Florida / Larkin Community Hospital
CMS certification 100181 · South Miami, FL
Larkin Community Hospital: charges and Medicare payments
Larkin Community Hospital reported 625 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 2.47 times what it was paid — among the lower ratios in Florida, number 157 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 885, Psychoses: 351 stays at an average charge of $42,068, 4% below the national average. It also billed 111 outpatient services, charging 12.42 times what Medicare paid.
- 1Medicare inpatient stays 625
- 2Charge ÷ paid, inpatient 2.47×
- 3Rank in FL (highest ratio = 1) 157 of 159
- 4CMS price-transparency actions 0
Inpatient stays
For the 12 DRGs that can be compared with the national average, Larkin Community Hospital charged more than the national average in 10 (83%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 885 Psychoses | 351 | $42,068 | -4% | $23,069 |
| 690 Kidney and Urinary Tract Infections without MCC | 44 | $49,506 | +31% | $15,700 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 44 | $122,500 | +36% | $33,908 |
| 291 Heart Failure and Shock with MCC | 28 | $97,579 | +73% | $22,637 |
| 689 Kidney and Urinary Tract Infections with MCC | 28 | $65,593 | +28% | $21,413 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $44,575 | +20% | $14,875 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $41,401 | +3% | $14,735 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 23 | $30,785 | -17% | $15,168 |
| 683 Renal Failure with CC | 22 | $52,977 | +30% | $17,322 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $59,182 | +21% | $17,669 |
| 682 Renal Failure with MCC | 13 | $92,947 | +41% | $27,451 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $241,503 | +5% | $73,247 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 7 Radiation Therapy | 47 | $77,817 | $7,054 |
| Comprehensive Observation Services | 46 | $23,345 | $2,467 |
| Level 2 Intraocular Procedures | 18 | $17,729 | $3,683 |
Against the Florida average
For Psychoses (DRG 885), Larkin Community Hospital charged $42,068 on average, 10% less than the Florida average of $46,705, and was paid $23,069 against a state average of $13,805. For Kidney and Urinary Tract Infections without MCC (DRG 690), Larkin Community Hospital charged $49,506 on average, 3% more than the Florida average of $48,190, and was paid $15,700 against a state average of $7,285. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Larkin Community Hospital charged $122,500 on average, 9% more than the Florida average of $112,838, and was paid $33,908 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Larkin Community Hospital charged $97,579 on average, 44% more than the Florida average of $67,659, and was paid $22,637 against a state average of $10,715. For Level 7 Radiation Therapy (outpatient APC 5627), its average charge of $77,817 was 14% above the state average of $68,081. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,345 was 18% below the state average of $28,431. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $17,729 was 51% below the state average of $36,194.
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.