Florida / Baptist Hospital of Miami
CMS certification 100008 · Miami, FL · 6 entries in CMS's price-transparency list
Baptist Hospital of Miami: charges and Medicare payments
Baptist Hospital of Miami reported 4,323 Medicare inpatient stays across 124 DRGs in 2024. Across them it charged 7.08 times what it was paid — mid-range in Florida, number 79 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 500 stays at an average charge of $128,932, 43% above the national average. It also billed 4,715 outpatient services, charging 11.79 times what Medicare paid.
- 1Medicare inpatient stays 4,323
- 2Charge ÷ paid, inpatient 7.08×
- 3Rank in FL (highest ratio = 1) 79 of 159
- 4CMS price-transparency actions 6
Inpatient stays
For the 124 DRGs that can be compared with the national average, Baptist Hospital of Miami charged more than the national average in 121 (98%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 500 | $128,932 | +43% | $17,861 |
| 291 Heart Failure and Shock with MCC | 265 | $100,777 | +79% | $13,197 |
| 193 Simple Pneumonia and Pleurisy with MCC | 171 | $109,465 | +83% | $13,387 |
| 177 Respiratory Infections and Inflammations with MCC | 168 | $105,516 | +49% | $14,700 |
| 689 Kidney and Urinary Tract Infections with MCC | 98 | $61,213 | +19% | $10,147 |
| 690 Kidney and Urinary Tract Infections without MCC | 96 | $50,991 | +35% | $8,390 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 93 | $146,841 | +47% | $23,096 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 82 | $52,278 | +30% | $8,220 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 80 | $63,714 | +30% | $9,444 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 77 | $182,363 | +16% | $24,965 |
| 194 Simple Pneumonia and Pleurisy with CC | 72 | $60,060 | +56% | $8,260 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 66 | $335,703 | +47% | $53,372 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 65 | $67,032 | +20% | $9,274 |
| 683 Renal Failure with CC | 58 | $50,957 | +25% | $8,184 |
| 603 Cellulitis without MCC | 54 | $45,864 | +23% | $7,964 |
| 189 Pulmonary Edema and Respiratory Failure | 53 | $95,849 | +66% | $11,260 |
| 552 Medical Back Problems without MCC | 49 | $54,357 | +11% | $8,873 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 49 | $133,960 | +98% | $15,308 |
| 378 Gastrointestinal Hemorrhage with CC | 47 | $71,910 | +48% | $8,953 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 46 | $332,867 | +44% | $44,215 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 46 | $113,842 | +89% | $11,996 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 45 | $85,096 | +68% | $16,775 |
| 377 Gastrointestinal Hemorrhage with MCC | 45 | $115,907 | +36% | $14,847 |
| 682 Renal Failure with MCC | 44 | $118,609 | +80% | $14,104 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 43 | $306,428 | +39% | $43,923 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 42 | $105,979 | +44% | $15,204 |
| 178 Respiratory Infections and Inflammations with CC | 41 | $58,562 | +29% | $9,124 |
| 314 Other Circulatory System Diagnoses with MCC | 41 | $157,825 | +66% | $20,603 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 40 | $79,325 | +30% | $11,840 |
| 389 Gastrointestinal Obstruction with CC | 38 | $53,721 | +38% | $9,747 |
| 202 Bronchitis and Asthma with CC/MCC | 37 | $64,133 | +39% | $8,916 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 37 | $321,874 | +13% | $52,650 |
| 330 Major Small and Large Bowel Procedures with CC | 37 | $162,693 | +37% | $25,468 |
| 812 Red Blood Cell Disorders without MCC | 32 | $64,491 | +45% | $9,532 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 30 | $336,477 | +60% | $40,445 |
| 300 Peripheral Vascular Disorders with CC | 30 | $63,870 | +29% | $9,346 |
| 329 Major Small and Large Bowel Procedures with MCC | 30 | $322,536 | +50% | $48,780 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $136,314 | +80% | $19,141 |
| 478 Biopsies of Musculoskeletal System and Connective Tissue... | 29 | $141,885 | +20% | $20,413 |
| 270 Other Major Cardiovascular Procedures with MCC | 27 | $323,521 | +25% | $47,605 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 26 | $364,310 | +30% | $54,149 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 24 | $69,318 | +22% | $12,669 |
| 374 Digestive Malignancy with MCC | 24 | $114,594 | +14% | $17,758 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 24 | $210,096 | +21% | $34,628 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 24 | $64,091 | +35% | $10,784 |
| 165 Major Chest Procedures without CC/MCC | 23 | $170,105 | +65% | $23,870 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 23 | $124,352 | +91% | $14,133 |
| 299 Peripheral Vascular Disorders with MCC | 23 | $81,891 | +9% | $13,728 |
| 811 Red Blood Cell Disorders with MCC | 23 | $85,059 | +25% | $12,029 |
| 070 Other Cerebrovascular Disorders with MCC | 22 | $83,268 | +10% | $14,038 |
| 100 Seizures with MCC | 22 | $113,943 | +21% | $17,766 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 22 | $61,353 | +29% | $9,528 |
| 393 Other Digestive System Diagnoses with MCC | 22 | $87,180 | +14% | $14,304 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 22 | $106,950 | +118% | $10,100 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 22 | $493,076 | +53% | $70,740 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 22 | $379,674 | +76% | $59,610 |
| 054 Nervous System Neoplasms with MCC | 21 | $112,523 | +45% | $12,283 |
| 163 Major Chest Procedures with MCC | 21 | $370,638 | +76% | $52,146 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $161,399 | +58% | $22,089 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 20 | $109,553 | -1% | $17,244 |
Showing the 60 most frequent of 124 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Hospital of Miami charged $128,932 on average, 14% more than the Florida average of $112,838, and was paid $17,861 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Baptist Hospital of Miami charged $100,777 on average, 49% more than the Florida average of $67,659, and was paid $13,197 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Baptist Hospital of Miami charged $109,465 on average, 40% more than the Florida average of $78,292, and was paid $13,387 against a state average of $10,939. For Respiratory Infections and Inflammations with MCC (DRG 177), Baptist Hospital of Miami charged $105,516 on average, 23% more than the Florida average of $85,454, and was paid $14,700 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,238 was 8% below the state average of $28,431. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,021 was 23% below the state average of $3,903. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,775 was 26% below the state average of $14,597. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $28,131 was 0% below the state average of $28,145.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baptist Hospital of Miami in Miami, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-06-23 (CMS case 404)
- CAP Request — 2021-12-01 (CMS case 404)
- Closure Notice — 2022-03-14 (CMS case 404)
- Met Requirements — 2025-04-18 (CMS case 3947)
- Warning Notice — 2026-04-09 (CMS case 7418)
- Closure Notice — 2026-07-13 (CMS case 7418)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.