Cleveland Clinic Hospital
Cleveland Clinic Hospital in Weston, Florida charges 5.3x the Medicare reimbursement rate across 89 analyzed procedures, reflecting this nonprofit facility's pricing structure relative to government benchmarks.
Weston, FL 33331 · Acute Care Hospitals · CMS Rating: 4/5
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
5.26x
Charge / Medicare rate
Max markup
12.25x
Worst procedure
Procedures analyzed
89
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 |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $240,474 | $120,237 | — | 12.3x |
| SEIZURES WITHOUT MCC | 101 | $52,987 | $26,493 | — | 11.3x |
| MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | 708 | $60,926 | $30,463 | — | 9x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $49,546 | $24,773 | — | 8.9x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $269,825 | $134,913 | — | 8.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $92,219 | $46,110 | — | 8.8x |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $163,772 | $81,886 | — | 7.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $61,874 | $30,937 | — | 6.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $248,720 | $124,360 | — | 6.6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $17,601 | $8,800 | — | 6.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $38,366 | $19,183 | — | 6.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $145,068 | $72,534 | — | 6.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $33,775 | $16,887 | — | 6.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $26,534 | $13,267 | — | 6x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $65,771 | $32,885 | — | 6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $61,587 | $30,794 | — | 5.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $60,787 | $30,393 | — | 5.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $25,141 | $12,571 | — | 5.8x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $75,002 | $37,501 | — | 5.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $83,719 | $41,860 | — | 5.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $25,675 | $12,837 | — | 5.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $65,315 | $32,658 | — | 5.7x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | 355 | $46,503 | $23,251 | — | 5.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $72,490 | $36,245 | — | 5.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $148,575 | $74,288 | — | 5.6x |
| RENAL FAILURE WITH CC | 683 | $28,038 | $14,019 | — | 5.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $80,634 | $40,317 | — | 5.5x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $147,207 | $73,603 | — | 5.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $97,012 | $48,506 | — | 5.5x |
| RENAL FAILURE WITH MCC | 682 | $46,995 | $23,498 | — | 5.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $30,341 | $15,171 | — | 5.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $198,344 | $99,172 | — | 5.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $215,553 | $107,777 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $14,176 | $7,088 | — | 5.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $25,385 | $12,693 | — | 5.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $39,485 | $19,743 | — | 5.2x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $53,228 | $26,614 | — | 5.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,564 | $14,782 | — | 5.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $68,521 | $34,261 | — | 5.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $32,392 | $16,196 | — | 5.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $40,498 | $20,249 | — | 5.1x |
| CHEST PAIN | 313 | $19,478 | $9,739 | — | 5.1x |
| SYNCOPE AND COLLAPSE | 312 | $26,585 | $13,293 | — | 5.1x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $32,981 | $16,491 | — | 5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $29,921 | $14,961 | — | 5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $25,375 | $12,688 | — | 5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $18,531 | $9,266 | — | 5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $29,719 | $14,860 | — | 4.9x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $73,960 | $36,980 | — | 4.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $23,348 | $11,674 | — | 4.9x |
Showing 50 of 89 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.
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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