Florida / Keralty Hospital
CMS certification 100284 · Miami, FL
Keralty Hospital: charges and Medicare payments
Keralty Hospital reported 751 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 2.16 times what it was paid — among the lower ratios in Florida, number 158 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: 130 stays at an average charge of $37,733, 58% below the national average. It also billed 277 outpatient services, charging 6.5 times what Medicare paid.
- 1Medicare inpatient stays 751
- 2Charge ÷ paid, inpatient 2.16×
- 3Rank in FL (highest ratio = 1) 158 of 159
- 4CMS price-transparency actions 0
Inpatient stays
For the 25 DRGs that can be compared with the national average, Keralty Hospital charged more than the national average in 0 (0%). 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 | 130 | $37,733 | -58% | $15,238 |
| 690 Kidney and Urinary Tract Infections without MCC | 87 | $14,064 | -63% | $7,107 |
| 683 Renal Failure with CC | 66 | $16,899 | -58% | $8,078 |
| 682 Renal Failure with MCC | 42 | $24,018 | -64% | $12,414 |
| 689 Kidney and Urinary Tract Infections with MCC | 37 | $15,450 | -70% | $10,023 |
| 193 Simple Pneumonia and Pleurisy with MCC | 31 | $27,780 | -54% | $10,780 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $17,077 | -57% | $7,308 |
| 603 Cellulitis without MCC | 26 | $13,120 | -65% | $7,776 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $20,330 | -59% | $8,974 |
| 194 Simple Pneumonia and Pleurisy with CC | 25 | $19,637 | -49% | $7,371 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $22,951 | -67% | $12,927 |
| 291 Heart Failure and Shock with MCC | 21 | $29,979 | -47% | $10,095 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 20 | $32,264 | -57% | $12,774 |
| 378 Gastrointestinal Hemorrhage with CC | 20 | $19,914 | -59% | $8,782 |
| 394 Other Digestive System Diagnoses with CC | 19 | $16,396 | -65% | $8,361 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $13,639 | -63% | $6,738 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $24,510 | -52% | $9,794 |
| 812 Red Blood Cell Disorders without MCC | 17 | $13,947 | -69% | $7,505 |
| 071 Other Cerebrovascular Disorders with CC | 16 | $13,772 | -73% | $8,885 |
| 558 Tendonitis, Myositis and Bursitis without MCC | 15 | $14,110 | -66% | $7,910 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $55,893 | -76% | $33,476 |
| 070 Other Cerebrovascular Disorders with MCC | 13 | $18,276 | -76% | $13,231 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $17,135 | -62% | $8,873 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $41,411 | -52% | $14,642 |
| 811 Red Blood Cell Disorders with MCC | 11 | $23,277 | -66% | $11,852 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 277 | $12,782 | $2,480 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Keralty Hospital charged $37,733 on average, 67% less than the Florida average of $112,838, and was paid $15,238 against a state average of $15,663. For Kidney and Urinary Tract Infections without MCC (DRG 690), Keralty Hospital charged $14,064 on average, 71% less than the Florida average of $48,190, and was paid $7,107 against a state average of $7,285. For Renal Failure with CC (DRG 683), Keralty Hospital charged $16,899 on average, 68% less than the Florida average of $52,973, and was paid $8,078 against a state average of $7,882. For Renal Failure with MCC (DRG 682), Keralty Hospital charged $24,018 on average, 71% less than the Florida average of $83,694, and was paid $12,414 against a state average of $11,992. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,782 was 55% below the state average of $28,431.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.