Quick answers
- Does Palmetto General Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Palmetto General Hospital. In a medical emergency, call 911.
- Where is Palmetto General Hospital?
- 2001 W 68th St, Hialeah, FL 33016, in Miami-Dade County, Florida.
- What is the phone number of Palmetto General Hospital?
- (305) 823-5000, as listed by Medicare (CMS).
- What is the Medicare star rating of Palmetto General Hospital?
- 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
- Does Medicare reduce its payments to Palmetto General Hospital for hospital-acquired conditions?
- No. For fiscal year 2026, CMS lists no Medicare payment reduction for Palmetto General Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1250; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).
Specialties and care areas[4][15][16]
- General Surgery
- Cardiology
- Orthopedics and Spine Surgery
- Neurology
- Urology
- Women's Services
- Radiology and Diagnostic Imaging
- Neurosurgery
Conditions treated[6][13][14][15]
- Stroke
- Brain tumors
- Aortic stenosis
- Kidney stones
- Urinary incontinence
Treatments[14][15][16][20]
- Stroke treatment
- Mechanical thrombectomy
- IV thrombolytic (clot-buster) therapy
- Intraoperative radiotherapy (IORT) for brain cancer
- Transcatheter aortic valve replacement (TAVR)
- WATCHMAN left atrial appendage implant
- Endovascular treatment of DVT/pulmonary embolism
- Endovascular neurosurgery
Procedures[8][11][12][14][15][17]
- MRI
- CT scan
- PET/CT
- Mammography (tomosynthesis)
- Bone densitometry
- Ultrasound
- X-ray
- Nuclear medicine
- Stereotactic breast biopsy
- Echocardiogram
- Cardiac catheterization
- Minimally invasive heart surgery
- Bypass surgery
- Angioplasty
- Stent procedure
- Carotid endarterectomy
- Endovascular aneurysm repair
- Artificial heart valve surgery
- BrainPath brain surgery approach
- Robotic surgery (urological, gynecological and certain general procedures)
- Outpatient and same-day surgery
- Laminectomy
- Kyphoplasty
- Microdiscectomy
- Spinal cord stimulation
- Lumbar epidural steroid injection
- Cesarean delivery
Programs and centers[8][13][14][15]
- Emergency care
- Comprehensive Stroke Center
- Clinical Decision Unit
- Designated fast track (10A to 10P)
- TeleER
- Maternal Child Care Center (labor and delivery)
- Neonatal intensive care
- High-risk pregnancy support
- The Heart Institute
- The Vascular Institute
- Valve Clinic
Emergency care (hospital website)[4][13][15]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
| Stroke designation | Joint Commission Certified Comprehensive Stroke Center |
Visiting and practical information
| Interpreters and languages | Interpretive Language Services page is linked; bilingual staff noted in Emergency Care[4][5] |
|---|---|
| Patient portal | MyCareZone |
Recognition[4][18]
- Comprehensive Stroke Center (Joint Commission certified)
- Bariatric Surgery MBSAQIP Accredited Comprehensive Center
Doctors and clinicians (192)
192 doctors and other clinicians list Palmetto General Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Internal Medicine27
- Certified Registered Nurse Anesthetist (CRNA)21
- Anesthesiology14
- Nurse Practitioner12
- Cardiovascular Disease (Cardiology)12
- Emergency Medicine10
- Pulmonary Disease9
- Diagnostic Radiology8
- General Surgery7
- Nephrology6
- Physician Assistant5
- Podiatry5
Doctors with a page on this site (192)
- Abdul-Rahman M. Jaraki, MDCardiovascular Disease (Cardiology)
- Adrian Legaspi Sauter, MDSurgical Oncology
- Aida I. Baez, CNACertified Registered Nurse Anesthetist (CRNA)
- Aldo H. Martinez Fleites, MDInterventional Cardiology
- Alejandro Pla, MDNephrology
- Alex E. Morizio, MDCritical Care (Intensivists)
- Alexis Gutierrez, MDCardiovascular Disease (Cardiology)
- Alexis S. Guerra, MDInternal Medicine
- Alvaro CastroAnesthesiology
- Alvaro I. Martinez Sr., MDCardiovascular Disease (Cardiology)
- Andres E. Abreu, DODiagnostic Radiology
- Andrew S. Niekamp, MDDiagnostic Radiology
- Antonio C. Cano, MDCardiovascular Disease (Cardiology)
- Antonio M. Thomas, CNACertified Registered Nurse Anesthetist (CRNA)
- Antonio R. Barquet, MDCardiovascular Disease (Cardiology)
- Anu S. Jacob, CNACertified Registered Nurse Anesthetist (CRNA)
- Ariol Labrada, MDNeurology
- Armando Linares Perez, MDInternal Medicine
- Aurelio Varona Berdial, MDInternal Medicine
- Austin L. Price, DOVascular Surgery
- Aylin Gonzalez, MDAnesthesiology
- Benjamin AlgazeClinical Psychologist
- Benjamin H. Graham, MDPathology
- Brian J. Dooley, CNACertified Registered Nurse Anesthetist (CRNA)
And 168 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Larkin Community Hospital Palm Springs Campus2.2 mi · Hialeah, FL · Acute Care Hospital
- Hialeah Hospital4.3 mi · Hialeah, FL · Acute Care Hospital
- North Shore Medical Center7.5 mi · Miami, FL · Acute Care Hospital
- Memorial Hospital Miramar7.9 mi · Miramar, FL · Acute Care Hospital
- Memorial Hospital West8.4 mi · Pembroke Pines, FL · Acute Care Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Hialeah
- Select Specialty Hospital-Miami Lakes0.4 mi · Miami Lakes, FL · Long-Term Acute Care Hospital
- Southern Winds Hospital2.4 mi · Hialeah, FL · Psychiatric Hospital
All hospitals in Hialeah · Hospitals in Miami-Dade County · Hospitals near me
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Palmetto Care Center and Rehab0.7 mi · Hialeah, FL · 5 of 5 stars
- Susanna Wesley Health Center1.9 mi · Hialeah, FL · 5 of 5 stars
- Waterford Nursing and Rehabilitation Center2.1 mi · Hialeah Gardens, FL · 4 of 5 stars
All nursing homes in the state →
Hospice providers
- Moments Hospice of Miami LLC0.0 mi · Miami Lakes, FL
- Catholic Hospice Inc1.9 mi · Miami Lakes, FL · 2 of 5 stars
- Amedisys Hospice2.6 mi · Hialeah, FL
All hospice providers in the state →
Home health agencies
- Allstar Home Health Care, Inc0.0 mi · Miami Lakes, FL · 3.5 of 5 stars
- Atlantic Home Care LLC0.0 mi · Miami Lakes, FL · 3 of 5 stars
- Best Home Care Corporation0.0 mi · Hialeah Gardens, FL
All home health agencies in the state →
Dialysis facilities
- BMA - Hialeah0.0 mi · Hialeah, FL · 4 of 5 stars
- Comfort Care Dialysis Center, LLC0.0 mi · Hialeah, FL · 2 of 5 stars
- DaVita Hialeah Artificial Kidney Center0.0 mi · Hialeah, FL · 4 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Palmetto Lakes Surgical Center0.0 mi · Hialeah, FL
- The Palmetto Surgery Center0.0 mi · Hialeah, FL
- Westland Endoscopy Center2.6 mi · Hialeah, FL
Community care nearby
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
Community health centers
- Palm Lakes Elementary School0.9 mi · Hialeah, FL · Community health center
- Barbara Goleman Senior HS SBHC1.1 mi · Miami Lakes, FL · Community health center
- Hialeah-Miami Lakes Senior High School1.4 mi · Hialeah, FL · Community health center
Clinics and urgent care
- Xpress Urgent Care, LLC.1.9 mi · Miami Lakes, FL · Urgent care center
- MD Now Medical Centers Inc2.6 mi · Hialeah, FL · Urgent care center
- My Emergent Care2.6 mi · Hialeah, FL · Urgent care center
Pharmacies
- Andy's Pharmacy0.0 mi · Hialeah, FL · Community/retail pharmacy
- Bright Star Pharmacy0.0 mi · Hialeah, FL · Community/retail pharmacy
- Camaliche Pharmacy0.0 mi · Hialeah, FL · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state license list, by straight-line distance.
- Casa Amor 2 ALF LLC0.0 mi · Hialeah, FL
- Palmetto ALF Inc0.0 mi · Hialeah, FL
- Palmetto Senior Care, Inc.0.0 mi · Hialeah, FL
- Revelation ALF, Corp0.0 mi · Miami Lakes, FL
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Palmetto General Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 2 of 5 stars |
|---|---|
| Overall rating of the hospital | 2 of 5 stars |
| Would recommend the hospital | 2 of 5 stars |
| Nurses communicated well | 2 of 5 stars |
| Doctors communicated well | 3 of 5 stars |
| Patients got help quickly from staff | 3 of 5 stars |
| Staff explained medicines | 2 of 5 stars |
| Information about recovery at home | 1 of 5 stars |
| Room and bathroom kept clean | 4 of 5 stars |
| Restfulness of Environment | 2 of 5 stars |
| Care Coordination | 2 of 5 stars |
| Symptoms After Stay | 2 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 57%National average: 72% |
| Would definitely recommend the hospital | 56%National average: 71% |
| Nurses “always” communicated well | 77%National average: 80% |
| Doctors “always” communicated well | 78%National average: 80% |
| “Always” got help as soon as they wanted | 63%National average: 64% |
| Staff “always” explained medicines before giving them | 65%National average: 62% |
| Were given information about recovery at home | 77%National average: 86% |
| Room and bathroom “always” clean | 76%National average: 73% |
| Completed surveys | 720Response rate: 10% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | 0.55No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 0Better than the national benchmark |
| Surgical site infections after colon surgery | 1.138No different from the national benchmark |
| MRSA bloodstream infections | 0.647No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.153Better than the national benchmark |
| Not reported to Medicare | Surgical site infections after abdominal hysterectomy |
Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart attack patients | 11.8% |
|---|---|
| Deaths within 30 days: heart failure patients | 11.4% |
| Deaths within 30 days: pneumonia patients | 15% |
| Deaths within 30 days: COPD patients | 9.1% |
| Deaths within 30 days: stroke patients | 14.1% |
| Serious complications (patient safety indicator PSI-90) | 0.98No different from the national rate |
| Too few cases to report | Deaths within 30 days: coronary bypass surgery (CABG); Complications after hip or knee replacement |
Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | 17.7% |
|---|---|
| Readmitted within 30 days: heart attack | 14.5% |
| Readmitted within 30 days: heart failure | 21.2% |
| Readmitted within 30 days: pneumonia | 14.6% |
| Readmitted within 30 days: COPD | 18.3% |
| Readmitted within 30 days: coronary bypass surgery | 13.2% |
| Too few cases to report | Readmitted within 30 days: hip or knee replacement |
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | Medium (20,000–39,999) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 206 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 2%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 58%National average: 66% |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
Medicare payment programs
Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Palmetto General Hospital, fiscal year 2026 (October 2025 to September 2026).
Show the Medicare payment program results
Hospital-Acquired Condition Reduction Program
What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.
CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.
| Medicare payment reduction, fiscal year 2026 | NoCMS lists no payment reduction for this hospital. |
|---|---|
| Total HAC Score | -0.1250Lower is better. Hospitals above the 75th percentile of all scores get the reduction. |
Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.
Hospital Readmissions Reduction Program
What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.
CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).
| Heart attack | 1.0051More readmissions than expected |
|---|---|
| Heart failure | 0.9568Fewer readmissions than expected |
| Pneumonia | 0.9505Fewer readmissions than expected |
| COPD (chronic lung disease) | 0.9817Fewer readmissions than expected |
| Hip or knee replacement | 0.9873Fewer readmissions than expected |
| No result published | Coronary bypass surgery (CABG) (not reported, or too few cases) |
Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.
Hospital Value-Based Purchasing Program
What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.
CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.
| Total Performance Score | 22.67 out of 100Median of the 2,455 hospitals in the program: 29.50 |
|---|---|
| Clinical outcomes (deaths and complications) | 14.00 out of 100 |
| Person and community engagement (patient survey) | 30.00 out of 100 |
| Safety (infections and sepsis care) | 46.67 out of 100 |
| Efficiency and cost reduction (Medicare spending) | 0.00 out of 100 |
Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.
Medicare spending per patient (MSPB)
What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.
CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.
| Medicare spending per patient, ratio | 1.08Above the national median hospital (1.00): Medicare spent more |
|---|
Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 75 common services exactly as Palmetto General Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
Show the prices of 75 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 3 | $878.54 | Not listed in the file | $67.91 – $2,235 |
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEVEL 3 | $878.54 | Not listed in the file | $439.27 – $658.90 |
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 4 | $3,284.17 | Not listed in the file | $253.87 – $3,284.17 |
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEVEL 4 | $3,284.17 | Not listed in the file | $1,642.09 – $2,463.13 |
New patient office visit (about 45–59 minutes): rates for 5 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 5 | $612.58 | Not listed in the file | $47.35 – $2,235 |
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEVEL 5 | $612.58 | Not listed in the file | $306.29 – $459.44 |
New patient office visit (about 60–74 minutes): rates for 5 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LEVEL 3 | $684.52 | Not listed in the file | $52.91 – $2,235 |
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PT LEVEL 3 | $684.52 | Not listed in the file | $342.26 – $513.39 |
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LEVEL 4 | $2,417.62 | Not listed in the file | $186.88 – $2,417.62 |
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PT LEVEL 4 | $2,417.62 | Not listed in the file | $1,208.81 – $1,813.21 |
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 3 | $2,736.99 | $280.50 | $196.35 – $1,110.49 |
Emergency room visit (moderate): 10 of 81 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 3 | $2,736.99 | Not listed in the file | $1,368.49 – $2,052.74 |
Emergency room visit (moderate): rates for 5 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 4 | $4,752.40 | $428.77 | $300.14 – $1,697.48 |
Emergency room visit (moderately high): 10 of 81 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 4 | $4,752.40 | Not listed in the file | $2,376.20 – $3,564.30 |
Emergency room visit (moderately high): rates for 5 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 5 | $6,120.35 | $611.95 | $428.36 – $2,422.67 |
Emergency room visit (high): 10 of 81 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 5 | $6,120.35 | Not listed in the file | $3,060.18 – $4,590.26 |
Emergency room visit (high): rates for 5 insurance plans
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA | $843.66 | $8.29 | $4.15 – $843.66 |
Basic metabolic panel (blood test): 10 of 81 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA | $843.66 | Not listed in the file | $421.83 – $632.75 |
Basic metabolic panel (blood test): rates for 5 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL | $1,361.41 | $10.35 | $5.17 – $1,361.41 |
Comprehensive metabolic panel (blood test): 10 of 81 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL | $1,361.41 | Not listed in the file | $680.71 – $1,021.06 |
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL | $2,535.34 | $13.12 | $6.57 – $2,535.34 |
Cholesterol panel (lipid panel): 10 of 81 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL | $2,535.34 | Not listed in the file | $1,267.67 – $1,901.51 |
Cholesterol panel (lipid panel): rates for 5 insurance plans
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL | $499.22 | $8.51 | $4.25 – $499.22 |
Kidney function panel: 10 of 81 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL | $499.22 | Not listed in the file | $249.61 – $374.42 |
Kidney function panel: rates for 5 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL | $737.93 | $8.01 | $4.01 – $737.93 |
Liver function panel: 10 of 81 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL | $737.93 | Not listed in the file | $368.96 – $553.45 |
Liver function panel: rates for 5 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOM URINE DIP W MICRO | $315.01 | $3.11 | $1.56 – $315.01 |
Urine test (automated, with microscope): 10 of 81 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AUTOM URINE DIP W MICRO | $315.01 | Not listed in the file | $157.50 – $236.26 |
Urine test (automated, with microscope): rates for 5 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOM URINALYSIS WO MICRO | $77.39 | $2.20 | $1.11 – $77.39 |
Urine test (automated, without microscope): 10 of 81 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AUTOM URINALYSIS WO MICRO | $77.39 | Not listed in the file | $38.70 – $58.04 |
Urine test (automated, without microscope): rates for 5 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA; TOTAL | $250.70 | $18.02 | $9.02 – $250.70 |
PSA (prostate specific antigen) blood test: 10 of 81 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL PSA; TOTAL | $60.14 | $18.02 | $8.91 – $60.14 |
PSA (prostate specific antigen) blood test: 10 of 81 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA; TOTAL | $250.70 | Not listed in the file | $125.35 – $188.02 |
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL THYROID STIMULATING HORMONE | $344.44 | $16.46 | $8.23 – $344.44 |
Thyroid stimulating hormone (TSH) test: 10 of 81 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE | $344.44 | $16.46 | $8.23 – $344.44 |
Thyroid stimulating hormone (TSH) test: 10 of 81 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RL THYROID STIMULATING HORMONE | $344.44 | Not listed in the file | $172.22 – $258.33 |
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPL CBC W PLT W AUTOM DIFF | $501.40 | $7.61 | $3.81 – $501.40 |
Complete blood count (CBC) with differential: 10 of 81 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPL CBC W PLT W AUTOM DIFF | $501.40 | Not listed in the file | $250.70 – $376.05 |
Complete blood count (CBC) with differential: rates for 5 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPL AUTOM CBC W PLT | $221.27 | $6.34 | $3.18 – $221.27 |
Complete blood count (CBC), automated: 10 of 81 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPL AUTOM CBC W PLT | $221.27 | Not listed in the file | $110.64 – $165.95 |
Complete blood count (CBC), automated: rates for 5 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME; | $252.88 | $4.20 | $2.11 – $252.88 |
Blood clotting time test (prothrombin time, PT): 10 of 81 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL PROTIME/INR | $252.88 | $4.20 | $2.11 – $252.88 |
Blood clotting time test (prothrombin time, PT): 10 of 81 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME; | $252.88 | Not listed in the file | $126.44 – $189.66 |
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT; PLASMA OR WHOLE BLOOD. | $475.24 | $5.89 | $2.95 – $475.24 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 81 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL PTT (LAC) | $475.24 | $5.89 | $2.95 – $475.24 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 81 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT; PLASMA OR WHOLE BLOOD. | $475.24 | Not listed in the file | $237.62 – $356.43 |
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT - HEAD/BRAIN WO CONTRAST | $9,882.99 | $107.42 | $75.19 – $286.26 |
CT scan of the head or brain, without contrast: 10 of 81 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT - HEAD/BRAIN WO CONTRAST | $9,882.99 | Not listed in the file | $4,941.49 – $7,412.24 |
CT scan of the head or brain, without contrast: rates for 5 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W & WO CONTRAST | $11,902.80 | $358.49 | $250.94 – $1,013.74 |
MRI of the brain, before and after contrast: 10 of 81 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W & WO CONTRAST | $11,902.80 | Not listed in the file | $5,951.40 – $8,927.10 |
MRI of the brain, before and after contrast: rates for 5 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST X-RAY 2 VIEWS | $2,416.53 | $89.43 | $62.60 – $238.29 |
Chest X-ray, 2 views: 10 of 81 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS | $259.08 | $89.43 | $62.60 – $238.29 |
Chest X-ray, 2 views: 10 of 81 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST X-RAY 2 VIEWS | $2,416.53 | Not listed in the file | $1,208.27 – $1,812.40 |
Chest X-ray, 2 views: rates for 5 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER SPINE 4+ VW | $3,332.13 | $107.42 | $75.19 – $286.26 |
X-ray of the lower spine, at least 4 views: 10 of 81 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: X-RAY OF LOWER SPINE 4+ VW | $3,332.13 | Not listed in the file | $1,666.07 – $2,499.10 |
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTR | $10,360.45 | $245.18 | $171.63 – $666.65 |
MRI of the lower back (lumbar spine), without contrast: 10 of 81 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTR | $10,360.45 | Not listed in the file | $5,180.23 – $7,770.34 |
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS; W CONTR | $8,811.30 | $180.24 | $126.17 – $480.27 |
CT scan of the pelvis, with contrast: 10 of 81 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS; W CONTR | $8,811.30 | Not listed in the file | $4,405.65 – $6,608.47 |
CT scan of the pelvis, with contrast: rates for 5 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MRI - LE JNT WO CONTR BIL | $18,506.57 | $540.96 | $378.67 – $1,529.74 |
MRI of a leg joint (such as the knee), without contrast: 10 of 81 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI - LE JNT WO CONTR LT | $12,337.71 | $245.18 | $171.63 – $666.65 |
MRI of a leg joint (such as the knee), without contrast: 10 of 81 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI - LE JNT WO CONTR RT | $12,337.71 | $245.18 | $171.63 – $666.65 |
MRI of a leg joint (such as the knee), without contrast: 10 of 81 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST | $19,423.66 | $358.49 | $250.94 – $1,013.74 |
CT scan of the abdomen and pelvis, with contrast: 10 of 81 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST | $19,423.66 | Not listed in the file | $9,711.83 – $14,567.74 |
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE | $4,188.87 | $107.42 | $75.19 – $286.26 |
Ultrasound of the abdomen, complete: 10 of 81 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE | $4,188.87 | Not listed in the file | $2,094.43 – $3,141.65 |
Ultrasound of the abdomen, complete: rates for 5 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS | $1,697.13 | $107.42 | $75.19 – $286.26 |
Pregnancy ultrasound (after the first trimester): 10 of 81 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS | $1,697.13 | Not listed in the file | $848.57 – $1,272.85 |
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NON-OB TRANSVAG US | $2,670.50 | $107.42 | $75.19 – $286.26 |
Transvaginal ultrasound: 10 of 81 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NON-OB TRANSVAG US | $2,670.50 | Not listed in the file | $1,335.25 – $2,002.88 |
Transvaginal ultrasound: rates for 5 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: DX MAMMO INCL CAD UNI LT | $882.90 | $88.76 | $62.13 – $882.90 |
Diagnostic mammogram, one breast: 10 of 81 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: DX MAMMO INCL CAD UNI RT | $882.90 | $88.76 | $62.13 – $882.90 |
Diagnostic mammogram, one breast: 10 of 81 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: DX MAMMO INCL CAD UNI LT | $882.90 | Not listed in the file | $441.45 – $662.17 |
Diagnostic mammogram, one breast: rates for 5 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI | $867.64 | $114.22 | $79.95 – $867.64 |
Diagnostic mammogram, both breasts: 10 of 81 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI | $867.64 | Not listed in the file | $433.82 – $650.73 |
Diagnostic mammogram, both breasts: rates for 5 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD | $780.44 | $93.51 | $65.46 – $780.44 |
Screening mammogram, both breasts: 10 of 81 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD RED SVC | $486.14 | $93.51 | $65.46 – $486.14 |
Screening mammogram, both breasts: 10 of 81 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD | $780.44 | Not listed in the file | $390.22 – $585.33 |
Screening mammogram, both breasts: rates for 5 insurance plans
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY | $9,287.89 | $3,335.43 | $2,334.80 – $13,188.45 |
Left heart catheterization (diagnostic): 10 of 81 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY | $9,287.89 | Not listed in the file | $4,643.94 – $6,965.92 |
Left heart catheterization (diagnostic): rates for 5 insurance plans
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP EP EVAL WO A INDUCTION | $21,515.51 | $8,014.70 | $5,610.29 – $31,729.70 |
Heart rhythm study (electrophysiology evaluation): 10 of 81 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP EP EVAL WO A INDUCTION | $21,515.51 | Not listed in the file | $10,757.75 – $16,136.63 |
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL | $56,430.39 | $26,784.04 | $18,748.83 – $106,331.02 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 81 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL | $56,430.39 | Not listed in the file | $28,215.19 – $42,322.79 |
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM | $2,946.79 | $882.41 | $617.69 – $3,493.42 |
Sleep study (overnight, in a sleep lab): 10 of 81 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM LTD | $2,946.79 | $882.41 | $617.69 – $3,493.42 |
Sleep study (overnight, in a sleep lab): 10 of 81 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM | $2,946.79 | Not listed in the file | $1,473.39 – $2,210.09 |
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISE EA 15 MIN | $922.14 | $29.65 | $20.75 – $922.14 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 75 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THERAPEUTIC EXERCISE EA 15 MIN | $922.14 | $29.65 | $20.75 – $922.14 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 75 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISE EA 15 MIN | $922.14 | Not listed in the file | $461.07 – $691.61 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN | $1,104.17 | $98.67 | $69.07 – $1,104.17 |
Physical therapy evaluation (low complexity): 10 of 81 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN | $1,104.17 | Not listed in the file | $552.09 – $828.13 |
Physical therapy evaluation (low complexity): rates for 5 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN | $1,104.17 | $98.67 | $69.07 – $1,104.17 |
Physical therapy evaluation (moderate complexity): 10 of 81 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN | $1,104.17 | Not listed in the file | $552.09 – $828.13 |
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN | $1,048.58 | $98.67 | $69.07 – $1,048.58 |
Physical therapy evaluation (high complexity): 10 of 81 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN | $1,048.58 | Not listed in the file | $524.29 – $786.43 |
Physical therapy evaluation (high complexity): rates for 5 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN | $304.47 | $182.38 | $127.67 – $722.07 |
Family psychotherapy, with the patient: 10 of 72 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN | $304.47 | Not listed in the file | $152.24 – $228.35 |
Family psychotherapy, with the patient: rates for 5 insurance plans
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GRP TX 90853 IOP/PSY | $288.20 | $104.39 | $73.07 – $413.29 |
Group psychotherapy: 10 of 75 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GRP TX 90853 PHP INTENSIVE | $288.20 | $104.39 | $73.07 – $413.29 |
Group psychotherapy: 10 of 73 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GRP TX 90853 PHP LESS INTNSIVE | $288.20 | $104.39 | $73.07 – $413.29 |
Group psychotherapy: 10 of 73 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION | Not listed in the file | $4,023.39 | $2,816.37 – $15,928.31 |
Removal of breast growth (open surgery): 10 of 81 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY | Not listed in the file | $13,173.75 | $9,221.63 – $52,228.87 |
Total hip replacement: 10 of 81 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY | Not listed in the file | $13,173.75 | $9,221.63 – $52,228.87 |
Total knee replacement: 10 of 81 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION | Not listed in the file | Not listed in the file | $157.26 – $35,000 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 37 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L | Not listed in the file | $3,362.21 | $2,353.55 – $13,310.79 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 81 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS | Not listed in the file | $6,083.04 | $4,258.13 – $24,082.39 |
Removal of tonsils and adenoids (under age 12): 10 of 81 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH | Not listed in the file | $4,407.32 | $1,352.97 – $9,660.79 |
Upper GI endoscopy (diagnostic): 10 of 81 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE | Not listed in the file | $4,407.32 | $1,352.97 – $9,660.79 |
Upper GI endoscopy with biopsy: 10 of 81 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY | Not listed in the file | $4,410.34 | $1,326.68 – $9,667.24 |
Colonoscopy (diagnostic): 10 of 81 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY | Not listed in the file | $4,445.58 | $1,732.03 – $9,742.08 |
Colonoscopy with biopsy: 10 of 81 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL | Not listed in the file | $4,445.58 | $1,732.03 – $9,742.08 |
Colonoscopy with removal of polyps (snare): 10 of 81 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US | Not listed in the file | $4,445.58 | $1,732.03 – $9,742.08 |
Ultrasound of the lower bowel by endoscope: 10 of 81 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY | Not listed in the file | $6,212.21 | $4,348.55 – $24,593.73 |
Gallbladder removal by laparoscope: 10 of 81 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR | Not listed in the file | $3,679.12 | $2,575.38 – $14,565.39 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 81 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE | Not listed in the file | Not listed in the file | $200.92 – $35,000 |
Prostate biopsy: 10 of 40 insurance plan rates
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD | Not listed in the file | $10,913.22 | $7,639.25 – $43,243.09 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 81 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY | Not listed in the file | $3,326.37 | $2,328.46 – $13,168.90 |
Hysteroscopy with biopsy of the uterus lining: 10 of 81 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC | Not listed in the file | $4,380.75 | $1,059.69 – $9,604.35 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 81 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 | Not listed in the file | $4,404.34 | $1,373.73 – $9,654.49 |
Nerve root injection, lower back, with imaging guidance: 10 of 81 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY | Not listed in the file | $4,545.46 | $2,931.45 – $9,954.28 |
Carpal tunnel release: 10 of 81 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY | Not listed in the file | $4,360.15 | $842.49 – $9,560.60 |
Laser treatment of clouding after cataract surgery: 10 of 81 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP | Not listed in the file | $4,592.37 | $3,214.66 – $10,053.94 |
Cataract removal with lens implant: 10 of 81 insurance plan rates
| |||
Pregnancy and childbirth
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE | Not listed in the file | Not listed in the file | $1,568.32 – $8,400 |
Vaginal delivery, with care before and after: 10 of 34 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY | $8,105.85 | Not listed in the file | $288 – $8,105.85 |
Cesarean delivery (C-section), with care before and after: 10 of 38 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY | $8,105.85 | Not listed in the file | $4,052.93 – $6,079.39 |
Cesarean delivery (C-section), with care before and after: rates for 5 insurance plans
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY | Not listed in the file | Not listed in the file | $1,568.32 – $35,000 |
Vaginal delivery after a previous C-section, with care before and after: 10 of 34 insurance plan rates
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | Not listed in the file | $85,036.75 | $60,914.41 – $213,069.38 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 72 insurance plan rates
| |||
| Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | Not listed in the file | $33,528.81 | $5,349 – $79,728.89 |
Spinal fusion (not neck), without major complications: 10 of 69 insurance plan rates
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | Not listed in the file | $18,988.62 | $5,349 – $42,011.44 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 72 insurance plan rates
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | Not listed in the file | $23,297.70 | $5,349 – $53,171.51 |
Neck (cervical) spinal fusion, without complications: 10 of 72 insurance plan rates
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | Not listed in the file | $13,201.13 | $1,100 – $36,391.26 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 72 insurance plan rates
| |||
Source: Palmetto General Hospital’s standard charges file (palmettogeneral.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Acute Care Hospital |
|---|---|
| Address | 2001 W 68th St, Hialeah, FL 33016 |
| County | Miami-Dade County |
| State | Florida |
| Phone | (305) 823‑5000 |
| Emergency services | Yes |
| Ownership | Proprietary |
| Medicare overall rating | 2 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 100187 |
| Name in Medicare records | PALMETTO GENERAL HOSPITAL |
| Profile level | Medicare data + hospital website |
| Official website | palmettogeneral.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Palmetto General Hospital — palmettogeneral.org
- Patient & Visitor Information — palmettogeneral.org
- Palmetto General Hospital — palmettogeneral.org
- Women’s Services – Palmetto General Hospital — palmettogeneral.org
- Diagnostic Imaging – Palmetto General Hospital — palmettogeneral.org
- Orthopedics & Spine Surgery – Palmetto General Hospital — palmettogeneral.org
- Emergency Care – Palmetto General Hospital — palmettogeneral.org
- Cardiology – Palmetto General Hospital — palmettogeneral.org
- Neurology – Palmetto General Hospital — palmettogeneral.org
- New Hope for Brain Cancer Patients – Palmetto General Hospital — palmettogeneral.org
- General Surgery – Palmetto General Hospital — palmettogeneral.org
- About – Palmetto General Hospital — palmettogeneral.org
- Joint Commission Stroke Outcomes – Palmetto General Hospital — palmettogeneral.org