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Cape Coral Hospital

Cape Coral Hospital in Cape Coral, FL charges 7.1x the Medicare reimbursement rate across 87 analyzed procedures, representing a significant markup for this government-owned facility.

Cape Coral, FL 33990 · Acute Care Hospitals · CMS Rating: 4/5

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

87 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 5.0x2.8x15.0x
7.1x
Medicare markup ratio
FL lowestCape Coral HospitalFL highest
7.1x
Avg markup ratio
6.8x
Median markup
87
Procedures
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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

D

High

Avg markup vs Medicare

7.08x

Charge / Medicare rate

Max markup

13.01x

Worst procedure

Procedures analyzed

87

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$150,738$75,36913x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$44,923$22,46212.1x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC517$75,246$37,62310.2x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$110,915$55,4589.7x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$71,770$35,8859.4x
SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC195$30,121$15,0619.2x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$51,814$25,9079x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$24,000$12,0009x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$48,306$24,1538.8x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$87,249$43,6258.8x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC659$138,025$69,0138.7x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$69,177$34,5898.7x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$60,744$30,3728.7x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$137,902$68,9518.6x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC482$74,505$37,2528.6x
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC519$101,041$50,5218.3x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$38,992$19,4968.3x
SYNCOPE AND COLLAPSE312$41,360$20,6808.2x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$106,919$53,4598.2x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$34,906$17,4538.2x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$67,093$33,5468.2x
GASTROINTESTINAL OBSTRUCTION WITH MCC388$76,339$38,1698.1x
HYPERTENSION WITHOUT MCC305$31,769$15,8847.8x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC661$47,270$23,6357.7x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$96,059$48,0307.5x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$32,365$16,1837.4x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$135,368$67,6847.4x
BRONCHITIS AND ASTHMA WITH CC/MCC202$39,758$19,8797.3x
ENDOCRINE DISORDERS WITH MCC643$73,820$36,9107.3x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$58,956$29,4787.3x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$32,287$16,1447.3x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$125,616$62,8087.2x
RED BLOOD CELL DISORDERS WITHOUT MCC812$36,509$18,2547.2x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$32,518$16,2597.2x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$32,324$16,1627.1x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$44,662$22,3317.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$42,510$21,2557.1x
GASTROINTESTINAL HEMORRHAGE WITH CC378$39,326$19,6637x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$82,768$41,3847x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$33,370$16,6857x
MEDICAL BACK PROBLEMS WITHOUT MCC552$37,425$18,7136.9x
DIABETES WITH CC638$34,049$17,0246.9x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$189,332$94,6666.9x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$42,691$21,3466.9x
FRACTURES OF HIP AND PELVIS WITHOUT MCC536$27,730$13,8656.8x
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC371$70,680$35,3406.8x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC515$108,248$54,1246.7x
CELLULITIS WITH MCC602$55,160$27,5806.7x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC516$82,412$41,2066.6x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$155,134$77,5676.6x

Showing 50 of 87 procedures

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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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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

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