Florida / Palmetto General Hospital
CMS certification 100187 · Hialeah, FL · 1 entry in CMS's price-transparency list
Palmetto General Hospital: charges and Medicare payments
Palmetto General Hospital reported 749 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 7.37 times what it was paid — mid-range in Florida, number 74 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: 131 stays at an average charge of $115,894, 28% above the national average. It also billed 132 outpatient services, charging 18.62 times what Medicare paid.
- 1Medicare inpatient stays 749
- 2Charge ÷ paid, inpatient 7.37×
- 3Rank in FL (highest ratio = 1) 74 of 159
- 4CMS price-transparency actions 1
Inpatient stays
For the 30 DRGs that can be compared with the national average, Palmetto General Hospital charged more than the national average in 27 (90%). 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 | 131 | $115,894 | +28% | $16,248 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 78 | $103,950 | +37% | $14,743 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 37 | $260,446 | +18% | $40,556 |
| 291 Heart Failure and Shock with MCC | 36 | $82,134 | +46% | $11,818 |
| 689 Kidney and Urinary Tract Infections with MCC | 35 | $79,137 | +54% | $11,109 |
| 177 Respiratory Infections and Inflammations with MCC | 31 | $118,198 | +67% | $15,432 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 29 | $120,555 | +21% | $16,410 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $82,645 | +38% | $11,826 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $64,611 | +71% | $7,286 |
| 682 Renal Failure with MCC | 25 | $102,360 | +55% | $12,483 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $67,492 | +12% | $11,333 |
| 312 Syncope and Collapse | 22 | $66,284 | +46% | $8,796 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $69,019 | +72% | $7,554 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 17 | $139,849 | -11% | $27,329 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 16 | $366,951 | +31% | $35,934 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 16 | $356,400 | +25% | $52,334 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $109,081 | +28% | $16,182 |
| 100 Seizures with MCC | 14 | $147,280 | +56% | $16,457 |
| 189 Pulmonary Edema and Respiratory Failure | 14 | $85,839 | +49% | $12,059 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $245,082 | +50% | $22,219 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $326,198 | +1% | $44,688 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $127,579 | +129% | $10,737 |
| 101 Seizures without MCC | 13 | $63,771 | +31% | $8,579 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $93,925 | -31% | $23,463 |
| 313 Chest Pain | 13 | $35,541 | -11% | $6,640 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $67,991 | +40% | $9,496 |
| 637 Diabetes with MCC | 12 | $113,223 | +70% | $12,419 |
| 270 Other Major Cardiovascular Procedures with MCC | 11 | $326,508 | +26% | $39,540 |
| 552 Medical Back Problems without MCC | 11 | $81,272 | +66% | $9,269 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $366,830 | +60% | $43,431 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 72 | $39,790 | $2,480 |
| Level 1 Endovascular Procedures | 24 | $31,902 | $2,957 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 13 | $20,864 | $1,469 |
| Level 3 Vascular Procedures | 12 | $33,092 | $2,888 |
| Level 4 Urology and Related Services | 11 | $51,487 | $3,158 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Palmetto General Hospital charged $115,894 on average, 3% more than the Florida average of $112,838, and was paid $16,248 against a state average of $15,663. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Palmetto General Hospital charged $103,950 on average, 11% more than the Florida average of $93,403, and was paid $14,743 against a state average of $12,779. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Palmetto General Hospital charged $260,446 on average, 7% less than the Florida average of $280,826, and was paid $40,556 against a state average of $38,570. For Heart Failure and Shock with MCC (DRG 291), Palmetto General Hospital charged $82,134 on average, 21% more than the Florida average of $67,659, and was paid $11,818 against a state average of $10,715. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $39,790 was 40% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $31,902 was 24% below the state average of $41,880. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $20,864 was 43% above the state average of $14,597. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $33,092 was 13% above the state average of $29,367.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Palmetto General Hospital in Hialeah, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-01-23 (CMS case 6862)
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.