Gulf Breeze Hospital
Gulf Breeze Hospital in Gulf Breeze, FL charges 5.5x the Medicare reimbursement rate across 28 analyzed procedures, reflecting pricing patterns typical of nonprofit-private healthcare facilities.
Gulf Breeze, FL 32561 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.53x
Charge / Medicare rate
Max markup
9.42x
Worst procedure
Procedures analyzed
28
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 WITH CC OR TPA IN 24 HOURS | 065 | $55,937 | $27,968 | — | 9.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $117,488 | $58,744 | — | 7.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $39,095 | $19,548 | — | 7.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $104,342 | $52,171 | — | 7.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $21,791 | $10,896 | — | 7.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $53,850 | $26,925 | — | 7.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $111,200 | $55,600 | — | 7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $31,013 | $15,507 | — | 6.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $33,588 | $16,794 | — | 6.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $102,125 | $51,063 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $49,372 | $24,686 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $41,774 | $20,887 | — | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $40,662 | $20,331 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $27,574 | $13,787 | — | 5.5x |
| RENAL FAILURE WITH CC | 683 | $31,717 | $15,859 | — | 5.3x |
| CELLULITIS WITHOUT MCC | 603 | $30,248 | $15,124 | — | 5.2x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $136,454 | $68,227 | — | 5.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $38,957 | $19,479 | — | 4.8x |
| RENAL FAILURE WITH MCC | 682 | $46,073 | $23,037 | — | 4.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $38,268 | $19,134 | — | 4.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $38,089 | $19,045 | — | 4.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $31,445 | $15,722 | — | 4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $34,322 | $17,161 | — | 3.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $35,478 | $17,739 | — | 3.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $52,030 | $26,015 | — | 3.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $40,880 | $20,440 | — | 3.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $39,721 | $19,861 | — | 3.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $42,851 | $21,425 | — | 3.1x |
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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