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
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.
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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.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $139,640 | $69,820 | — | 20.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $160,943 | $80,472 | — | 17.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $425,402 | $212,701 | — | 16.5x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $192,454 | $96,227 | — | 15.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $159,322 | $79,661 | — | 14.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $153,360 | $76,680 | — | 14.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $191,362 | $95,681 | — | 14.5x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $210,478 | $105,239 | — | 14.4x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $241,416 | $120,708 | — | 14.4x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $486,217 | $243,108 | — | 14.2x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $287,095 | $143,547 | — | 13.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $190,011 | $95,005 | — | 12.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $158,913 | $79,457 | — | 12.5x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $185,209 | $92,605 | — | 11.7x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $524,141 | $262,070 | — | 11.6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $31,188 | $15,594 | — | 11.6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $547,635 | $273,818 | — | 11.5x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $539,223 | $269,611 | — | 11.4x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $91,485 | $45,742 | — | 11.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $132,050 | $66,025 | — | 11.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $200,336 | $100,168 | — | 10.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $63,580 | $31,790 | — | 10.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $39,772 | $19,886 | — | 10.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $175,855 | $87,927 | — | 10.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $42,282 | $21,141 | — | 10.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $25,129 | $12,565 | — | 10x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $282,875 | $141,437 | — | 10x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $54,897 | $27,449 | — | 9.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $136,797 | $68,398 | — | 9.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $53,503 | $26,751 | — | 9.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $47,579 | $23,790 | — | 9.4x |
| DYSEQUILIBRIUM | 149 | $35,477 | $17,739 | — | 9x |
| CELLULITIS WITHOUT MCC | 603 | $42,259 | $21,129 | — | 8.6x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $89,532 | $44,766 | — | 8.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $54,969 | $27,485 | — | 8.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $40,582 | $20,291 | — | 8.5x |
| HYPERTENSION WITHOUT MCC | 305 | $31,173 | $15,586 | — | 8.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $160,305 | $80,152 | — | 8.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $49,860 | $24,930 | — | 8.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $37,307 | $18,653 | — | 8.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $89,543 | $44,772 | — | 8.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $33,185 | $16,592 | — | 8.2x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $50,735 | $25,367 | — | 8.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $59,755 | $29,878 | — | 8.2x |
| RENAL FAILURE WITH CC | 683 | $41,172 | $20,586 | — | 8.2x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $44,495 | $22,248 | — | 8.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $59,206 | $29,603 | — | 8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $34,941 | $17,470 | — | 8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $212,297 | $106,149 | — | 8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $245,446 | $122,723 | — | 7.9x |
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.
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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