Healthcare Pricing Data: MELBOURNE, FL
3 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
3
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
8.7x
Across all procedures
vs National Average
-3%
Chargemaster rates
About This Data
MELBOURNE, FL has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 8.7x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in MELBOURNE is COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC (DRG 454), with an average chargemaster rate of $420,680 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 |
|---|---|---|---|---|
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $138,736 | 3 | 11.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $130,567 | 3 | 12.0x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $117,694 | 3 | 9.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $75,998 | 3 | 7.0x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $63,779 | 3 | 5.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $61,542 | 3 | 7.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $53,091 | 3 | 7.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $52,679 | 3 | 7.0x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $50,691 | 3 | 8.2x |
| RENAL FAILURE WITH MCC | 682 | $46,274 | 3 | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $45,825 | 3 | 8.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $45,083 | 3 | 6.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $36,663 | 3 | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $36,231 | 3 | 8.7x |
| RENAL FAILURE WITH CC | 683 | $36,219 | 3 | 7.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $35,045 | 3 | 8.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $32,635 | 3 | 5.6x |
| CELLULITIS WITHOUT MCC | 603 | $31,620 | 3 | 6.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $29,592 | 3 | 7.9x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $420,680 | 2 | 9.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $329,489 | 2 | 11.2x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $266,506 | 2 | 11.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $251,903 | 2 | 12.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $221,678 | 2 | 13.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $218,962 | 2 | 6.8x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $202,090 | 2 | 14.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $183,071 | 2 | 6.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $133,205 | 2 | 9.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $114,248 | 2 | 6.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $88,237 | 2 | 9.4x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in MELBOURNE With Pricing Data
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Upload your bill — free comparisonData 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