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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

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

202 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 5.8x3.3x15.0x
8.3x
Medicare markup ratio
FL lowestGulf Coast Medical Cen...FL highest
8.3x
Avg markup ratio
7.9x
Median markup
202
Procedures
1%
Outlier 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

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
MAJOR CHEST TRAUMA WITH CC184$67,769$33,88416.5x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$50,922$25,46115.1x
NEUROLOGICAL EYE DISORDERS123$55,384$27,69214.7x
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$58,648$29,32414.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$52,077$26,03914.4x
O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC621$122,194$61,09713.8x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$81,266$40,63313.6x
URINARY STONES WITHOUT MCC694$45,068$22,53413.3x
TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC084$66,153$33,07613.3x
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC328$120,624$60,31213.3x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$119,986$59,99313.1x
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC068$65,717$32,85813.1x
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC142$117,353$58,67713x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC027$190,522$95,26112.5x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$84,485$42,24212x
TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC605$50,528$25,26411.9x
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC036$126,703$63,35111.9x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$51,538$25,76911.3x
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR041$156,888$78,44411x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$56,233$28,11710.8x
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT062$109,255$54,62810.7x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$100,433$50,21710.7x
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC964$70,208$35,10410.7x
DYSEQUILIBRIUM149$40,051$20,02510.7x
MEDICAL BACK PROBLEMS WITHOUT MCC552$49,114$24,55710.5x
CAROTID ARTERY STENT PROCEDURES WITH CC035$146,865$73,43310.5x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC086$74,316$37,15810.4x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC440$29,623$14,81210.4x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$173,192$86,59610.3x
RENAL FAILURE WITHOUT CC/MCC684$29,267$14,63410.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$55,859$27,93010.2x
CHEST PAIN313$37,607$18,80410.2x
OTHER VASCULAR PROCEDURES WITHOUT CC/MCC254$107,046$53,52310.2x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$144,246$72,12310.2x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$114,626$57,31310x
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$100,912$50,45610x
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC074$56,786$28,39310x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$123,641$61,8209.9x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$28,060$14,0309.9x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$26,673$13,3369.8x
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC519$103,465$51,7329.8x
HYPERTENSION WITH MCC304$54,041$27,0209.8x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC251$90,268$45,1349.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$56,458$28,2299.8x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC026$179,825$89,9129.6x
SEIZURES WITHOUT MCC101$45,634$22,8179.6x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$208,042$104,0219.6x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$76,073$38,0369.6x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$67,526$33,7639.5x
DIABETES WITH CC638$47,427$23,7139.5x

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.

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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