HCA Florida Osceola Hospital
HCA Florida Osceola Hospital in Kissimmee charges 14.1x the Medicare reimbursement rate across 66 analyzed procedures, with 89% showing significant price variations above typical market rates.
Kissimmee, FL 34741 · 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
14.09x
Charge / Medicare rate
Max markup
25.1x
Worst procedure
Procedures analyzed
66
With pricing data
Outlier procedures
89.4%
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 |
|---|---|---|---|---|---|
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $326,040 | $163,020 | — | 25.1x |
| SEIZURES WITHOUT MCC | 101 | $157,350 | $78,675 | — | 22.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $150,180 | $75,090 | — | 21.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $149,256 | $74,628 | — | 21.1x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $151,060 | $75,530 | — | 20.9x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $199,575 | $99,788 | — | 20.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $170,284 | $85,142 | — | 20.4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $143,469 | $71,734 | — | 20.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $150,038 | $75,019 | — | 20.2x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $162,656 | $81,328 | — | 19.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $131,767 | $65,883 | — | 18.4x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $138,691 | $69,346 | — | 17.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $107,552 | $53,776 | — | 17.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $223,277 | $111,638 | — | 17.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $263,775 | $131,887 | — | 17x |
| SYNCOPE AND COLLAPSE | 312 | $118,021 | $59,011 | — | 16.6x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $291,417 | $145,708 | — | 16.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $232,781 | $116,390 | — | 16.2x |
| HYPERTENSION WITHOUT MCC | 305 | $97,190 | $48,595 | — | 16.2x |
| RENAL FAILURE WITH CC | 683 | $97,888 | $48,944 | — | 15.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $231,149 | $115,575 | — | 15.5x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $86,573 | $43,287 | — | 15.4x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $194,606 | $97,303 | — | 15.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $205,322 | $102,661 | — | 14.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $96,371 | $48,185 | — | 14.3x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $123,991 | $61,996 | — | 14.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $203,725 | $101,863 | — | 14.3x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $110,734 | $55,367 | — | 14.2x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $502,139 | $251,069 | — | 14.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $321,072 | $160,536 | — | 14.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $122,626 | $61,313 | — | 14.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $269,286 | $134,643 | — | 14x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $367,816 | $183,908 | — | 13.9x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $265,590 | $132,795 | — | 13.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $80,952 | $40,476 | — | 13.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $104,649 | $52,325 | — | 13.1x |
| SEIZURES WITH MCC | 100 | $188,468 | $94,234 | — | 13.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $187,539 | $93,769 | — | 12.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $79,029 | $39,514 | — | 12.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $176,366 | $88,183 | — | 12.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $92,223 | $46,112 | — | 12.6x |
| CHEST PAIN | 313 | $75,851 | $37,925 | — | 12.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $119,718 | $59,859 | — | 12.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $589,498 | $294,749 | — | 12x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $381,333 | $190,667 | — | 11.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $77,040 | $38,520 | — | 11.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $125,889 | $62,944 | — | 11.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $137,897 | $68,948 | — | 11.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $119,291 | $59,645 | — | 11.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $115,980 | $57,990 | — | 11x |
Showing 50 of 66 procedures
How HCA FLORIDA OSCEOLA 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