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Adventhealth Ocala

AdventHealth Ocala, a government-owned hospital in Ocala, FL, charges 9.0x the Medicare reimbursement rate across 89 analyzed procedures.

Ocala, FL 34474 · Acute Care Hospitals · CMS Rating: 4/5

By Michael Glenn , Healthcare Data Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.

89 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 6.3x3.6x15.0x
9.0x
Medicare markup ratio
FL lowestAdventhealth OcalaFL highest
9.0x
Avg markup ratio
8.2x
Median markup
89
Procedures
17%
Outlier procedures
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Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

F

Very high

Avg markup vs Medicare

9.04x

Charge / Medicare rate

Max markup

20.21x

Worst procedure

Procedures analyzed

89

With pricing data

Outlier procedures

16.9%

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
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$139,640$69,82020.2x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$160,943$80,47217.6x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$425,402$212,70116.5x
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC036$192,454$96,22715.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$159,322$79,66114.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$153,360$76,68014.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$191,362$95,68114.5x
CAROTID ARTERY STENT PROCEDURES WITH CC035$210,478$105,23914.4x
OTHER VASCULAR PROCEDURES WITH CC253$241,416$120,70814.4x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$486,217$243,10814.2x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$287,095$143,54713.4x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$190,011$95,00512.8x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$158,913$79,45712.5x
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC327$185,209$92,60511.7x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$524,141$262,07011.6x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$31,188$15,59411.6x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$547,635$273,81811.5x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$539,223$269,61111.4x
PERIPHERAL VASCULAR DISORDERS WITH MCC299$91,485$45,74211.2x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$132,050$66,02511.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$200,336$100,16810.7x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$63,580$31,79010.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$39,772$19,88610.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$175,855$87,92710.5x
GASTROINTESTINAL OBSTRUCTION WITH CC389$42,282$21,14110.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$25,129$12,56510x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$282,875$141,43710x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$54,897$27,4499.9x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$136,797$68,3989.7x
GASTROINTESTINAL HEMORRHAGE WITH CC378$53,503$26,7519.6x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$47,579$23,7909.4x
DYSEQUILIBRIUM149$35,477$17,7399x
CELLULITIS WITHOUT MCC603$42,259$21,1298.6x
RESPIRATORY NEOPLASMS WITH MCC180$89,532$44,7668.6x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$54,969$27,4858.5x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$40,582$20,2918.5x
HYPERTENSION WITHOUT MCC305$31,173$15,5868.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$160,305$80,1528.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$49,860$24,9308.4x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$37,307$18,6538.3x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$89,543$44,7728.3x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$33,185$16,5928.2x
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC372$50,735$25,3678.2x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$59,755$29,8788.2x
RENAL FAILURE WITH CC683$41,172$20,5868.2x
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$44,495$22,2488.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$59,206$29,6038x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$34,941$17,4708x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$212,297$106,1498x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$245,446$122,7237.9x

Showing 50 of 89 procedures

How ADVENTHEALTH OCALA 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 — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

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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