Florida / South Miami Hospital
CMS certification 100154 · South Miami, FL
South Miami Hospital: charges and Medicare payments
South Miami Hospital reported 1,335 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 6.75 times what it was paid — mid-range in Florida, number 85 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: 165 stays at an average charge of $108,542, 20% above the national average. It also billed 1,977 outpatient services, charging 11.59 times what Medicare paid.
- 1Medicare inpatient stays 1,335
- 2Charge ÷ paid, inpatient 6.75×
- 3Rank in FL (highest ratio = 1) 85 of 159
- 4CMS price-transparency actions 0
Inpatient stays
For the 47 DRGs that can be compared with the national average, South Miami Hospital charged more than the national average in 42 (89%). 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 | 165 | $108,542 | +20% | $16,360 |
| 291 Heart Failure and Shock with MCC | 132 | $88,948 | +58% | $12,535 |
| 177 Respiratory Infections and Inflammations with MCC | 90 | $87,856 | +24% | $13,561 |
| 193 Simple Pneumonia and Pleurisy with MCC | 58 | $81,882 | +37% | $11,382 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 56 | $208,929 | +33% | $27,366 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $78,358 | +36% | $11,286 |
| 378 Gastrointestinal Hemorrhage with CC | 33 | $69,587 | +43% | $8,910 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $53,079 | +3% | $8,990 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $43,720 | +16% | $7,672 |
| 194 Simple Pneumonia and Pleurisy with CC | 30 | $47,822 | +25% | $9,708 |
| 603 Cellulitis without MCC | 30 | $32,765 | -12% | $7,931 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $48,824 | +35% | $7,150 |
| 682 Renal Failure with MCC | 29 | $92,996 | +41% | $13,489 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 28 | $303,559 | +37% | $49,849 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 28 | $56,971 | +16% | $9,121 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $317,128 | +39% | $46,401 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $45,945 | +14% | $7,532 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $132,415 | +16% | $15,105 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $102,771 | +20% | $14,997 |
| 389 Gastrointestinal Obstruction with CC | 22 | $55,096 | +42% | $7,550 |
| 552 Medical Back Problems without MCC | 22 | $41,207 | -16% | $8,333 |
| 329 Major Small and Large Bowel Procedures with MCC | 20 | $312,446 | +45% | $50,699 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $98,682 | -1% | $15,546 |
| 178 Respiratory Infections and Inflammations with CC | 19 | $54,690 | +21% | $8,803 |
| 330 Major Small and Large Bowel Procedures with CC | 19 | $172,775 | +45% | $23,458 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 19 | $363,383 | +30% | $62,721 |
| 812 Red Blood Cell Disorders without MCC | 19 | $53,185 | +20% | $8,490 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $101,514 | +68% | $13,335 |
| 683 Renal Failure with CC | 18 | $54,713 | +34% | $7,983 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $55,775 | +51% | $7,662 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 16 | $122,358 | +10% | $22,256 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $135,536 | +35% | $21,110 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $63,748 | +14% | $9,192 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $110,002 | +45% | $13,332 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $61,552 | +22% | $8,118 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $108,984 | -3% | $17,816 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $208,340 | +27% | $24,722 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 13 | $132,205 | +42% | $13,701 |
| 252 Other Vascular Procedures with MCC | 12 | $233,290 | +37% | $31,788 |
| 317 Concomitant Left Atrial Appendage Closure and Cardiac... | 12 | $398,596 | +10% | $55,508 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $79,173 | +8% | $11,854 |
| 035 Carotid Artery Stent Procedures with CC | 11 | $121,873 | +7% | $18,451 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 11 | $260,445 | +21% | $30,176 |
| 390 Gastrointestinal Obstruction without CC/MCC | 11 | $38,976 | +40% | $5,890 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $76,001 | -1% | $13,699 |
| 394 Other Digestive System Diagnoses with CC | 11 | $52,944 | +12% | $8,616 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 11 | $253,747 | +17% | $37,746 |
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), South Miami Hospital charged $108,542 on average, 4% less than the Florida average of $112,838, and was paid $16,360 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), South Miami Hospital charged $88,948 on average, 31% more than the Florida average of $67,659, and was paid $12,535 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), South Miami Hospital charged $87,856 on average, 3% more than the Florida average of $85,454, and was paid $13,561 against a state average of $13,200. For Simple Pneumonia and Pleurisy with MCC (DRG 193), South Miami Hospital charged $81,882 on average, 5% more than the Florida average of $78,292, and was paid $11,382 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,511 was 24% below the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $40,955 was 2% below the state average of $41,880. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $67,887 was 0% below the state average of $68,202. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $46,959 was 9% below the state average of $51,337.
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.