to CMS IPPS data, PALMETTO GENERAL HOSPITAL's listed chargemaster rates average 8.6x the Medicare reimbursement amount across 36 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 PALMETTO GENERAL HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at PALMETTO GENERAL HOSPITAL is Cardiac Arrhythmia and Conduction Disorders with Major Complications or Comorbidities (DRG 308), with a listed charge of $134,407 compared to Medicare reimbursement of $9,935 — a ratio of 13.5x. Source: CMS IPPS Provider Summary.

Is PALMETTO GENERAL HOSPITAL expensive compared to other FL hospitals?

PALMETTO GENERAL HOSPITAL's average chargemaster-to-Medicare ratio is 8.6x. 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 PALMETTO GENERAL 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 PALMETTO GENERAL 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 PALMETTO GENERAL HOSPITAL in HIALEAH, FL accept Medicare?

PALMETTO GENERAL HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact PALMETTO GENERAL HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.