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Healthcare Pricing Data: WESLEY CHAPEL, FL

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

Hospitals

2

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

9.8x

Across all procedures

vs National Average

+18%

Chargemaster rates

About This Data

WESLEY CHAPEL, 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 9.8x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in WESLEY CHAPEL is COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC (DRG 454), with an average chargemaster rate of $397,593 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

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$75,44227.2x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$61,99827.0x
HEART FAILURE AND SHOCK WITH MCC291$48,52327.1x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$397,593110.4x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$286,747111.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$212,47717.2x
MAJOR CHEST PROCEDURES WITH MCC163$208,63417.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$178,579110.9x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$160,443112.1x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$159,747114.4x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$146,44617.2x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$138,155110.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$128,515113.3x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$125,238111.9x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$123,085110.2x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$114,206110.7x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$108,483115.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$90,70019.8x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$89,778112.8x
MEDICAL BACK PROBLEMS WITH MCC551$88,337110.0x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$81,76818.1x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$76,22416.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$74,86916.1x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$73,82717.8x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$70,55119.0x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$70,46817.1x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$69,654111.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$68,694112.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$67,17519.4x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$66,21718.6x

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

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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