HCA Florida Palms West Hospital
HCA Florida Palms West Hospital in Loxahatchee charges 10.9x the Medicare reimbursement rate on average, with half of analyzed procedures showing significant price variations above typical ranges.
Loxahatchee, FL 33470 · Acute Care Hospitals · CMS Rating: 2/5
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
10.95x
Charge / Medicare rate
Max markup
15.97x
Worst procedure
Procedures analyzed
40
With pricing data
Outlier procedures
50%
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 |
|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $92,939 | $46,469 | — | 16x |
| SYNCOPE AND COLLAPSE | 312 | $90,670 | $45,335 | — | 15.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $156,943 | $78,472 | — | 13.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $71,473 | $35,737 | — | 13.1x |
| HYPERTENSION WITHOUT MCC | 305 | $71,687 | $35,844 | — | 13.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $84,037 | $42,018 | — | 13x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $87,039 | $43,519 | — | 13x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $90,156 | $45,078 | — | 12.6x |
| SEIZURES WITHOUT MCC | 101 | $74,297 | $37,148 | — | 12.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $85,590 | $42,795 | — | 12.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $66,544 | $33,272 | — | 12.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $88,406 | $44,203 | — | 12.2x |
| RENAL FAILURE WITH CC | 683 | $71,658 | $35,829 | — | 12.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $107,064 | $53,532 | — | 12x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $107,802 | $53,901 | — | 11.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $305,808 | $152,904 | — | 11.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $52,031 | $26,016 | — | 11.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $162,907 | $81,454 | — | 11.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $121,703 | $60,852 | — | 10.8x |
| CELLULITIS WITHOUT MCC | 603 | $64,710 | $32,355 | — | 10.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $237,115 | $118,557 | — | 10.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $158,608 | $79,304 | — | 10.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $83,959 | $41,980 | — | 10.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $346,850 | $173,425 | — | 10.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $88,747 | $44,374 | — | 10x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $131,208 | $65,604 | — | 9.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $186,465 | $93,232 | — | 9.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $79,451 | $39,726 | — | 9.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $132,520 | $66,260 | — | 9.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $87,378 | $43,689 | — | 9.6x |
| RENAL FAILURE WITH MCC | 682 | $98,516 | $49,258 | — | 9.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $100,918 | $50,459 | — | 9.4x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $213,628 | $106,814 | — | 9.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $55,864 | $27,932 | — | 8.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $95,011 | $47,505 | — | 8.7x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $96,976 | $48,488 | — | 8.6x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $99,218 | $49,609 | — | 8.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $61,236 | $30,618 | — | 8.2x |
| CELLULITIS WITH MCC | 602 | $71,075 | $35,538 | — | 8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $115,581 | $57,791 | — | 7.8x |
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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