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HCA Florida Citrus Hospital

HCA Florida Citrus Hospital in Inverness charges 14.5x the Medicare reimbursement rate on average, with 72% of analyzed procedures showing significant price variations.

Inverness, FL 34452 · Acute Care Hospitals · CMS Rating: 2/5

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

79 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 10.1x5.8x23.2x
14.5x
Medicare markup ratio
FL lowestHCA Florida Citrus Hos...FL highest
14.5x
Avg markup ratio
14.2x
Median markup
79
Procedures
72%
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

14.47x

Charge / Medicare rate

Max markup

28.59x

Worst procedure

Procedures analyzed

79

With pricing data

Outlier procedures

72.2%

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
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$117,853$58,92628.6x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC661$144,630$72,31523.9x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$95,522$47,76123.2x
DYSEQUILIBRIUM149$94,503$47,25122.4x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$147,645$73,82321.7x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$102,302$51,15121.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$131,134$65,56721.2x
CELLULITIS WITHOUT MCC603$102,464$51,23220.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$242,496$121,24820.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$253,492$126,74619.7x
MEDICAL BACK PROBLEMS WITHOUT MCC552$101,970$50,98518.5x
SYNCOPE AND COLLAPSE312$96,672$48,33618.4x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$86,373$43,18717.9x
SEIZURES WITHOUT MCC101$94,924$47,46217.4x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$455,179$227,58917.3x
GASTROINTESTINAL OBSTRUCTION WITH CC389$81,748$40,87417.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$54,537$27,26817.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$359,770$179,88517x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$83,070$41,53517x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$275,678$137,83917x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$607,271$303,63516.9x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$77,136$38,56816.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$457,462$228,73116.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$91,429$45,71516.2x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$72,543$36,27215.8x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$152,910$76,45515.6x
PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC301$71,836$35,91815.5x
HYPERTENSION WITHOUT MCC305$66,954$33,47715.3x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC482$159,802$79,90115.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$297,404$148,70215.3x
PLEURAL EFFUSION WITH MCC186$147,070$73,53514.9x
GASTROINTESTINAL HEMORRHAGE WITH CC378$93,672$46,83614.9x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$182,169$91,08514.9x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$205,915$102,95714.8x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$210,332$105,16614.8x
RENAL FAILURE WITH CC683$79,473$39,73614.5x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$210,702$105,35114.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$90,177$45,08914.2x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$629,280$314,64014.2x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$195,094$97,54714.2x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$115,507$57,75413.7x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$80,771$40,38613.5x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$499,801$249,90013.5x
DIABETES WITH CC638$71,895$35,94713.5x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$98,774$49,38713.3x
PERIPHERAL VASCULAR DISORDERS WITH CC300$89,283$44,64113.3x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$102,209$51,10413.1x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$65,083$32,54113x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$135,366$67,68312.8x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$149,628$74,81412.3x

Showing 50 of 79 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.

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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