HCA Florida Capital Hospital
HCA Florida Capital Hospital in Tallahassee charges 11.3x the Medicare reimbursement rate across 57 analyzed procedures, with 19% showing significant pricing variations.
Tallahassee, FL 32308 · Acute Care Hospitals · CMS Rating: 2/5
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
11.29x
Charge / Medicare rate
Max markup
21.35x
Worst procedure
Procedures analyzed
57
With pricing data
Outlier procedures
19.3%
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 |
|---|---|---|---|---|---|
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $124,438 | $62,219 | — | 21.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $197,878 | $98,939 | — | 19x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $79,586 | $39,793 | — | 18.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $91,672 | $45,836 | — | 17.9x |
| SEIZURES WITHOUT MCC | 101 | $77,391 | $38,696 | — | 15x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $118,622 | $59,311 | — | 14.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $81,267 | $40,634 | — | 14.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $63,067 | $31,534 | — | 14.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $153,119 | $76,560 | — | 14.2x |
| CELLULITIS WITHOUT MCC | 603 | $73,875 | $36,938 | — | 14x |
| DYSEQUILIBRIUM | 149 | $50,596 | $25,298 | — | 13.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $121,048 | $60,524 | — | 13x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $59,539 | $29,770 | — | 12.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $92,317 | $46,158 | — | 12.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $163,830 | $81,915 | — | 12.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $237,695 | $118,848 | — | 12.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $73,524 | $36,762 | — | 12.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $368,698 | $184,349 | — | 12.2x |
| CHEST PAIN | 313 | $51,834 | $25,917 | — | 12.1x |
| SEIZURES WITH MCC | 100 | $150,810 | $75,405 | — | 12x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $155,811 | $77,905 | — | 12x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $56,495 | $28,247 | — | 11.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $61,377 | $30,688 | — | 11.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $49,176 | $24,588 | — | 11.7x |
| DIABETES WITH CC | 638 | $60,568 | $30,284 | — | 11.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $64,525 | $32,263 | — | 11.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $93,916 | $46,958 | — | 11.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $93,103 | $46,551 | — | 11.4x |
| DIABETES WITH MCC | 637 | $92,939 | $46,469 | — | 11.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $53,926 | $26,963 | — | 11.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $70,222 | $35,111 | — | 11x |
| SYNCOPE AND COLLAPSE | 312 | $53,995 | $26,997 | — | 10.9x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $86,608 | $43,304 | — | 10.6x |
| RENAL FAILURE WITH CC | 683 | $56,184 | $28,092 | — | 10.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $60,629 | $30,314 | — | 10.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $59,359 | $29,680 | — | 10.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $81,041 | $40,521 | — | 10x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $69,040 | $34,520 | — | 9.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $74,146 | $37,073 | — | 9.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $111,520 | $55,760 | — | 9.5x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $45,626 | $22,813 | — | 9.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $105,501 | $52,750 | — | 9.1x |
| HYPERTENSION WITH MCC | 304 | $65,941 | $32,970 | — | 9x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $248,411 | $124,205 | — | 8.8x |
| RENAL FAILURE WITH MCC | 682 | $80,742 | $40,371 | — | 8.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $67,939 | $33,969 | — | 8.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $149,389 | $74,694 | — | 8.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $87,653 | $43,827 | — | 8.7x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $171,855 | $85,928 | — | 8.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $102,562 | $51,281 | — | 8.3x |
Showing 50 of 57 procedures
How HCA FLORIDA CAPITAL HOSPITAL 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.
FAQ — for-profit hospital billing
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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