Mount Sinai Medical Center of Florida, Inc: charges and Medicare payments

Mount Sinai Medical Center of Florida, Inc reported 3,570 Medicare inpatient stays across 117 DRGs in 2024. Across them it charged 4.88 times what it was paid — among the lower ratios in Florida, number 130 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: 287 stays at an average charge of $91,199, 1% above the national average. It also billed 2,480 outpatient services, charging 7.43 times what Medicare paid.

1Medicare inpatient stays 3,570
2Charge ÷ paid, inpatient 4.88×
3Rank in FL (highest ratio = 1) 130 of 159
4CMS price-transparency actions 0

Average charge per stay at Mount Sinai Medical Center of Florida, Inc, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 117 DRGs that can be compared with the national average, Mount Sinai Medical Center of Florida, Inc charged more than the national average in 23 (20%). 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	287	$91,199	+1%	$16,868
291 Heart Failure and Shock with MCC	195	$57,137	+1%	$11,909
280 Acute Myocardial Infarction, Discharged Alive with MCC	94	$85,123	+12%	$14,566
193 Simple Pneumonia and Pleurisy with MCC	82	$55,305	-7%	$11,940
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	75	$36,662	-9%	$7,929
378 Gastrointestinal Hemorrhage with CC	69	$45,568	-6%	$9,172
690 Kidney and Urinary Tract Infections without MCC	69	$34,519	-9%	$7,996
287 Circulatory Disorders except AMI, with Cardiac...	68	$53,429	-16%	$10,418
177 Respiratory Infections and Inflammations with MCC	65	$65,904	-7%	$14,791
552 Medical Back Problems without MCC	59	$40,174	-18%	$9,531
286 Circulatory Disorders except AMI, with Cardiac...	54	$88,352	-21%	$19,746
683 Renal Failure with CC	53	$38,383	-6%	$8,723
698 Other Kidney and Urinary Tract Diagnoses with MCC	52	$67,374	-8%	$14,582
377 Gastrointestinal Hemorrhage with MCC	51	$74,965	-12%	$15,041
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	51	$47,093	-4%	$9,683
281 Acute Myocardial Infarction, Discharged Alive with CC	50	$47,978	-5%	$9,288
322 Percutaneous Cardiovascular Procedures with Intraluminal...	50	$108,852	-5%	$15,928
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	48	$50,727	-16%	$11,700
682 Renal Failure with MCC	48	$57,564	-13%	$12,542
853 Infectious and Parasitic Diseases with O.R. Procedures with...	47	$229,757	0%	$52,153
689 Kidney and Urinary Tract Infections with MCC	46	$47,128	-8%	$10,248
699 Other Kidney and Urinary Tract Diagnoses with CC	45	$34,275	-28%	$8,975
312 Syncope and Collapse	43	$35,576	-22%	$8,220
274 Percutaneous and Other Intracardiac Procedures without MCC	39	$120,308	-23%	$26,939
885 Psychoses	39	$21,860	-50%	$11,832
190 Chronic Obstructive Pulmonary Disease with MCC	37	$45,588	-10%	$10,457
194 Simple Pneumonia and Pleurisy with CC	37	$39,302	+2%	$8,232
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$31,143	-16%	$7,700
252 Other Vascular Procedures with MCC	36	$155,102	-9%	$31,115
603 Cellulitis without MCC	36	$31,243	-16%	$8,523
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	35	$99,299	-1%	$17,600
309 Cardiac Arrhythmia and Conduction Disorders with CC	35	$37,751	+5%	$7,577
324 Coronary Intravascular Lithotripsy with Intraluminal Device...	32	$166,516	-4%	$30,864
389 Gastrointestinal Obstruction with CC	32	$40,323	+4%	$7,924
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	31	$57,272	-15%	$14,661
313 Chest Pain	30	$36,940	-7%	$7,338
164 Major Chest Procedures with CC	29	$113,830	-11%	$20,626
189 Pulmonary Edema and Respiratory Failure	29	$51,875	-10%	$11,158
305 Hypertension without MCC	29	$27,285	-32%	$7,292
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	28	$59,845	-2%	$11,942
069 Transient Ischemia without Thrombolytic	27	$42,915	-15%	$7,636
178 Respiratory Infections and Inflammations with CC	27	$41,176	-9%	$9,027
300 Peripheral Vascular Disorders with CC	27	$48,816	-1%	$9,670
308 Cardiac Arrhythmia and Conduction Disorders with MCC	27	$81,948	+45%	$11,150
481 Hip and Femur Procedures except Major Joint with CC	26	$92,744	-8%	$17,597
516 Other Musculoskeletal System and Connective Tissue O.R....	25	$90,023	-11%	$18,760
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	25	$40,709	-4%	$8,155
870 Septicemia or Severe Sepsis with MV >96 Hours	25	$240,098	-26%	$53,852
394 Other Digestive System Diagnoses with CC	24	$43,493	-8%	$8,885
270 Other Major Cardiovascular Procedures with MCC	23	$274,089	+6%	$47,195
330 Major Small and Large Bowel Procedures with CC	23	$118,298	-1%	$21,684
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	22	$38,308	-12%	$7,199
321 Percutaneous Cardiovascular Procedures with Intraluminal...	22	$165,495	+1%	$26,923
812 Red Blood Cell Disorders without MCC	22	$38,423	-13%	$8,786
149 Dysequilibrium	21	$37,518	-15%	$7,375
163 Major Chest Procedures with MCC	21	$151,561	-28%	$33,415
470 Major Hip and Knee Joint Replacement or Reattachment of...	21	$61,522	-34%	$17,026
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	20	$84,609	+52%	$10,092
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	20	$287,896	-28%	$67,480
314 Other Circulatory System Diagnoses with MCC	20	$85,483	-10%	$17,286

Showing the 60 most frequent of 117 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	400	$18,990	$2,475
Level 1 Endovascular Procedures	181	$28,080	$2,945
Level 2 Excision/ Biopsy/ Incision and Drainage	167	$8,753	$1,462
Level 2 Upper GI Procedures	161	$10,896	$1,706
Level 5 Urology and Related Services	131	$30,123	$4,667
Level 4 Urology and Related Services	114	$20,524	$3,123
Level 5 Musculoskeletal Procedures	108	$48,640	$11,730
Level 3 Urology and Related Services	103	$14,324	$1,845
Level 4 Musculoskeletal Procedures	89	$33,200	$6,481
Level 3 Endovascular Procedures	84	$85,461	$9,957
Level 3 Excision/ Biopsy/ Incision and Drainage	72	$19,390	$2,574
Level 3 Vascular Procedures	68	$18,525	$2,887
Level 3 Electrophysiologic Procedures	67	$113,995	$21,459
Level 1 Laparoscopy and Related Services	63	$34,106	$5,161
Level 4 Vascular Procedures	60	$40,408	$3,401
Level 2 Endovascular Procedures	54	$33,612	$5,177
Level 2 Musculoskeletal Procedures	52	$10,103	$1,456
Level 3 Pacemaker and Similar Procedures	50	$34,973	$9,347
Level 3 Musculoskeletal Procedures	42	$22,542	$2,876
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	39	$24,691	$3,134
Level 3 Lower GI Procedures	33	$16,121	$2,504
Level 2 Laparoscopy and Related Services	32	$50,825	$9,319
Level 4 ENT Procedures	31	$27,591	$2,916
Level 2 Vascular Procedures	26	$11,274	$1,397
Level 2 ICD and Similar Procedures	24	$109,909	$28,581

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mount Sinai Medical Center of Florida, Inc charged $91,199 on average, 19% less than the Florida average of $112,838, and was paid $16,868 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Mount Sinai Medical Center of Florida, Inc charged $57,137 on average, 16% less than the Florida average of $67,659, and was paid $11,909 against a state average of $10,715. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Mount Sinai Medical Center of Florida, Inc charged $85,123 on average, 9% less than the Florida average of $93,403, and was paid $14,566 against a state average of $12,779. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mount Sinai Medical Center of Florida, Inc charged $55,305 on average, 29% less than the Florida average of $78,292, and was paid $11,940 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,990 was 33% below the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,080 was 33% below the state average of $41,880. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,753 was 40% below the state average of $14,597. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,896 was 42% below the state average of $18,929.

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.