Ascension St Vincent's Clay County
Ascension St Vincent's Clay County in Middleburg, FL charges 6.3x the Medicare reimbursement rate across 41 analyzed procedures, reflecting the pricing patterns at this nonprofit hospital.
Middleburg, FL 32068 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
6.3x
Charge / Medicare rate
Max markup
11.71x
Worst procedure
Procedures analyzed
41
With pricing data
Outlier procedures
0%
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 | $88,476 | $44,238 | — | 11.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $29,593 | $14,797 | — | 11.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $56,613 | $28,306 | — | 10.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $119,568 | $59,784 | — | 10.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $61,532 | $30,766 | — | 9.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $178,803 | $89,401 | — | 9.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $155,564 | $77,782 | — | 8.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $39,942 | $19,971 | — | 7.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $33,879 | $16,939 | — | 7.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $86,002 | $43,001 | — | 6.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $38,192 | $19,096 | — | 6.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $82,987 | $41,493 | — | 6.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $198,882 | $99,441 | — | 6.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $57,624 | $28,812 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,635 | $13,817 | — | 6.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,118 | $14,559 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $44,752 | $22,376 | — | 6.2x |
| SYNCOPE AND COLLAPSE | 312 | $31,322 | $15,661 | — | 5.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $40,442 | $20,221 | — | 5.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $41,535 | $20,768 | — | 5.6x |
| CELLULITIS WITHOUT MCC | 603 | $27,207 | $13,604 | — | 5.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $65,444 | $32,722 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,564 | $12,282 | — | 5.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $25,585 | $12,792 | — | 5.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $24,085 | $12,043 | — | 5.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,358 | $15,679 | — | 5.4x |
| RENAL FAILURE WITH CC | 683 | $27,390 | $13,695 | — | 5.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $37,404 | $18,702 | — | 5.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $36,923 | $18,461 | — | 5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $33,386 | $16,693 | — | 5x |
| DIABETES WITH MCC | 637 | $39,907 | $19,953 | — | 5x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $43,263 | $21,632 | — | 4.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $29,655 | $14,827 | — | 4.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $189,173 | $94,587 | — | 4.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $44,965 | $22,483 | — | 4.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $34,333 | $17,167 | — | 4.4x |
| RENAL FAILURE WITH MCC | 682 | $37,222 | $18,611 | — | 4.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $46,323 | $23,161 | — | 4.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $26,009 | $13,005 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $42,794 | $21,397 | — | 4.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $38,492 | $19,246 | — | 4x |
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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