Adventhealth Port Charlotte
AdventHealth Port Charlotte, a for-profit hospital in Port Charlotte, FL, charges 11.9x the Medicare reimbursement rate across 66 analyzed procedures, with nearly a quarter showing significant pricing variations.
Port Charlotte, FL 33952 · Acute Care Hospitals · CMS Rating: 1/5
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.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
11.95x
Charge / Medicare rate
Max markup
22.42x
Worst procedure
Procedures analyzed
66
With pricing data
Outlier procedures
24.2%
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 |
|---|---|---|---|---|---|
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $137,097 | $68,548 | — | 22.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $246,420 | $123,210 | — | 17.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $424,259 | $212,130 | — | 17.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $102,698 | $51,349 | — | 17.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $61,590 | $30,795 | — | 17.6x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $86,468 | $43,234 | — | 17.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $264,994 | $132,497 | — | 16.5x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $530,234 | $265,117 | — | 15.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $71,892 | $35,946 | — | 15.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $79,533 | $39,767 | — | 14.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $82,580 | $41,290 | — | 14.8x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $343,002 | $171,501 | — | 14.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $74,476 | $37,238 | — | 14.5x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $92,292 | $46,146 | — | 14.5x |
| CHEST PAIN | 313 | $44,558 | $22,279 | — | 14.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $62,816 | $31,408 | — | 14.2x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $64,774 | $32,387 | — | 13.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $81,832 | $40,916 | — | 13.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $57,773 | $28,887 | — | 13.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $376,889 | $188,444 | — | 13.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $160,409 | $80,204 | — | 13.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $58,456 | $29,228 | — | 12.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $139,495 | $69,747 | — | 12.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $50,679 | $25,340 | — | 12.1x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $49,596 | $24,798 | — | 12x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $46,857 | $23,429 | — | 12x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $88,643 | $44,321 | — | 11.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $54,210 | $27,105 | — | 11.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $124,315 | $62,157 | — | 11.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $26,247 | $13,124 | — | 11.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $122,906 | $61,453 | — | 11.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $72,119 | $36,059 | — | 11.5x |
| SYNCOPE AND COLLAPSE | 312 | $53,544 | $26,772 | — | 11.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $219,068 | $109,534 | — | 11.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $154,661 | $77,331 | — | 11.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $333,776 | $166,888 | — | 11x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $363,167 | $181,584 | — | 11x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $106,147 | $53,073 | — | 10.9x |
| HYPERTENSION WITHOUT MCC | 305 | $41,230 | $20,615 | — | 10.7x |
| RENAL FAILURE WITH CC | 683 | $50,819 | $25,409 | — | 10.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $86,563 | $43,282 | — | 10.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $69,104 | $34,552 | — | 10.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $139,070 | $69,535 | — | 10.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $67,183 | $33,592 | — | 10.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $116,818 | $58,409 | — | 10.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $56,769 | $28,385 | — | 10.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $119,903 | $59,952 | — | 10.3x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $251,663 | $125,831 | — | 10.2x |
| CELLULITIS WITHOUT MCC | 603 | $44,494 | $22,247 | — | 9.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $58,085 | $29,043 | — | 9.9x |
Showing 50 of 66 procedures
How Adventhealth Port Charlotte 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