HCA Florida Brandon Hospital
HCA Florida Brandon Hospital charges 12.3x the Medicare reimbursement rate across 89 analyzed procedures, with 79% showing significant price variations compared to other facilities.
Brandon, FL 33511 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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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
12.28x
Charge / Medicare rate
Max markup
20.02x
Worst procedure
Procedures analyzed
89
With pricing data
Outlier procedures
78.7%
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 |
|---|---|---|---|---|---|
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $142,390 | $71,195 | — | 20x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $103,929 | $51,965 | — | 20x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $575,687 | $287,844 | — | 19.8x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $508,730 | $254,365 | — | 18.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $127,633 | $63,816 | — | 17.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $290,414 | $145,207 | — | 17.4x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $618,754 | $309,377 | — | 17.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $106,621 | $53,311 | — | 17.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $103,734 | $51,867 | — | 17x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $97,170 | $48,585 | — | 16.4x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $304,288 | $152,144 | — | 16.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $109,023 | $54,511 | — | 16.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $199,514 | $99,757 | — | 15.6x |
| DYSEQUILIBRIUM | 149 | $86,753 | $43,376 | — | 15.1x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $83,896 | $41,948 | — | 14.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $88,478 | $44,239 | — | 14.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $81,359 | $40,680 | — | 14.5x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $156,605 | $78,303 | — | 14.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $203,473 | $101,737 | — | 13.9x |
| SEIZURES WITHOUT MCC | 101 | $92,652 | $46,326 | — | 13.8x |
| SYNCOPE AND COLLAPSE | 312 | $91,142 | $45,571 | — | 13.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $81,295 | $40,647 | — | 13.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $188,618 | $94,309 | — | 13.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $111,262 | $55,631 | — | 13.6x |
| CHEST PAIN | 313 | $75,706 | $37,853 | — | 13.5x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $98,954 | $49,477 | — | 13.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $100,020 | $50,010 | — | 13.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $134,335 | $67,168 | — | 13.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $177,314 | $88,657 | — | 13.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $51,850 | $25,925 | — | 13.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $95,740 | $47,870 | — | 13.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $100,646 | $50,323 | — | 13.1x |
| DIABETES WITH CC | 638 | $81,815 | $40,908 | — | 13x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $100,783 | $50,392 | — | 13x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $102,313 | $51,156 | — | 12.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $70,738 | $35,369 | — | 12.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $202,695 | $101,348 | — | 12.7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $209,454 | $104,727 | — | 12.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $96,614 | $48,307 | — | 12.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $383,461 | $191,730 | — | 12.2x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $134,591 | $67,295 | — | 12.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $262,655 | $131,328 | — | 12.1x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $181,576 | $90,788 | — | 11.9x |
| RENAL FAILURE WITH CC | 683 | $80,896 | $40,448 | — | 11.8x |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | 880 | $86,383 | $43,191 | — | 11.8x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $71,699 | $35,849 | — | 11.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $235,172 | $117,586 | — | 11.7x |
| SEIZURES WITH MCC | 100 | $179,433 | $89,717 | — | 11.6x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $100,459 | $50,230 | — | 11.6x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $91,408 | $45,704 | — | 11.6x |
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