Delray Medical Center
DELRAY MEDICAL CENTER in Delray Beach, FL charges 17.8x the Medicare reimbursement rate across 154 analyzed procedures, with 77% classified as statistical outliers.
Delray Beach, FL 33484 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
17.76x
Charge / Medicare rate
Max markup
39.59x
Worst procedure
Procedures analyzed
154
With pricing data
Outlier procedures
77.3%
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 | $118,376 | $59,188 | — | 39.6x |
| PNEUMOTHORAX WITH CC | 200 | $148,317 | $74,159 | — | 31.8x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | 084 | $121,673 | $60,837 | — | 31.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $57,668 | $28,834 | — | 29.7x |
| DYSEQUILIBRIUM | 149 | $102,595 | $51,298 | — | 29.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $219,476 | $109,738 | — | 27.1x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $58,182 | $29,091 | — | 26.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $91,296 | $45,648 | — | 25.2x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | 492 | $378,700 | $189,350 | — | 24.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $248,878 | $124,439 | — | 24.8x |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $98,441 | $49,221 | — | 24.6x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $127,751 | $63,876 | — | 24.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $118,739 | $59,369 | — | 24.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $252,754 | $126,377 | — | 23.9x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $100,203 | $50,102 | — | 23.8x |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 988 | $189,417 | $94,708 | — | 23.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $225,948 | $112,974 | — | 23.5x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $168,906 | $84,453 | — | 23.3x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $188,915 | $94,458 | — | 23.1x |
| SEIZURES WITHOUT MCC | 101 | $106,272 | $53,136 | — | 23x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $338,863 | $169,432 | — | 22.9x |
| ENDOCRINE DISORDERS WITH CC | 644 | $118,497 | $59,248 | — | 22.9x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | 863 | $88,943 | $44,471 | — | 22.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $96,177 | $48,088 | — | 22.8x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $85,347 | $42,673 | — | 22.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $98,805 | $49,402 | — | 22.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $88,908 | $44,454 | — | 22.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $119,785 | $59,892 | — | 22x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $160,844 | $80,422 | — | 22x |
| SYNCOPE AND COLLAPSE | 312 | $95,974 | $47,987 | — | 21.9x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $121,749 | $60,874 | — | 21.8x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR | 041 | $260,379 | $130,189 | — | 21.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $110,638 | $55,319 | — | 21.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $78,086 | $39,043 | — | 21.6x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $106,763 | $53,382 | — | 21.2x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $70,406 | $35,203 | — | 21.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $75,944 | $37,972 | — | 21.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $152,328 | $76,164 | — | 20.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $73,154 | $36,577 | — | 20.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $160,634 | $80,317 | — | 20.8x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $288,250 | $144,125 | — | 20.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $79,426 | $39,713 | — | 20.5x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $580,540 | $290,270 | — | 20.5x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $146,534 | $73,267 | — | 20.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $72,702 | $36,351 | — | 20.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $218,352 | $109,176 | — | 19.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $363,621 | $181,810 | — | 19.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $96,427 | $48,214 | — | 19.4x |
| HYPERTENSION WITHOUT MCC | 305 | $63,685 | $31,842 | — | 19.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $175,873 | $87,937 | — | 19.3x |
Showing 50 of 154 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