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Plantation General Hospital Lp

Miami, FL

Miami, FL

333

Beds

17,857

Inpatient discharges a year

$422.8M

Net patient revenue a year

34

In-network payers

About this hospital

Plantation General Hospital Lp is a 333-bed hospital in Miami, FL. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 479 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
100167
NPI
1023387479
Teaching
Teaching hospital
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
1967
Last CMS survey
2019

Prices for common services

The 24 services Plantation General Hospital Lp most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$31,041 - $44,350

from 4 insurers · median $38,109

Aetna$44,350
Insurer A*$31,041
Insurer B*$32,034
Insurer C*$44,184
Medicare $14,112Nearby hospitals $24,89853% above nearby hospitals

17 Medicare discharges for this DRG in CMS hospital data

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,819 - $6,802

from 4 insurers · median $5,596

Blue Cross$3,819
Insurer A*$5,371
Insurer B*$5,820
Insurer C*$6,802
Medicare $875Nearby hospitals $1,768216% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$8,262 - $17,222

from 4 insurers · median $12,182

Aetna$8,262
Insurer A*$10,224
Insurer B*$14,140
Insurer C*$17,222
Medicare $5,835Nearby hospitals $12,671In line with nearby hospitals

29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$4,144 - $6,802

from 4 insurers · median $5,596

Blue Cross$4,144
Insurer A*$5,371
Insurer B*$5,820
Insurer C*$6,802
Medicare $1,155Nearby hospitals $3,08781% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Plantation General Hospital Lp

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
367%
220
Insurer B*24
305%
138
Insurer C*23
275%
89
Insurer D*23
232%
220

How we chose these services: 5 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Plantation General Hospital Lp, or start a free trial.

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 Plantation General Hospital Lp in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
62-1372389Plantation General Hospital62Aetna, BCBS Florida Blue, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems and 57 more1023387479 Plantation General Hospital Lp1063786465 Plantation General Hospital Lp1477852515 Plantation General Hospital Lpand 6 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

Frequently asked questions

About Plantation General Hospital Lp's rates and hospital price transparency.

How much does a CT scan cost at Plantation General Hospital Lp?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Plantation General Hospital Lp range from $364 to $5,147 across 4 insurers. UnitedHealthcare's rate is $828. The median at nearby comparable hospitals is $2,103. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Plantation General Hospital Lp?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Plantation General Hospital Lp range from $4,144 to $6,802 across 4 insurers. Blue Cross Blue Shield's rate is $4,144. The median at nearby comparable hospitals is $3,087. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Plantation General Hospital Lp?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Plantation General Hospital Lp range from $31,041 to $44,350 across 4 insurers. Aetna's rate is $44,350. The median at nearby comparable hospitals is $24,898. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Plantation General Hospital Lp a teaching hospital?

Yes. CMS counts 0.05 Medicare-funded residents per bed at Plantation General Hospital Lp for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Plantation General Hospital Lp for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Plantation General Hospital Lp's base inpatient payments by an estimated 0.38% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Plantation General Hospital Lp?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (107 discharges), heart failure and shock with mcc (59 discharges), simple pneumonia and pleurisy with mcc (41 discharges).

What is Plantation General Hospital Lp's case mix index?

Plantation General Hospital Lp's Medicare case mix index is 1.78 for fiscal year 2027, higher than 60% of hospitals paid under the inpatient prospective payment system.

How many patients does Plantation General Hospital Lp admit?

Plantation General Hospital Lp reported 17,857 inpatient discharges and 73,008 inpatient days from Sep 1, 2024 to Aug 31, 2025.

How many employees does Plantation General Hospital Lp have?

Plantation General Hospital Lp reported 1,168 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.

How much revenue does Plantation General Hospital Lp make?

Plantation General Hospital Lp reported $422.8M in net patient revenue on $4.7B of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of 7.2%, and net income of $35.4M.

For hospital finance and compliance teams

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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.

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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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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.

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