Gulf Coast Medical Center Lee Health
Gulf Coast Medical Center Lee Health in Fort Myers, FL charges 8.3x the Medicare reimbursement rate across 202 analyzed procedures at this government-owned facility.
Fort Myers, FL 33912 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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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
F
Very high
Avg markup vs Medicare
8.28x
Charge / Medicare rate
Max markup
16.49x
Worst procedure
Procedures analyzed
202
With pricing data
Outlier procedures
0.5%
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 |
|---|---|---|---|---|---|
| MAJOR CHEST TRAUMA WITH CC | 184 | $67,769 | $33,884 | — | 16.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $50,922 | $25,461 | — | 15.1x |
| NEUROLOGICAL EYE DISORDERS | 123 | $55,384 | $27,692 | — | 14.7x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $58,648 | $29,324 | — | 14.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $52,077 | $26,039 | — | 14.4x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $122,194 | $61,097 | — | 13.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $81,266 | $40,633 | — | 13.6x |
| URINARY STONES WITHOUT MCC | 694 | $45,068 | $22,534 | — | 13.3x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | 084 | $66,153 | $33,076 | — | 13.3x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $120,624 | $60,312 | — | 13.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $119,986 | $59,993 | — | 13.1x |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $65,717 | $32,858 | — | 13.1x |
| MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | 142 | $117,353 | $58,677 | — | 13x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $190,522 | $95,261 | — | 12.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $84,485 | $42,242 | — | 12x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $50,528 | $25,264 | — | 11.9x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $126,703 | $63,351 | — | 11.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $51,538 | $25,769 | — | 11.3x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR | 041 | $156,888 | $78,444 | — | 11x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $56,233 | $28,117 | — | 10.8x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $109,255 | $54,628 | — | 10.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $100,433 | $50,217 | — | 10.7x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $70,208 | $35,104 | — | 10.7x |
| DYSEQUILIBRIUM | 149 | $40,051 | $20,025 | — | 10.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $49,114 | $24,557 | — | 10.5x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $146,865 | $73,433 | — | 10.5x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $74,316 | $37,158 | — | 10.4x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | 440 | $29,623 | $14,812 | — | 10.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $173,192 | $86,596 | — | 10.3x |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $29,267 | $14,634 | — | 10.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $55,859 | $27,930 | — | 10.2x |
| CHEST PAIN | 313 | $37,607 | $18,804 | — | 10.2x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $107,046 | $53,523 | — | 10.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $144,246 | $72,123 | — | 10.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $114,626 | $57,313 | — | 10x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $100,912 | $50,456 | — | 10x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $56,786 | $28,393 | — | 10x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $123,641 | $61,820 | — | 9.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $28,060 | $14,030 | — | 9.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $26,673 | $13,336 | — | 9.8x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $103,465 | $51,732 | — | 9.8x |
| HYPERTENSION WITH MCC | 304 | $54,041 | $27,020 | — | 9.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | 251 | $90,268 | $45,134 | — | 9.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $56,458 | $28,229 | — | 9.8x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $179,825 | $89,912 | — | 9.6x |
| SEIZURES WITHOUT MCC | 101 | $45,634 | $22,817 | — | 9.6x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $208,042 | $104,021 | — | 9.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $76,073 | $38,036 | — | 9.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $67,526 | $33,763 | — | 9.5x |
| DIABETES WITH CC | 638 | $47,427 | $23,713 | — | 9.5x |
Showing 50 of 202 procedures
How GULF COAST MEDICAL CENTER LEE HEALTH 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