Healthcare Pricing Data: BOCA RATON, FL

2 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

With CMS data

Procedures

DRG categories

Avg Charge-to-Medicare Ratio

9.7x

Across all procedures

vs National Average

+1%

Chargemaster rates

About This Data

BOCA RATON, FL has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 9.7x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in BOCA RATON is COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC (DRG 454), with an average chargemaster rate of $418,510 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

Procedure	DRG	Avg Listed Charge	Hospitals Reporting	Charge-to-Medicare Ratio
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC	454	$418,510	2	9.1x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	853	$257,131	2	9.5x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES	483	$182,353	2	10.4x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	522	$133,598	2	9.7x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$129,042	2	10.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	871	$115,275	2	9.7x
GASTROINTESTINAL HEMORRHAGE WITH MCC	377	$110,937	2	9.7x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	177	$83,648	2	7.7x
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC	074	$81,980	2	13.8x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC	193	$76,642	2	10.0x
RED BLOOD CELL DISORDERS WITH MCC	811	$76,232	2	8.0x
RENAL FAILURE WITH MCC	682	$75,407	2	8.3x
HEART FAILURE AND SHOCK WITH MCC	291	$74,182	2	9.7x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$73,814	2	8.7x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	391	$72,884	2	8.6x
GASTROINTESTINAL HEMORRHAGE WITH CC	378	$72,489	2	11.4x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	308	$69,791	2	9.1x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$67,781	2	10.7x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	689	$66,503	2	10.5x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	698	$60,397	2	6.5x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	640	$59,424	2	7.3x
MEDICAL BACK PROBLEMS WITHOUT MCC	552	$58,790	2	10.9x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC	178	$58,149	2	8.5x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	690	$50,332	2	11.8x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	563	$50,279	2	9.8x
SYNCOPE AND COLLAPSE	312	$50,222	2	9.9x
RENAL FAILURE WITH CC	683	$49,806	2	9.5x
CELLULITIS WITHOUT MCC	603	$49,446	2	9.9x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	392	$49,081	2	10.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	309	$48,992	2	10.6x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

Hospitals in BOCA RATON With Pricing Data

BOCA RATON REGIONAL HOSPITAL

177 procedures with pricing data

WEST BOCA MEDICAL CENTER

32 procedures with pricing data

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error