Boca Raton Regional Hospital
Boca Raton Regional Hospital in Boca Raton, FL charges 7.3x the Medicare reimbursement rate on average across 177 analyzed procedures at this nonprofit-private facility.
Boca Raton, FL 33486 · Acute Care Hospitals · CMS Rating: 3/5
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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Pricing grade
D
High
Avg markup vs Medicare
7.31x
Charge / Medicare rate
Max markup
14.86x
Worst procedure
Procedures analyzed
177
With pricing data
Outlier procedures
0.6%
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 |
|---|---|---|---|---|---|
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $91,313 | $45,656 | — | 14.9x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $58,179 | $29,090 | — | 14.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $47,900 | $23,950 | — | 13x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $46,346 | $23,173 | — | 11.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $135,248 | $67,624 | — | 11.5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $50,798 | $25,399 | — | 11x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $127,744 | $63,872 | — | 10.9x |
| DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | 446 | $51,602 | $25,801 | — | 10.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $81,452 | $40,726 | — | 10.7x |
| SEIZURES WITHOUT MCC | 101 | $53,014 | $26,507 | — | 10.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $62,091 | $31,046 | — | 10.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $63,261 | $31,630 | — | 10.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $45,377 | $22,689 | — | 10.2x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $66,218 | $33,109 | — | 10x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $24,923 | $12,461 | — | 10x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $51,251 | $25,626 | — | 10x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $62,365 | $31,183 | — | 9.9x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $43,015 | $21,508 | — | 9.7x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | 440 | $28,617 | $14,308 | — | 9.6x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $39,919 | $19,959 | — | 9.4x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $187,464 | $93,732 | — | 9.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $23,041 | $11,520 | — | 9.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $66,260 | $33,130 | — | 9.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $40,565 | $20,282 | — | 9.1x |
| UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | 743 | $61,551 | $30,775 | — | 9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $106,285 | $53,142 | — | 8.9x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $51,062 | $25,531 | — | 8.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $35,811 | $17,905 | — | 8.9x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $148,496 | $74,248 | — | 8.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $54,629 | $27,315 | — | 8.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $38,669 | $19,335 | — | 8.8x |
| BRONCHITIS AND ASTHMA WITHOUT CC/MCC | 203 | $29,940 | $14,970 | — | 8.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $25,397 | $12,698 | — | 8.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $167,965 | $83,982 | — | 8.6x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR | 041 | $123,978 | $61,989 | — | 8.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $92,443 | $46,221 | — | 8.5x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | 436 | $52,551 | $26,275 | — | 8.5x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $35,309 | $17,655 | — | 8.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $92,025 | $46,013 | — | 8.3x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $90,162 | $45,081 | — | 8.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $126,658 | $63,329 | — | 8.2x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $284,916 | $142,458 | — | 8.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $47,334 | $23,667 | — | 8.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $35,974 | $17,987 | — | 8x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $104,589 | $52,295 | — | 7.9x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $194,661 | $97,331 | — | 7.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $84,755 | $42,377 | — | 7.9x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $62,113 | $31,057 | — | 7.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $34,339 | $17,169 | — | 7.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $75,932 | $37,966 | — | 7.8x |
Showing 50 of 177 procedures
How BOCA RATON REGIONAL 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