How many shoppable procedure prices are published for University of Miami Hospital and Clinics?

University of Miami Hospital and Clinics in Miami, FL currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do University of Miami Hospital and Clinics's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, University of Miami Hospital and Clinics's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2026-03-25

University of Miami Hospital and Clinics

1475 Nw 12Th Ave Suite 2175, Miami, FL 33136 · 113 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.74×vs. Fair Market Price

Typical commercial prices here are +74% above the fair benchmark (1.74×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 78% of the Time

File Completeness60

Price Logic72

Peer Alignment63

Clean Billing92

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +135% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

University of Miami Hospital and Clinics prices routine shoppable procedures at 3.1× Medicare (median 1.20× Fair BaseRate) while upper-quartile commercial rates jump +135% to 2.82× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#150 of 165 in FL · 90th State Percentile#2,913 of 3,385 in U.S. · 86th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.09× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 78% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (43.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.9× markup over Medicare rates
Commercial insurance median sits at 1.20× Fair BaseRate (3.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.82×) jump +135% above the median procedure ratio (Q50 1.20×)
Unnegotiated chargemaster list prices average 14.6× Medicare (17¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.1× Medicare

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

Back-Door Captive & ER0.39× Divergence

1.2× Medicare

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

Quantile Tail Spread+135% Upper Tail

Q25 1.09× · Q50 1.20× · Q75 2.82×

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

3.1× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.9× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

0.9× MedicareGood

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

78% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at University of Miami Hospital and Clinics

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$42,814	$30,775	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$25,745	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$25,565	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$23,366	$17,936	1.3×
Total hip replacement CPT Code: `27130`	—	$15,019	$13,413	1.1×
Total knee replacement CPT Code: `27447`	—	$15,019	$13,523	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$14,176	$6,109	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,332	$8,223	1.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$9,199	$2,540	unverified
Bunion correction surgery CPT Code: `28296`	—	$8,460	$3,446	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$8,460	$3,372	unverified
Inguinal hernia repair CPT Code: `49505`	—	$8,460	$3,629	unverified
Breast lump removal CPT Code: `19120`	—	$7,570	$3,875	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$3,468	$1,256	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	$3,420	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$3,420	$981	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,343	$2,726	$343	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,264	$2,726	$511	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,343	$2,726	$369	unverified
Blood transfusion CPT Code: `36430`	$722	$1,797	$498	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,574	$1,574	$303	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,502	$1,502	$258	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,525	$1,525	$338	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,536	$1,536	$448	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,593	$1,472	$583	2.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,356	$1,356	$242	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,678	$956	$1,021	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$867	$867	$160	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$840	$840	$167	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$806	$855	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$823	$823	$169	unverified
CT scan, sinuses CPT Code: `70486`	$765	$765	$166	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$730	$730	$168	unverified
CT scan, pelvis CPT Code: `72192`	$728	$728	$163	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$340	$552	$272	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$288	$458	$148	3.1×
Screening mammogram (both breasts) CPT Code: `77067`	$239	$458	$123	unverified
X-ray, foot CPT Code: `73630`	$279	$353	$92	3.8×
X-ray, hand CPT Code: `73130`	$279	$353	$93	3.8×
X-ray, hip CPT Code: `73502`	$286	$353	$93	3.8×
X-ray, ankle CPT Code: `73610`	$295	$353	$93	3.8×
X-ray, lower back CPT Code: `72110`	$446	$353	$112	3.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$498	$353	$126	2.8×
Ultrasound, pelvis CPT Code: `76856`	$542	$353	$130	2.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$489	$353	$132	2.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$633	$353	$134	2.6×
X-ray, chest (single view) CPT Code: `71045`	$190	$353	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$231	$353	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$321	$353	$93	unverified
X-ray, pelvis CPT Code: `72170`	$261	$353	$110	unverified
X-ray, shoulder CPT Code: `73030`	$300	$353	$92	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,197	$313	$322	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$286	$244	$201	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$224	$240	$64	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$208	$198	$166	1.2×
Family therapy session CPT Code: `90847`	$183	$198	$173	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$198	$198	$185	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$202	$202	$38	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$180	$180	$86	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$334	$154	$151	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$131	$131	$86	unverified
Orthotic fitting and training CPT Code: `97760`	$146	$146	$51	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$92	$92	$87	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$113	$113	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$92	$92	$40	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$116	$116	$38	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$116	$116	$14	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$627	$627	$140	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$514	$514	$203	2.5×
Typhoid vaccine HCPCS Code: `90675`	$1,165	$357	$347	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$262	$262	$111	2.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$157	$157	$39	4.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$272	$131	$56	2.3×
Drug screening test HCPCS Code: `G0480`	$62	$130	$116	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$79	$79	$123	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$156	$104	$37	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$111	$77	$25	3.1×
Flu vaccine injection HCPCS Code: `G0008`	$31	$52	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$31	$52	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$52	$52	$49	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$76	$76	$110	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$69	$69	$38	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$43	$43	$35	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$61	$61	$35	unverified
Blood test, vitamin D CPT Code: `82306`	$24	$34	$31	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$26	$4	$3	1.3×
Blood test, calcium CPT Code: `82310`	$12	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$21	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$43	$7	$6	1.2×
Blood test, lipase CPT Code: `83690`	$26	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$48	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$52	$9	$8	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$94	$10	$9	1.1×
Culture, bacterial CPT Code: `87070`	$33	$10	$9	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$43	$21	$19	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$7	$11	$10	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$181	$12	$11	1.1×
Culture, blood CPT Code: `87040`	$60	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$15	$15	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$35	$15	$14	1.1×
Hepatitis C antibody test CPT Code: `86803`	$27	$16	$15	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$72	$17	$16	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$14	$19	$18	1.1×
Physical therapy (gait training) CPT Code: `97116`	$39	$39	$33	unverified
Blood test, liver function panel CPT Code: `80076`	$33	$9	$9	1.0×
Blood test, amylase CPT Code: `82150`	$35	$7	$7	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$4	$4	1.0×
Blood test, potassium CPT Code: `84132`	$32	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$43	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$16	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$18	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$64	$5	$5	1.0×
Blood antibody screen CPT Code: `86850`	$39	$11	$46	0.2×

Showing top 25 high-impact procedures of 113 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 43.0%

Audit a Bill or Quote at University of Miami Hospital and Clinics (Zero PHI Required)

CMS CCN: 100079

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $42,814

1. Amount on Your Bill or Quote ($) Pre-filled with University of Miami Hospital and Clinics’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: $44,184 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $44,184

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (43.0% of gross = $44,184).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask University of Miami Hospital and Clinics's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$71,979 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($102,754) is $71,979 above the denoised Fair BaseRate ($30,775) and 4.4× the $23,504 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)

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 (43.0% 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 ↑

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

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

Price Index: 2.91× regional baseline

Quality: 54/100 CMS composite

Median Household Income$43,481U.S. Census ACS

Local Uninsured Share22.1%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 76/100 · Corroborated CMS CCN 100079

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

MRF Portal Indexed (lm1w3wl18g0b5vz0rn1r9zev20pybv76.csv) Verify on CMS Medicare.gov (CCN 100079) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filelm1w3wl18g0b5vz0rn1r9zev20pybv76.csv

Publication / Vintage2026-03-25 · 254.09 MB

Validated Rate Rows5,849 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100079

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