South Miami Hospital
South Miami Hospital, a nonprofit facility in Miami, FL, charges 7.8x the Medicare reimbursement rate across 54 analyzed procedures, with only 2% classified as statistical outliers.
Miami, FL 33143 · 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
D
High
Avg markup vs Medicare
7.79x
Charge / Medicare rate
Max markup
11.5x
Worst procedure
Procedures analyzed
54
With pricing data
Outlier procedures
1.9%
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 |
|---|---|---|---|---|---|
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $175,955 | $87,978 | — | 11.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $178,109 | $89,055 | — | 11.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $142,394 | $71,197 | — | 10.9x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $145,478 | $72,739 | — | 10.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $69,094 | $34,547 | — | 10.6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $271,343 | $135,672 | — | 10.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $129,276 | $64,638 | — | 10.5x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $184,722 | $92,361 | — | 10.3x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $290,538 | $145,269 | — | 8.8x |
| RENAL FAILURE WITH CC | 683 | $53,164 | $26,582 | — | 8.6x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $199,261 | $99,631 | — | 8.6x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $201,578 | $100,789 | — | 8.5x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $57,457 | $28,728 | — | 8.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $123,564 | $61,782 | — | 8.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $79,204 | $39,602 | — | 8.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $184,580 | $92,290 | — | 8.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $35,375 | $17,688 | — | 8.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $72,577 | $36,289 | — | 8.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $54,921 | $27,460 | — | 8.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $55,517 | $27,758 | — | 8.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $48,863 | $24,431 | — | 8x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $213,909 | $106,954 | — | 8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $107,751 | $53,875 | — | 8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $337,631 | $168,815 | — | 7.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $101,679 | $50,839 | — | 7.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $52,481 | $26,240 | — | 7.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $57,081 | $28,541 | — | 7.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $73,887 | $36,943 | — | 7.6x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $82,130 | $41,065 | — | 7.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $46,749 | $23,374 | — | 7.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $127,428 | $63,714 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $42,436 | $21,218 | — | 7.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $61,182 | $30,591 | — | 7.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $61,871 | $30,936 | — | 7.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $40,740 | $20,370 | — | 7.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $64,945 | $32,473 | — | 7.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $51,344 | $25,672 | — | 7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $100,951 | $50,476 | — | 7x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $282,401 | $141,200 | — | 7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $43,051 | $21,526 | — | 6.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $41,156 | $20,578 | — | 6.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $74,028 | $37,014 | — | 6.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $53,217 | $26,608 | — | 6.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $58,424 | $29,212 | — | 6.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $93,115 | $46,558 | — | 6.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $225,922 | $112,961 | — | 6.1x |
| CELLULITIS WITHOUT MCC | 603 | $38,100 | $19,050 | — | 6.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $56,462 | $28,231 | — | 6x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $67,891 | $33,946 | — | 5.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $79,583 | $39,792 | — | 5.9x |
Showing 50 of 54 procedures
How SOUTH MIAMI 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