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Adventhealth Carrollwood

AdventHealth Carrollwood in Tampa, FL charges 8.9x the Medicare reimbursement rate on average, with 20% of analyzed procedures showing significant price variations.

Tampa, FL 33614 · Acute Care Hospitals · CMS Rating: 3/5

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

30 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 6.2x3.6x15.0x
8.9x
Medicare markup ratio
FL lowestAdventhealth CarrollwoodFL highest
8.9x
Avg markup ratio
8.0x
Median markup
30
Procedures
20%
Outlier procedures
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Billing patterns — nonprofit-religious

Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.

Pricing grade

F

Very high

Avg markup vs Medicare

8.91x

Charge / Medicare rate

Max markup

15.78x

Worst procedure

Procedures analyzed

30

With pricing data

Outlier procedures

20%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$237,412$118,70615.8x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$239,644$119,82214.7x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$234,870$117,43513.5x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$142,772$71,38611.5x
CERVICAL SPINAL FUSION WITH CC472$231,206$115,60311.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$138,319$69,15911.2x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$55,380$27,69010.9x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$294,043$147,02210.5x
GASTROINTESTINAL HEMORRHAGE WITH CC378$68,695$34,34710x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$68,570$34,2859.5x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$429,814$214,9079.4x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$540,956$270,4788.7x
SYNCOPE AND COLLAPSE312$49,737$24,8688.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$258,009$129,0058.1x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$73,336$36,6688x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$41,028$20,5148x
HEART FAILURE AND SHOCK WITH MCC291$68,597$34,2987.9x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$42,872$21,4367.8x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$78,468$39,2347.8x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC453$644,555$322,2777.7x
BRONCHITIS AND ASTHMA WITH CC/MCC202$45,407$22,7047.6x
MEDICAL BACK PROBLEMS WITHOUT MCC552$46,646$23,3237.5x
CELLULITIS WITHOUT MCC603$38,334$19,1677.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$95,027$47,5147.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$77,213$38,6067x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$48,718$24,3596.6x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$41,236$20,6186.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$31,754$15,8776.1x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$48,611$24,3065.7x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$58,183$29,0925.2x

How AdventHealth Carrollwood compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — nonprofit-religious hospital billing

How do nonprofit religious hospital charges compare to Medicare rates?
Data shows that 203 nonprofit religious hospitals have an average markup of 5.4 times Medicare rates for similar services. These hospitals operate under religious organizational structures while maintaining nonprofit tax status, which provides context for their billing practices and pricing structures.
What does a 5.4x Medicare markup mean for my medical bills?
A 5.4x markup means these hospitals typically charge 5.4 times what Medicare would pay for the same service. For example, if Medicare pays $1,000 for a procedure, the hospital's standard charge would average $5,400, though your actual out-of-pocket costs depend on your insurance coverage and negotiated rates.
Are nonprofit religious hospitals required to offer financial assistance?
Yes, nonprofit hospitals including religious institutions must provide charity care and financial assistance programs as a condition of their tax-exempt status. These hospitals are required to have written financial assistance policies and must make them publicly available, though the specific terms and eligibility requirements vary by institution.
How can I find out the actual charges at a specific nonprofit religious hospital?
Nonprofit hospitals are required to publish their standard charges online, typically called a 'chargemaster' or price transparency list. You can also request a good faith estimate before receiving services, which may show potential differences between standard charges and what you might actually pay based on your insurance coverage.

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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