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Childrens HospitalVoluntary Non-Profit - Private

Nicklaus Children S Hospital

Nicklaus Childrens Health System ยท Miami, FL

3100 Sw 62nd Avenue, Miami, FL 33155(305) 666-6511

Not rated by CMS

CMS star rating

278

Beds

10,302

Inpatient discharges a year

$927.4M

Net patient revenue a year

36

In-network payers

About this hospital

Nicklaus Children S Hospital is a 278-bed voluntary non-profit - private hospital in Miami, FL, affiliated with Nicklaus Childrens Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 231 disclosed rate categories.

  • 340B participant
CCN
103301
NPI
1871540237
Health system
Nicklaus Childrens Health System
County
Miami-Dade County
Metro area
Miami-Fort Lauderdale-West Palm Beach, FL MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
1984
Last CMS survey
2019

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very High

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Nicklaus Children S Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
59-0638499Variety Childrens Hospital63Aetna, BCBS Florida Blue, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems and 58 more1871540237 Variety Children's Hospital1487927810 Nicklaus Children's Hospital Palm Beach Gardens Outpatient Center1386143485 Variety Children's Hospitaland 63 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

3100 Sw 62nd Avenue, Miami, FL 33155

(305) 666-6511

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Frequently asked questions

About Nicklaus Children S Hospital's rates and hospital price transparency.

How many patients does Nicklaus Children S Hospital admit?

Nicklaus Children S Hospital reported 10,302 inpatient discharges and 58,296 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Nicklaus Children S Hospital have?

Nicklaus Children S Hospital reported 2,627 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Nicklaus Children S Hospital make?

Nicklaus Children S Hospital reported $927.4M in net patient revenue on $3B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 3.6%, and net income of $111.1M.

Who is the CEO of Nicklaus Children S Hospital?

Nicklaus Children S Hospital's Medicare enrollment lists Matthew Love as CEO since 2019.

What is Nicklaus Children S Hospital's tax ID (EIN)?

Insurers' price transparency files list Nicklaus Children S Hospital under employer identification number 59-0638499 (Variety Childrens Hospital). 63 health plans and networks list 59-0638499 for it.

Does Nicklaus Children S Hospital participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Nicklaus Children S Hospital (340B ID PED103301-00) as a participating children's hospital since 2011, with 124 active contract pharmacies.

How many doctors are affiliated with Nicklaus Children S Hospital?

11 clinicians who bill Medicare list Nicklaus Children S Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are pediatric cardiology physician (5), pediatric hematology & oncology physician (3), pediatric nephrology physician (1).

Is Nicklaus Children S Hospital accredited?

Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Nicklaus Children S Hospital, effective 2022.

Who owns Nicklaus Children S Hospital?

In its Medicare enrollment, Nicklaus Children S Hospital reports Miami Children's Health System Inc as 5% or greater direct ownership interest (100%).

What services does Nicklaus Children S Hospital offer?

CMS lists 45 services at Nicklaus Children S Hospital, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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