Florida / Jackson Memorial Hospital
CMS certification 100022 · Miami, FL · 4 entries in CMS's price-transparency list
Jackson Memorial Hospital: charges and Medicare payments
Jackson Memorial Hospital reported 4,790 Medicare inpatient stays across 134 DRGs in 2024. Across them it charged 3.1 times what it was paid — among the lower ratios in Florida, number 156 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 346 stays at an average charge of $65,145, 16% above the national average. It also billed 2,419 outpatient services, charging 6.15 times what Medicare paid.
- 1Medicare inpatient stays 4,790
- 2Charge ÷ paid, inpatient 3.1×
- 3Rank in FL (highest ratio = 1) 156 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 134 DRGs that can be compared with the national average, Jackson Memorial Hospital charged more than the national average in 45 (34%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 346 | $65,145 | +16% | $22,060 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 343 | $81,786 | -9% | $26,934 |
| 690 Kidney and Urinary Tract Infections without MCC | 153 | $32,338 | -14% | $16,101 |
| 177 Respiratory Infections and Inflammations with MCC | 135 | $64,887 | -8% | $24,624 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 117 | $44,787 | -6% | $18,533 |
| 193 Simple Pneumonia and Pleurisy with MCC | 111 | $61,724 | +3% | $21,379 |
| 689 Kidney and Urinary Tract Infections with MCC | 110 | $47,821 | -7% | $20,165 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 104 | $219,079 | -32% | $67,700 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 81 | $88,920 | +21% | $27,157 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 78 | $57,600 | +14% | $17,887 |
| 194 Simple Pneumonia and Pleurisy with CC | 77 | $42,137 | +10% | $15,797 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 75 | $203,947 | -30% | $65,775 |
| 682 Renal Failure with MCC | 73 | $72,829 | +10% | $23,993 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 72 | $35,460 | -12% | $15,705 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 68 | $107,380 | +8% | $28,094 |
| 885 Psychoses | 66 | $26,200 | -41% | $21,691 |
| 101 Seizures without MCC | 65 | $41,129 | -16% | $17,241 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 64 | $176,808 | -23% | $54,805 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 60 | $90,847 | -33% | $33,026 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 60 | $86,162 | +14% | $24,984 |
| 683 Renal Failure with CC | 60 | $39,866 | -2% | $16,488 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 55 | $62,450 | +12% | $17,413 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 55 | $43,858 | -27% | $20,701 |
| 812 Red Blood Cell Disorders without MCC | 53 | $31,636 | -29% | $16,811 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 49 | $32,599 | -12% | $15,399 |
| 377 Gastrointestinal Hemorrhage with MCC | 48 | $87,134 | +2% | $27,658 |
| 811 Red Blood Cell Disorders with MCC | 48 | $55,603 | -18% | $22,603 |
| 652 Kidney Transplant | 47 | $259,820 | -23% | $36,771 |
| 100 Seizures with MCC | 45 | $94,976 | +1% | $27,483 |
| 189 Pulmonary Edema and Respiratory Failure | 43 | $73,987 | +29% | $20,547 |
| 637 Diabetes with MCC | 42 | $66,494 | 0% | $21,712 |
| 314 Other Circulatory System Diagnoses with MCC | 41 | $104,630 | +10% | $32,225 |
| 378 Gastrointestinal Hemorrhage with CC | 40 | $44,469 | -8% | $18,495 |
| 603 Cellulitis without MCC | 40 | $33,025 | -11% | $16,290 |
| 481 Hip and Femur Procedures except Major Joint with CC | 36 | $89,726 | -11% | $26,844 |
| 638 Diabetes with CC | 36 | $44,649 | +7% | $16,285 |
| 027 Craniotomy and Endovascular Intracranial Procedures without... | 35 | $99,450 | -29% | $30,040 |
| 178 Respiratory Infections and Inflammations with CC | 35 | $42,638 | -6% | $17,705 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 34 | $136,875 | -21% | $45,623 |
| 304 Hypertension with MCC | 32 | $51,594 | -10% | $20,251 |
| 460 Spinal Fusion except Cervical without MCC | 32 | $97,190 | -43% | $41,935 |
| 270 Other Major Cardiovascular Procedures with MCC | 31 | $223,494 | -14% | $56,062 |
| 292 Heart Failure and Shock with CC | 31 | $28,141 | -28% | $16,529 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $57,261 | -6% | $18,850 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 30 | $951,567 | -10% | $231,462 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $137,242 | -16% | $37,337 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 29 | $411,370 | -33% | $113,793 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 29 | $100,239 | -11% | $29,022 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 29 | $64,098 | +13% | $17,744 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 27 | $229,671 | -1% | $56,411 |
| 071 Other Cerebrovascular Disorders with CC | 26 | $53,491 | +6% | $18,686 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 26 | $49,622 | +37% | $14,484 |
| 389 Gastrointestinal Obstruction with CC | 26 | $37,862 | -3% | $16,716 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $48,523 | -1% | $18,298 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $47,672 | -6% | $17,720 |
| 393 Other Digestive System Diagnoses with MCC | 24 | $92,038 | +20% | $30,537 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 24 | $67,168 | -14% | $22,612 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 23 | $38,038 | -4% | $15,639 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 23 | $48,005 | -44% | $22,544 |
| 394 Other Digestive System Diagnoses with CC | 23 | $45,305 | -4% | $16,908 |
Showing the 60 most frequent of 134 DRGs.
Outpatient services
Against the Florida average
For Heart Failure and Shock with MCC (DRG 291), Jackson Memorial Hospital charged $65,145 on average, 4% less than the Florida average of $67,659, and was paid $22,060 against a state average of $10,715. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jackson Memorial Hospital charged $81,786 on average, 28% less than the Florida average of $112,838, and was paid $26,934 against a state average of $15,663. For Kidney and Urinary Tract Infections without MCC (DRG 690), Jackson Memorial Hospital charged $32,338 on average, 33% less than the Florida average of $48,190, and was paid $16,101 against a state average of $7,285. For Respiratory Infections and Inflammations with MCC (DRG 177), Jackson Memorial Hospital charged $64,887 on average, 24% less than the Florida average of $85,454, and was paid $24,624 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,835 was 48% below the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,943 was 55% below the state average of $41,880. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,442 was 49% below the state average of $14,597. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,902 was 64% below the state average of $106,979.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Jackson Memorial Hospital in Miami, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2024-02-08 (CMS case 287)
- CMP Notice — 2024-07-03 (CMS case 287)
- Closure Notice — 2024-08-23 (CMS case 287)
- Met Requirements — 2025-03-20 (CMS case 3318)
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.