Florida / West Kendall Baptist Hospital
CMS certification 100314 · Miami, FL
West Kendall Baptist Hospital: charges and Medicare payments
West Kendall Baptist Hospital reported 1,001 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 6.76 times what it was paid — mid-range in Florida, number 84 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: 194 stays at an average charge of $125,952, 39% above the national average. It also billed 499 outpatient services, charging 14.45 times what Medicare paid.
- 1Medicare inpatient stays 1,001
- 2Charge ÷ paid, inpatient 6.76×
- 3Rank in FL (highest ratio = 1) 84 of 159
- 4CMS price-transparency actions 0
Inpatient stays
For the 29 DRGs that can be compared with the national average, West Kendall Baptist Hospital charged more than the national average in 28 (97%). 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 | 194 | $125,952 | +39% | $18,904 |
| 291 Heart Failure and Shock with MCC | 105 | $90,206 | +60% | $12,657 |
| 193 Simple Pneumonia and Pleurisy with MCC | 90 | $88,802 | +49% | $13,001 |
| 177 Respiratory Infections and Inflammations with MCC | 62 | $114,326 | +62% | $15,681 |
| 689 Kidney and Urinary Tract Infections with MCC | 46 | $71,000 | +38% | $10,914 |
| 189 Pulmonary Edema and Respiratory Failure | 44 | $100,980 | +75% | $12,736 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 39 | $59,966 | +49% | $8,808 |
| 682 Renal Failure with MCC | 39 | $94,114 | +43% | $13,304 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $259,108 | +13% | $40,937 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $73,624 | +22% | $12,133 |
| 389 Gastrointestinal Obstruction with CC | 24 | $46,612 | +20% | $8,365 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $75,851 | +101% | $8,076 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $50,041 | +30% | $8,582 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $74,622 | +54% | $8,986 |
| 683 Renal Failure with CC | 23 | $78,320 | +92% | $15,987 |
| 202 Bronchitis and Asthma with CC/MCC | 22 | $67,002 | +45% | $9,834 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $156,764 | +56% | $18,685 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $66,143 | +35% | $10,187 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $110,288 | +10% | $16,707 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $103,444 | +41% | $16,219 |
| 603 Cellulitis without MCC | 15 | $51,134 | +37% | $9,519 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $68,815 | +52% | $13,249 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $84,025 | +38% | $12,633 |
| 393 Other Digestive System Diagnoses with MCC | 13 | $76,024 | -1% | $15,286 |
| 394 Other Digestive System Diagnoses with CC | 13 | $53,521 | +14% | $9,954 |
| 812 Red Blood Cell Disorders without MCC | 12 | $54,177 | +22% | $8,977 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $106,239 | +24% | $16,789 |
| 388 Gastrointestinal Obstruction with MCC | 11 | $80,747 | +18% | $13,509 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 11 | $125,470 | +35% | $14,125 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 396 | $28,861 | $2,460 |
| Level 1 Laparoscopy and Related Services | 33 | $67,166 | $5,101 |
| Level 4 Musculoskeletal Procedures | 27 | $80,524 | $6,480 |
| Level 5 Urology and Related Services | 16 | $59,665 | $4,687 |
| Level 3 Musculoskeletal Procedures | 14 | $37,622 | $2,932 |
| Level 6 Musculoskeletal Procedures | 13 | $153,064 | $16,845 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), West Kendall Baptist Hospital charged $125,952 on average, 12% more than the Florida average of $112,838, and was paid $18,904 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), West Kendall Baptist Hospital charged $90,206 on average, 33% more than the Florida average of $67,659, and was paid $12,657 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), West Kendall Baptist Hospital charged $88,802 on average, 13% more than the Florida average of $78,292, and was paid $13,001 against a state average of $10,939. For Respiratory Infections and Inflammations with MCC (DRG 177), West Kendall Baptist Hospital charged $114,326 on average, 34% more than the Florida average of $85,454, and was paid $15,681 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,861 was 2% above the state average of $28,431. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $67,166 was 2% below the state average of $68,202. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $80,524 was 9% above the state average of $74,087. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $59,665 was 16% above 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.