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HCA Florida Memorial Hospital

HCA Florida Memorial Hospital in Jacksonville charges 14.2x the Medicare reimbursement rate across 80 analyzed procedures, with 72% showing significant price variations.

Jacksonville, FL 32216 · Acute Care Hospitals · CMS Rating: 2/5

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

80 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 9.9x5.7x22.7x
14.2x
Medicare markup ratio
FL lowestHCA Florida Memorial H...FL highest
14.2x
Avg markup ratio
13.2x
Median markup
80
Procedures
73%
Outlier procedures
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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

14.17x

Charge / Medicare rate

Max markup

25.4x

Worst procedure

Procedures analyzed

80

With pricing data

Outlier procedures

72.5%

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
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$108,132$54,06625.4x
DYSEQUILIBRIUM149$105,788$52,89424.1x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$219,713$109,85623.2x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$259,457$129,72922.4x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$860,085$430,04221.6x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$425,081$212,54019.9x
MEDICAL BACK PROBLEMS WITHOUT MCC552$111,115$55,55819.8x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$717,558$358,77919.2x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC086$167,196$83,59819.2x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$1,049,014$524,50719.2x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$129,587$64,79419.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$239,951$119,97618.9x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$102,478$51,23918.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$117,365$58,68218x
OTHER VASCULAR PROCEDURES WITH CC253$238,392$119,19617.5x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$203,583$101,79117.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$217,081$108,54016.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$79,524$39,76216.6x
TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC605$104,173$52,08616.4x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$319,959$159,97916.2x
BRONCHITIS AND ASTHMA WITH CC/MCC202$103,585$51,79315.8x
GASTROINTESTINAL HEMORRHAGE WITH CC378$95,574$47,78715.6x
SEIZURES WITH MCC100$174,903$87,45215.4x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$198,220$99,11015.3x
SYNCOPE AND COLLAPSE312$85,887$42,94415.1x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$208,149$104,07515x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$91,286$45,64314.7x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$377,082$188,54114.5x
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY884$119,560$59,78014.4x
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$142,911$71,45614.4x
HYPERTENSION WITHOUT MCC305$68,614$34,30714.3x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$72,267$36,13414.2x
RENAL FAILURE WITH CC683$81,742$40,87114.1x
CELLULITIS WITHOUT MCC603$62,418$31,20914x
DIABETES WITH CC638$83,114$41,55713.9x
GASTROINTESTINAL OBSTRUCTION WITH CC389$74,136$37,06813.7x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC273$371,949$185,97513.4x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$311,569$155,78413.4x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$172,004$86,00213.3x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$210,129$105,06413.2x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$466,568$233,28413.2x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$495,964$247,98213.1x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$161,555$80,77713x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$110,400$55,20012.8x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$108,567$54,28312.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$44,409$22,20512.7x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$152,138$76,06912.7x
MEDICAL BACK PROBLEMS WITH MCC551$137,358$68,67912.7x
SEIZURES WITHOUT MCC101$72,930$36,46512.6x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$68,010$34,00512.6x

Showing 50 of 80 procedures

How HCA FLORIDA MEMORIAL 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.

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 — for-profit hospital billing

How much do for-profit hospitals typically charge compared to Medicare rates?
Based on data from 628 for-profit hospitals, the average markup is 7.8 times Medicare rates. This means charges are typically set at nearly 8 times what Medicare would pay for the same services.
Why do for-profit hospitals charge more than Medicare rates?
For-profit hospitals operate as businesses with shareholders and must generate revenue to cover operational costs and profit margins. Their pricing structure differs from Medicare's standardized payment rates, which are set by government formula rather than market conditions.
Does insurance typically pay the full hospital charge amount?
Most insurance companies negotiate contracted rates with hospitals that are lower than the posted charges. However, patients may still face significant out-of-pocket costs depending on their insurance coverage and deductible amounts.
What should I know about billing differences between hospital types?
For-profit hospitals generally have different pricing structures than non-profit or government-owned facilities due to their business model. Understanding your hospital's ownership type can provide context for potential billing differences when reviewing medical bills.

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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