HCA Florida Northwest Hospital
HCA Florida Northwest Hospital in Margate charges 13.0x the Medicare reimbursement rate on average, with 72% of analyzed procedures showing significant price variations.
Margate, FL 33063 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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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
12.97x
Charge / Medicare rate
Max markup
19.24x
Worst procedure
Procedures analyzed
46
With pricing data
Outlier procedures
71.7%
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 |
|---|---|---|---|---|---|
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $126,711 | $63,356 | — | 19.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $112,673 | $56,337 | — | 17.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $216,622 | $108,311 | — | 16.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $212,719 | $106,359 | — | 16.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $561,133 | $280,566 | — | 16.1x |
| DYSEQUILIBRIUM | 149 | $79,948 | $39,974 | — | 16.1x |
| RENAL FAILURE WITH CC | 683 | $88,785 | $44,393 | — | 16x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $78,025 | $39,013 | — | 15.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $82,941 | $41,470 | — | 15.3x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $156,961 | $78,481 | — | 15.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $96,123 | $48,062 | — | 14.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $111,828 | $55,914 | — | 14.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $84,863 | $42,431 | — | 14.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $80,992 | $40,496 | — | 14.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $155,031 | $77,516 | — | 14.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $74,740 | $37,370 | — | 14.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $140,680 | $70,340 | — | 13.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $167,220 | $83,610 | — | 13.5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $116,531 | $58,265 | — | 13.5x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $128,553 | $64,276 | — | 13.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $113,548 | $56,774 | — | 13.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $67,996 | $33,998 | — | 12.9x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $82,536 | $41,268 | — | 12.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $92,386 | $46,193 | — | 12.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $107,829 | $53,914 | — | 12.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $161,265 | $80,632 | — | 12.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $96,198 | $48,099 | — | 12.5x |
| SYNCOPE AND COLLAPSE | 312 | $75,931 | $37,966 | — | 12.5x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $331,668 | $165,834 | — | 12.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $96,973 | $48,487 | — | 12.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $105,195 | $52,598 | — | 12.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $63,761 | $31,881 | — | 12.2x |
| CHEST PAIN | 313 | $57,498 | $28,749 | — | 12.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $150,701 | $75,351 | — | 12x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $92,110 | $46,055 | — | 11.5x |
| HYPERTENSION WITHOUT MCC | 305 | $57,590 | $28,795 | — | 11.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $134,461 | $67,231 | — | 11.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $90,720 | $45,360 | — | 11x |
| CELLULITIS WITHOUT MCC | 603 | $63,306 | $31,653 | — | 10.8x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $230,584 | $115,292 | — | 10.2x |
| RENAL FAILURE WITH MCC | 682 | $93,757 | $46,879 | — | 10x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $108,462 | $54,231 | — | 9.5x |
| SEIZURES WITHOUT MCC | 101 | $53,998 | $26,999 | — | 9.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $110,406 | $55,203 | — | 8.6x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $74,733 | $37,367 | — | 6.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $90,915 | $45,458 | — | 6.3x |
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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