Doctors Hospital
5000 University Dr, Coral Gables, FL 33146 · 86 Priced Procedures · 73% Patient Recommendation
Typical commercial prices here are 3% below the fair benchmark (0.97×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.97× fair market pricing.
Aligned Regional Benchmark Peer
Doctors Hospital prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.97× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 3% below peer Fair BaseRate (0.97×)
- Self-pay cash beats commercial insurance on 31% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 73% patient recommendation (69/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (36.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.7× markup over Medicare rates
- Commercial insurance median sits at 0.94× 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 17.5× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Doctors Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 86 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sleep study (overnight, in lab) CPT Code: 95810 | $928 | 0.9× |
| Injection procedure for pain management HCPCS Code: G0260 | $763 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $591 | 1.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $377 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $377 | 0.7× |
| Rabies immune globulin HCPCS Code: 90375 | $319 | 1.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $258 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $258 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $258 | 0.7× |
| Blood transfusion CPT Code: 36430 | $283 | 0.6× |
| Hospital observation (per hour) HCPCS Code: G0378 | $198 | 2.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $205 | 0.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $205 | 0.8× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $153 | 1.0× |
| CT scan, head (no contrast) CPT Code: 70450 | $124 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $145 | 0.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $145 | 0.4× |
| Speech therapy (language evaluation) CPT Code: 92507 | $89 | 1.0× |
| X-ray, pelvis CPT Code: 72170 | $113 | 1.0× |
| X-ray, chest (single view) CPT Code: 71045 | $94 | 1.0× |
| X-ray, chest (two views) CPT Code: 71046 | $94 | 1.0× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $94 | 1.0× |
| X-ray, hip CPT Code: 73502 | $94 | 1.0× |
| X-ray, lower back CPT Code: 72110 | $113 | 1.0× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $113 | 0.9× |
Audit a Bill or Quote at Doctors Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,387
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.7% of gross = $2,387).
Self-Pay Cash Rate ($4,228) Beats Your Bill
Doctors Hospital's published 45 CFR § 180 self-pay cash rate is $4,228 (vs. $928 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)
Your bill ($6,505) is $5,484 above the denoised Fair BaseRate ($1,021) and 7.4× the $877 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (36.7% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (530 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Doctors Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.