Florida / North Shore Medical Center
CMS certification 100029 · Miami, FL · 2 entries in CMS's price-transparency list
North Shore Medical Center: charges and Medicare payments
North Shore Medical Center reported 887 Medicare inpatient stays across 33 DRGs in 2024. Across them it charged 8.88 times what it was paid — among the higher ratios in Florida, number 52 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: 148 stays at an average charge of $163,585, 81% above the national average. It also billed 175 outpatient services, charging 13.53 times what Medicare paid.
- 1Medicare inpatient stays 887
- 2Charge ÷ paid, inpatient 8.88×
- 3Rank in FL (highest ratio = 1) 52 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 33 DRGs that can be compared with the national average, North Shore Medical Center charged more than the national average in 31 (94%). 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 | 148 | $163,585 | +81% | $15,573 |
| 682 Renal Failure with MCC | 58 | $103,133 | +56% | $12,554 |
| 291 Heart Failure and Shock with MCC | 53 | $100,967 | +79% | $11,482 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 41 | $135,859 | +79% | $13,504 |
| 193 Simple Pneumonia and Pleurisy with MCC | 37 | $88,930 | +49% | $11,073 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $97,262 | +89% | $10,374 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $116,719 | +65% | $13,519 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 30 | $179,292 | +14% | $25,201 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $98,385 | +63% | $11,940 |
| 100 Seizures with MCC | 27 | $116,439 | +23% | $15,608 |
| 101 Seizures without MCC | 27 | $55,778 | +14% | $8,603 |
| 637 Diabetes with MCC | 26 | $104,642 | +57% | $12,209 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $464,831 | +103% | $43,841 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $56,719 | +41% | $7,995 |
| 312 Syncope and Collapse | 21 | $65,558 | +44% | $8,268 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $128,884 | +51% | $14,468 |
| 638 Diabetes with CC | 21 | $50,017 | +20% | $8,357 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $128,458 | +131% | $10,467 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $58,652 | +58% | $7,495 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 18 | $138,641 | +39% | $16,006 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 18 | $420,588 | +30% | $49,699 |
| 683 Renal Failure with CC | 16 | $62,059 | +52% | $8,119 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $125,225 | +71% | $13,114 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $75,804 | +98% | $7,874 |
| 305 Hypertension without MCC | 15 | $63,984 | +60% | $7,938 |
| 885 Psychoses | 15 | $47,691 | +8% | $11,710 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $76,212 | +51% | $9,314 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $61,508 | +63% | $8,321 |
| 389 Gastrointestinal Obstruction with CC | 12 | $65,296 | +68% | $7,175 |
| 069 Transient Ischemia without Thrombolytic | 11 | $80,957 | +60% | $7,655 |
| 313 Chest Pain | 11 | $40,091 | 0% | $7,201 |
| 603 Cellulitis without MCC | 11 | $55,019 | +48% | $8,358 |
| 812 Red Blood Cell Disorders without MCC | 11 | $43,093 | -3% | $8,615 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 131 | $43,391 | $2,459 |
| Level 3 Electrophysiologic Procedures | 31 | $163,574 | $20,820 |
| Level 4 Musculoskeletal Procedures | 13 | $125,391 | $6,481 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), North Shore Medical Center charged $163,585 on average, 45% more than the Florida average of $112,838, and was paid $15,573 against a state average of $15,663. For Renal Failure with MCC (DRG 682), North Shore Medical Center charged $103,133 on average, 23% more than the Florida average of $83,694, and was paid $12,554 against a state average of $11,992. For Heart Failure and Shock with MCC (DRG 291), North Shore Medical Center charged $100,967 on average, 49% more than the Florida average of $67,659, and was paid $11,482 against a state average of $10,715. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), North Shore Medical Center charged $135,859 on average, 45% more than the Florida average of $93,403, and was paid $13,504 against a state average of $12,779. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $43,391 was 53% above the state average of $28,431. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $163,574 was 16% below the state average of $195,231. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $125,391 was 69% above the state average of $74,087.
Price-transparency record
CMS's enforcement list records these actions for a hospital named North Shore Medical Center 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 — 2025-02-24 (CMS case 3151)
- Closure Notice — 2025-05-30 (CMS case 3151)
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.