HCA Florida Putnam Hospital
HCA Florida Putnam Hospital in Palatka, FL charges 9.3x the Medicare reimbursement rate across analyzed procedures, reflecting the pricing structure at this for-profit healthcare facility.
Palatka, FL 32177 · Acute Care Hospitals · CMS Rating: 1/5
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
9.27x
Charge / Medicare rate
Max markup
17.73x
Worst procedure
Procedures analyzed
30
With pricing data
Outlier procedures
3.3%
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $198,932 | $99,466 | — | 17.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $89,717 | $44,858 | — | 14.1x |
| RENAL FAILURE WITH CC | 683 | $56,341 | $28,171 | — | 12.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $56,109 | $28,055 | — | 12.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $49,015 | $24,507 | — | 11.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $60,016 | $30,008 | — | 11.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $95,705 | $47,853 | — | 11x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $51,193 | $25,596 | — | 10.7x |
| SYNCOPE AND COLLAPSE | 312 | $51,011 | $25,505 | — | 10.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $138,973 | $69,487 | — | 10.3x |
| CHEST PAIN | 313 | $43,027 | $21,514 | — | 10x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $70,406 | $35,203 | — | 10x |
| DIABETES WITH CC | 638 | $44,527 | $22,264 | — | 8.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $65,403 | $32,702 | — | 8.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $42,198 | $21,099 | — | 8.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $35,301 | $17,651 | — | 8.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $34,509 | $17,255 | — | 8.1x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $97,828 | $48,914 | — | 8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $226,492 | $113,246 | — | 7.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $53,818 | $26,909 | — | 7.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $126,133 | $63,066 | — | 7.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $96,572 | $48,286 | — | 7.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $87,125 | $43,562 | — | 7.5x |
| DIABETES WITH MCC | 637 | $57,912 | $28,956 | — | 7.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $55,366 | $27,683 | — | 7.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $53,746 | $26,873 | — | 7.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $79,342 | $39,671 | — | 7x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $63,702 | $31,851 | — | 6.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $50,437 | $25,219 | — | 6.6x |
| RENAL FAILURE WITH MCC | 682 | $54,097 | $27,048 | — | 6.2x |
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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