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Healthcare Pricing Data: WEST PALM BEACH, 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

13.8x

Across all procedures

vs National Average

+100%

Chargemaster rates

About This Data

WEST PALM BEACH, 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 13.8x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in WEST PALM BEACH is MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC (DRG 329), with an average chargemaster rate of $592,618 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
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$490,257211.7x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$446,958213.5x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$430,362211.6x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$239,155217.3x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$223,433215.7x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$166,945213.2x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$152,024210.8x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$139,124218.9x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$135,525211.0x
RENAL FAILURE WITH MCC682$116,025211.7x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$113,510210.9x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$110,096212.4x
HEART FAILURE AND SHOCK WITH MCC291$108,432212.4x
MEDICAL BACK PROBLEMS WITHOUT MCC552$101,137216.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$96,451210.9x
SYNCOPE AND COLLAPSE312$92,157215.9x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$79,188210.5x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$77,692215.0x
RENAL FAILURE WITH CC683$72,431212.0x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$65,954212.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$592,618118.4x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$474,003115.6x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$356,108121.9x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O023$352,955110.2x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$346,994112.9x
LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA956$296,370112.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$287,478115.0x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$271,911117.1x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$265,116115.3x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$223,24319.4x

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