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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

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.

194 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 10.1x5.8x23.1x
14.4x
Medicare markup ratio
FL lowestHCA Florida North Flor...FL highest
14.4x
Avg markup ratio
14.0x
Median markup
194
Procedures
79%
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

14.42x

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$124,067$62,03330.3x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$174,752$87,37625.1x
SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC195$93,580$46,79024.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$319,361$159,68024.7x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$103,654$51,82724.5x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$672,672$336,33623.4x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$199,210$99,60523x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$294,648$147,32422.3x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC661$134,771$67,38622.3x
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC357$333,038$166,51922.1x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$103,524$51,76221.2x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$511,952$255,97621x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$103,315$51,65721x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC436$152,167$76,08320.9x
GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC379$81,073$40,53720.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$121,043$60,52220.3x
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT062$222,160$111,08020.3x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$64,138$32,06920.2x
URINARY STONES WITHOUT MCC694$94,801$47,40019.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$126,841$63,42119.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC250$371,941$185,97119.6x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$211,398$105,69919.5x
DYSEQUILIBRIUM149$89,131$44,56619.5x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$563,629$281,81419.3x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$167,898$83,94919.3x
PULMONARY EMBOLISM WITHOUT MCC176$92,377$46,18819x
CHEST PAIN313$85,620$42,81019x
SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC556$91,418$45,70918.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$410,337$205,16918.9x
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC068$99,351$49,67518.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$401,471$200,73518x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$300,229$150,11417.8x
UNCOMPLICATED PEPTIC ULCER WITHOUT MCC384$94,561$47,28017.8x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$258,436$129,21817.7x
HEADACHES WITHOUT MCC103$91,089$45,54417.7x
GASTROINTESTINAL OBSTRUCTION WITH CC389$85,721$42,86017.6x
DISORDERS OF THE BILIARY TRACT WITH CC445$128,743$64,37217.5x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$86,919$43,45917.5x
DIGESTIVE MALIGNANCY WITH CC375$136,398$68,19917.4x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$191,285$95,64217.3x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$162,972$81,48617.3x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$731,182$365,59117.1x
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC617$196,764$98,38216.8x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC517$156,082$78,04116.7x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$88,330$44,16516.7x
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$194,841$97,42116.7x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$123,124$61,56216.6x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$81,567$40,78316.5x
RESPIRATORY NEOPLASMS WITH CC181$118,953$59,47616.4x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$505,594$252,79716.2x

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.

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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