How many shoppable procedure prices are published for Coral Gables Hospital?

Coral Gables Hospital in Coral Gables, FL currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Coral Gables Hospital's commercial prices compare to the fair BaseRate?

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

What is Coral Gables Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Coral Gables Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 245 Beds · urban Updated: 2026-08-31

Coral Gables Hospital

3100 Douglas Rd, Coral Gables, FL 33134 · 110 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 3 / 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.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 87% of the Time

File Completeness45

Price Logic90

Peer Alignment80

Clean Billing92

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

Coral Gables Hospital prices shoppable and inpatient services (1.1× to 1.3× Medicare, divergence 1.18×) 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.

#53 of 165 in FL · 31st State Percentile#1,225 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.92× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 87% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (68/100 safety score) with 64% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.99× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.9×) & laboratory (0.8×) services average 1.18× higher multiples than routine shoppable care (1.1×)
Even at low-cost facilities (0.99× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 17.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.18× Divergence

1.3× Medicare

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

Quantile Tail Spread+10% Upper Tail

Q25 0.92× · Q50 1.05× · Q75 1.15×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

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

0.9× MedicareGood

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

87% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 68/100Fair

Procedure Prices at Coral Gables Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$17,143	$22,077	$19,432	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$17,249	$20,633	$19,087	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$15,859	$20,184	$17,936	1.1×
Total hip replacement CPT Code: `27130`	$13,174	$13,407	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$13,174	$13,407	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$8,249	$8,661	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,212	$6,511	$6,109	1.1×
Breast lump removal CPT Code: `19120`	$4,023	$4,283	$3,875	1.1×
Bunion correction surgery CPT Code: `28296`	$3,362	$4,186	$3,446	1.2×
Inguinal hernia repair CPT Code: `49505`	$3,679	$4,154	$3,629	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,120	$2,680	1.5×
C-section delivery (full package) CPT Code: `59510`	—	$4,077	$2,975	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,362	$3,878	$3,372	1.2×
Cataract surgery with lens implant CPT Code: `66984`	$2,371	$2,887	$2,540	1.1×
Rabies immune globulin HCPCS Code: `90375`	$2,812	$2,812	$322	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,230	$1,488	$1,256	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$956	$1,183	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$932	$1,056	$987	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$725	$737	$855	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$561	$679	$583	1.2×
Blood transfusion CPT Code: `36430`	$453	$544	$498	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$393	$504	$369	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$358	$397	$511	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$358	$364	$448	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$225	$229	$201	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$245	$249	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$245	$261	$303	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$245	$273	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$245	$273	$343	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$180	$214	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$180	$225	$258	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$137	$166	$151	1.1×
Family therapy session CPT Code: `90847`	$182	$185	$173	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$107	$144	$160	0.9×
X-ray, pelvis CPT Code: `72170`	$107	$109	$110	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$107	$113	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$107	$113	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$107	$114	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$107	$114	$134	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$114	$121	$148	0.8×
CT scan, pelvis CPT Code: `72192`	$107	$132	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$107	$134	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$107	$133	$167	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$107	$133	$169	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$107	$132	$168	0.8×
Group therapy session CPT Code: `90853`	$104	$106	$100	1.1×
X-ray, chest (single view) CPT Code: `71045`	$89	$94	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$89	$94	$93	1.0×
X-ray, shoulder CPT Code: `73030`	$89	$91	$92	1.0×
X-ray, foot CPT Code: `73630`	$89	$91	$92	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$89	$91	$93	1.0×
X-ray, hand CPT Code: `73130`	$89	$91	$93	1.0×
X-ray, hip CPT Code: `73502`	$89	$91	$93	1.0×
X-ray, ankle CPT Code: `73610`	$89	$91	$93	1.0×
X-ray, lower back CPT Code: `72110`	$107	$109	$112	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$77	$82	$86	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$70	$95	$123	0.8×
Typhoid vaccine HCPCS Code: `90675`	$332	$332	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$214	$203	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$48	$58	$48	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$61	$73	$64	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$94	$111	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$76	$111	$140	0.8×
Blood antibody screen CPT Code: `86850`	$54	$54	$46	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$36	$46	$40	1.1×
Physical therapy (gait training) CPT Code: `97116`	$30	$36	$33	1.1×
Prosthetic fitting and training CPT Code: `97761`	$41	$49	$45	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$33	$41	$38	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$33	$40	$38	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$52	$56	0.9×
Culture, bacterial CPT Code: `87070`	$8	$12	$9	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$28	$35	$34	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$30	$36	$35	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$48	$50	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$48	$50	$49	1.0×
Orthotic fitting and training CPT Code: `97760`	$47	$48	$51	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$65	$86	0.8×
Blood test, amylase CPT Code: `82150`	$6	$10	$7	1.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$5	$4	1.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$10	$12	$10	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$35	$35	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$4	$3	1.3×
Blood test, calcium CPT Code: `82310`	$5	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$5	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$5	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$10	$13	$11	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$7	$6	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$22	$19	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$16	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$13	$16	$14	1.1×
Blood test, lipase CPT Code: `83690`	$7	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$7	$8	$7	1.1×
Hepatitis C antibody test CPT Code: `86803`	$14	$17	$15	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$15	$18	$16	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$8	$9	$8	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$8	$10	$9	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$20	$18	1.1×
Culture, blood CPT Code: `87040`	$10	$12	$11	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$13	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$29	$30	$31	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$30	$39	0.8×
Blood test, hemoglobin CPT Code: `85018`	$2	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$5	$5	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$14	$19	$25	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$19	$23	$37	0.6×
Drug screening test HCPCS Code: `G0480`	$26	$26	$116	0.2×

Showing top 25 high-impact procedures of 110 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Coral Gables Hospital (Zero PHI Required)

CMS CCN: 100183

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $17,143

Insurer Median $22,077

1. Amount on Your Bill or Quote ($) Pre-filled with Coral Gables Hospital’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $35,842 Paying Cash

Self-Pay Cash Rate ($17,143) Beats Your Bill

Coral Gables Hospital's published 45 CFR § 180 self-pay cash rate is $17,143 (vs. $22,077 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$33,553 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($52,985) is $33,553 above the denoised Fair BaseRate ($19,432) and 3.8× the $14,044 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) For-Profit / Non-501(c)(3)

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

EIN: 995038459

Public IRS & CMS ownership records classify Coral Gables Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Composite68/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)56%

Median ER Wait134 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

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 Coral Gables Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-01-28·administrative_or_closure
Met Requirements
Recorded
2022-12-07·administrative_or_closure
Closure Notice
Recorded
2022-10-14·cap_corrective_action
CAP Request
Recorded
2021-10-27·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (179 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

Regional Value & Quality Leader

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

Price Index: 0.77× regional baseline

Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Curative Administrators

-54.9%

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 80/100 · Corroborated CMS CCN 100183 EIN 995038459

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100183) ↗ Verify IRS Form 990 (EIN 995038459) ↗ CMS HCRIS Cost Reports ↗

Published MRF File995038459_hsa-cgh-llc_standardcharges.csv

Publication / Vintage2026-08-31 · 241.27 MB

Validated Rate Rows9,259 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100183

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