HCA Florida Lawnwood Hospital
HCA Florida Lawnwood Hospital in Fort Pierce charges 14.4x the Medicare reimbursement rate across 109 analyzed procedures, with 73% showing significant price variations compared to other healthcare providers.
Fort Pierce, FL 34950 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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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
14.4x
Charge / Medicare rate
Max markup
31.85x
Worst procedure
Procedures analyzed
109
With pricing data
Outlier procedures
73.4%
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 |
|---|---|---|---|---|---|
| PNEUMOTHORAX WITH CC | 200 | $205,962 | $102,981 | — | 31.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $497,824 | $248,912 | — | 24x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $118,887 | $59,443 | — | 22.9x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $178,310 | $89,155 | — | 21.4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $112,003 | $56,001 | — | 20.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $275,244 | $137,622 | — | 20.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $99,118 | $49,559 | — | 20x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $132,370 | $66,185 | — | 19.9x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $133,175 | $66,588 | — | 19.8x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $121,755 | $60,877 | — | 19.6x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | 492 | $427,545 | $213,772 | — | 19.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $366,276 | $183,138 | — | 19.4x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $169,365 | $84,682 | — | 19.1x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $607,131 | $303,565 | — | 18.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $159,800 | $79,900 | — | 17.8x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $530,662 | $265,331 | — | 17.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $219,745 | $109,872 | — | 17.7x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $582,103 | $291,051 | — | 17.6x |
| LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | 956 | $385,040 | $192,520 | — | 17.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $118,929 | $59,465 | — | 17.4x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $249,483 | $124,741 | — | 17.2x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $710,778 | $355,389 | — | 17.1x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | 494 | $191,283 | $95,642 | — | 16.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $331,246 | $165,623 | — | 16.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $56,268 | $28,134 | — | 16.7x |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $90,309 | $45,155 | — | 16.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $99,829 | $49,915 | — | 16.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $219,921 | $109,961 | — | 16.4x |
| SEIZURES WITHOUT MCC | 101 | $98,160 | $49,080 | — | 16.2x |
| CHEST PAIN | 313 | $73,882 | $36,941 | — | 16.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $101,106 | $50,553 | — | 16x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $99,018 | $49,509 | — | 15.8x |
| DIABETES WITH CC | 638 | $92,854 | $46,427 | — | 15.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $168,260 | $84,130 | — | 15.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $200,791 | $100,395 | — | 15.6x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $199,682 | $99,841 | — | 15.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $220,607 | $110,304 | — | 15.6x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $249,604 | $124,802 | — | 15.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $532,371 | $266,185 | — | 15.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $81,844 | $40,922 | — | 15.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $76,217 | $38,109 | — | 15.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $276,303 | $138,152 | — | 15.3x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $270,955 | $135,478 | — | 15.2x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $342,263 | $171,132 | — | 15.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $81,103 | $40,551 | — | 14.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $151,896 | $75,948 | — | 14.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $71,810 | $35,905 | — | 14.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $77,370 | $38,685 | — | 14.7x |
| DYSEQUILIBRIUM | 149 | $64,865 | $32,433 | — | 14.6x |
| RENAL FAILURE WITH CC | 683 | $85,379 | $42,689 | — | 14.6x |
Showing 50 of 109 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