How many shoppable procedure prices are published for Baptist Hospital of Miami?

Baptist Hospital of Miami in Miami, FL currently has 93 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Baptist Hospital of Miami's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Baptist Hospital of Miami's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Baptist Hospital of Miami's CMS Care Compare overall star rating?

CMS Care Compare assigns Baptist Hospital of Miami an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 672 Beds · urban Updated: 2026-03-30

Baptist Hospital of Miami

8900 N Kendall Dr, Miami, FL 33176 · 93 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Near Fair BaseRate Benchmark

0.99×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

85/100 · Verified

85/100Self-Pay Cash Beats Insurance 33% of the Time

File Completeness85

Price Logic91

Peer Alignment65

Clean Billing85

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.99× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Baptist Hospital of Miami prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#51 of 165 in FL · 30th State Percentile#1,223 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.72× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 33% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 74% patient recommendation (70/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (40.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.7× markup over Medicare rates
Commercial insurance median sits at 0.96× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 16.1× Medicare (15¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+5% Upper Tail

Q25 0.72× · Q50 0.96× · Q75 1.01×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.7× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.4× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

33% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 70/100Fair

Procedure Prices at Baptist Hospital of Miami

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Breast lump removal CPT Code: `19120`	$8,316	$1,331	$3,875	0.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,109	$591	$583	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$6,332	$377	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,920	$377	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	$1,188	$316	$322	1.0×
Blood transfusion CPT Code: `36430`	$851	$289	$498	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,136	$258	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$5,878	$258	$303	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$3,592	$258	$369	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$129	$186	$86	2.2×
Psychotherapy session (45 minutes) CPT Code: `90834`	$419	$192	$166	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$419	$192	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$419	$192	$185	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$3,540	$205	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,479	$205	$258	0.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$988	$152	$151	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$3,775	$152	$338	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$3,469	$152	$343	0.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$257	$124	$87	1.4×
New patient office visit (30-44 min) CPT Code: `99203`	$257	$124	$110	1.1×
X-ray, pelvis CPT Code: `72170`	$567	$117	$110	1.1×
X-ray, lower back CPT Code: `72110`	$843	$117	$112	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$270	$124	$123	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$3,156	$124	$160	0.8×
X-ray, chest (single view) CPT Code: `71045`	$344	$97	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$403	$97	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$592	$97	$93	1.0×
X-ray, hip CPT Code: `73502`	$575	$97	$93	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,119	$117	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$1,213	$117	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$689	$117	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,419	$117	$134	0.9×
CT scan, pelvis CPT Code: `72192`	$3,145	$117	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$3,083	$117	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$3,010	$117	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,391	$117	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,507	$117	$169	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$409	$89	$86	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$171	$102	$201	0.5×
Typhoid vaccine HCPCS Code: `90675`	$716	$330	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$317	$82	$203	0.4×
Blood antibody screen CPT Code: `86850`	$97	$56	$46	1.2×
Orthotic fitting and training CPT Code: `97760`	$164	$51	$51	1.0×
Prosthetic fitting and training CPT Code: `97761`	$182	$45	$45	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$579	$37	$38	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$189	$36	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$161	$35	$40	0.9×
X-ray, shoulder CPT Code: `73030`	$564	$57	$92	0.6×
X-ray, foot CPT Code: `73630`	$561	$57	$92	0.6×
X-ray, hand CPT Code: `73130`	$551	$57	$93	0.6×
X-ray, ankle CPT Code: `73610`	$561	$57	$93	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$203	$59	$140	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$439	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$766	$11	$11	1.0×
Blood test, vitamin D CPT Code: `82306`	$67	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$100	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$52	$7	$7	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$163	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$197	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$48	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$309	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$92	$7	$7	1.0×
Blood test, liver function panel CPT Code: `80076`	$325	$8	$9	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$101	$11	$14	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$560	$32	$148	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$475	$32	$123	unverified
Blood test, calcium CPT Code: `82310`	$55	$5	$5	1.0×
Blood test, magnesium CPT Code: `83735`	$96	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$51	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$117	$19	$19	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$189	$32	$38	0.8×
Blood test, sodium CPT Code: `84295`	$51	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$55	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$40	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$141	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$64	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$242	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$410	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$412	$9	$9	1.0×
Speech therapy (group session) CPT Code: `92508`	$143	$27	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$211	$20	$20	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$121	$17	$18	0.9×
Physical therapy (gait training) CPT Code: `97116`	$161	$29	$33	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$161	$29	$35	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$54	$4	$5	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$189	$27	$34	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$33	$17	$25	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$48	$25	$37	0.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$337	$28	$64	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$50	$17	$39	0.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$77	$17	$56	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$160	$17	$111	0.2×

Showing top 25 high-impact procedures of 93 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 40.0%

Audit a Bill or Quote at Baptist Hospital of Miami (Zero PHI Required)

CMS CCN: 100008

CPT 19120

Select Procedure to Audit:

Fair BaseRate™ $3,875

Medicare Rate $4,000

Self-Pay Cash $8,316

Insurer Median $1,331

1. Amount on Your Bill or Quote ($) Pre-filled with Baptist Hospital of Miami’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $5,116 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $5,116

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (40.0% of gross = $5,116).

Step 2 · Cash vs. Insurance Arbitrage Save $4,478 Paying Cash

Self-Pay Cash Rate ($8,316) Beats Your Bill

Baptist Hospital of Miami's published 45 CFR § 180 self-pay cash rate is $8,316 (vs. $1,331 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$8,919 Above Fair BaseRate

Negotiate Toward $3,875 Fair BaseRate ($4,000 Medicare)

Your bill ($12,794) is $8,919 above the denoised Fair BaseRate ($3,875) and 3.2× the $4,000 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 590910342

Filing Period: 196305

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (40.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite70/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait235 min

Left ER Before Seen0%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Baptist Hospital of Miami. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-09·warning_notice
Warning Notice
Recorded
2025-04-18·administrative_or_closure
Met Requirements
Recorded
2022-03-14·administrative_or_closure
Closure Notice
Recorded
2021-12-01·cap_corrective_action
CAP Request
Recorded
2021-06-23·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,090 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baptist Hospital of Miami.

Price Index: 1.16× regional baseline

Quality: 78/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Medica

-64.4%

WellCare

-61.6%

Humana

-60.8%

Amerigroup

-58.7%

Median Household Income$68,694U.S. Census ACS

Local Uninsured Share14.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 85/100 · Verified CMS CCN 100008 EIN 590910342

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100008) ↗ Verify IRS Form 990 (EIN 590910342) ↗ CMS HCRIS Cost Reports ↗

Published MRF File590910342_baptist-hospital-of-miami_standardcharges.zip!590910342_baptist-hospital-of-miami_standardcharges.csv

Publication / Vintage2026-03-30 · 24.70 MB

Validated Rate Rows8,423 (CMS v3.0.0)

File Integrity Digest552a5b0a84d8c3830030…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy