Baptist Hospital
Baptist Hospital in Pensacola, FL charges 6.5x the Medicare reimbursement rate across 94 analyzed procedures, representing a significant markup for this nonprofit-private facility.
Pensacola, FL 32503 · Acute Care Hospitals · CMS Rating: 4/5
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
6.55x
Charge / Medicare rate
Max markup
13.79x
Worst procedure
Procedures analyzed
94
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $59,947 | $29,973 | — | 13.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $69,458 | $34,729 | — | 11.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $109,256 | $54,628 | — | 10.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $56,884 | $28,442 | — | 10.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $69,389 | $34,695 | — | 10.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $59,213 | $29,606 | — | 10x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $100,929 | $50,464 | — | 9.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $105,067 | $52,533 | — | 9.3x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $124,922 | $62,461 | — | 9.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $136,490 | $68,245 | — | 9x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $182,590 | $91,295 | — | 8.7x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $67,342 | $33,671 | — | 8.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $46,238 | $23,119 | — | 8.5x |
| CELLULITIS WITHOUT MCC | 603 | $35,231 | $17,615 | — | 8.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $109,207 | $54,603 | — | 8.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $95,762 | $47,881 | — | 8.4x |
| SYNCOPE AND COLLAPSE | 312 | $48,426 | $24,213 | — | 8.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $103,960 | $51,980 | — | 8.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $37,471 | $18,736 | — | 8.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $151,499 | $75,749 | — | 7.9x |
| SEIZURES WITHOUT MCC | 101 | $44,338 | $22,169 | — | 7.9x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $146,586 | $73,293 | — | 7.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $37,110 | $18,555 | — | 7.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $36,670 | $18,335 | — | 7.7x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $74,010 | $37,005 | — | 7.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $165,033 | $82,517 | — | 7.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $120,971 | $60,486 | — | 7.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $141,939 | $70,969 | — | 7.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $158,995 | $79,498 | — | 7.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $43,295 | $21,648 | — | 7.1x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $45,232 | $22,616 | — | 7.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $41,890 | $20,945 | — | 7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $33,816 | $16,908 | — | 7x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $109,939 | $54,969 | — | 7x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $216,689 | $108,344 | — | 6.8x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $59,684 | $29,842 | — | 6.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,173 | $11,087 | — | 6.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $44,155 | $22,078 | — | 6.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $40,403 | $20,201 | — | 6.7x |
| HYPERTENSION WITHOUT MCC | 305 | $28,819 | $14,409 | — | 6.6x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $142,030 | $71,015 | — | 6.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $119,736 | $59,868 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $29,044 | $14,522 | — | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $41,188 | $20,594 | — | 6.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $163,820 | $81,910 | — | 6.4x |
| RENAL FAILURE WITH CC | 683 | $34,295 | $17,147 | — | 6.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $73,717 | $36,858 | — | 6.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $283,272 | $141,636 | — | 6.2x |
| SEIZURES WITH MCC | 100 | $69,334 | $34,667 | — | 6.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $28,091 | $14,046 | — | 6.1x |
Showing 50 of 94 procedures
How BAPTIST HOSPITAL 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