HCA Florida North Florida Hospital
HCA Florida North Florida Hospital in Gainesville charges 14.4x the Medicare reimbursement rate on average, with 79% of analyzed procedures showing significant price variations across different care settings.
Gainesville, FL 32605 · 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
14.42x
Charge / Medicare rate
Max markup
30.3x
Worst procedure
Procedures analyzed
194
With pricing data
Outlier procedures
78.9%
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $124,067 | $62,033 | — | 30.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $174,752 | $87,376 | — | 25.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $93,580 | $46,790 | — | 24.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $319,361 | $159,680 | — | 24.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $103,654 | $51,827 | — | 24.5x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $672,672 | $336,336 | — | 23.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $199,210 | $99,605 | — | 23x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $294,648 | $147,324 | — | 22.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $134,771 | $67,386 | — | 22.3x |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | 357 | $333,038 | $166,519 | — | 22.1x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $103,524 | $51,762 | — | 21.2x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $511,952 | $255,976 | — | 21x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $103,315 | $51,657 | — | 21x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | 436 | $152,167 | $76,083 | — | 20.9x |
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $81,073 | $40,537 | — | 20.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $121,043 | $60,522 | — | 20.3x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $222,160 | $111,080 | — | 20.3x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $64,138 | $32,069 | — | 20.2x |
| URINARY STONES WITHOUT MCC | 694 | $94,801 | $47,400 | — | 19.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $126,841 | $63,421 | — | 19.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | 250 | $371,941 | $185,971 | — | 19.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $211,398 | $105,699 | — | 19.5x |
| DYSEQUILIBRIUM | 149 | $89,131 | $44,566 | — | 19.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $563,629 | $281,814 | — | 19.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $167,898 | $83,949 | — | 19.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $92,377 | $46,188 | — | 19x |
| CHEST PAIN | 313 | $85,620 | $42,810 | — | 19x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $91,418 | $45,709 | — | 18.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $410,337 | $205,169 | — | 18.9x |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $99,351 | $49,675 | — | 18.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $401,471 | $200,735 | — | 18x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $300,229 | $150,114 | — | 17.8x |
| UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | 384 | $94,561 | $47,280 | — | 17.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $258,436 | $129,218 | — | 17.7x |
| HEADACHES WITHOUT MCC | 103 | $91,089 | $45,544 | — | 17.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $85,721 | $42,860 | — | 17.6x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $128,743 | $64,372 | — | 17.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $86,919 | $43,459 | — | 17.5x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $136,398 | $68,199 | — | 17.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $191,285 | $95,642 | — | 17.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $162,972 | $81,486 | — | 17.3x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $731,182 | $365,591 | — | 17.1x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $196,764 | $98,382 | — | 16.8x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $156,082 | $78,041 | — | 16.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $88,330 | $44,165 | — | 16.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $194,841 | $97,421 | — | 16.7x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $123,124 | $61,562 | — | 16.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $81,567 | $40,783 | — | 16.5x |
| RESPIRATORY NEOPLASMS WITH CC | 181 | $118,953 | $59,476 | — | 16.4x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $505,594 | $252,797 | — | 16.2x |
Showing 50 of 194 procedures
How HCA FLORIDA NORTH FLORIDA 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.
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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