HCA Florida Sarasota Doctors Hospital
HCA Florida Sarasota Doctors Hospital charges 14.8x the Medicare reimbursement rate across 71 analyzed procedures, with 30% showing significant price variations in this Sarasota market.
Sarasota, FL 34233 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
No credit card required. Results in 60 seconds.
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
14.76x
Charge / Medicare rate
Max markup
25.59x
Worst procedure
Procedures analyzed
71
With pricing data
Outlier procedures
29.6%
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 |
|---|---|---|---|---|---|
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $377,337 | $188,669 | — | 25.6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $52,347 | $26,174 | — | 24.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $119,841 | $59,920 | — | 24.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $77,545 | $38,773 | — | 23x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $83,868 | $41,934 | — | 22.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $126,939 | $63,469 | — | 22.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $213,408 | $106,704 | — | 21.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $171,750 | $85,875 | — | 20x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $44,758 | $22,379 | — | 19.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $95,813 | $47,907 | — | 19.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $86,355 | $43,178 | — | 18.8x |
| DYSEQUILIBRIUM | 149 | $63,019 | $31,510 | — | 18.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $59,353 | $29,677 | — | 17.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $68,910 | $34,455 | — | 17.6x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $66,933 | $33,467 | — | 17.3x |
| CELLULITIS WITHOUT MCC | 603 | $65,934 | $32,967 | — | 17.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $194,449 | $97,225 | — | 17.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $80,687 | $40,343 | — | 16.9x |
| SYNCOPE AND COLLAPSE | 312 | $75,164 | $37,582 | — | 16.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $76,439 | $38,220 | — | 16.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $97,876 | $48,938 | — | 16.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $64,541 | $32,271 | — | 16.5x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $356,688 | $178,344 | — | 16.4x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $75,638 | $37,819 | — | 16.4x |
| HYPERTENSION WITHOUT MCC | 305 | $54,333 | $27,167 | — | 16.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $175,068 | $87,534 | — | 16.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $67,032 | $33,516 | — | 16.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $205,140 | $102,570 | — | 16.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $60,659 | $30,329 | — | 16.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $191,408 | $95,704 | — | 16x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $56,249 | $28,124 | — | 15.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $98,543 | $49,271 | — | 14.7x |
| RENAL FAILURE WITH CC | 683 | $64,918 | $32,459 | — | 14.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $57,327 | $28,663 | — | 14.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $272,749 | $136,375 | — | 14.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $72,239 | $36,120 | — | 14.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $217,908 | $108,954 | — | 14.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $70,722 | $35,361 | — | 14x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $50,923 | $25,461 | — | 13.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $129,514 | $64,757 | — | 13.4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $99,463 | $49,732 | — | 13.3x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $178,332 | $89,166 | — | 13.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $145,125 | $72,562 | — | 13x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $83,920 | $41,960 | — | 12.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $65,328 | $32,664 | — | 12.6x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $246,845 | $123,422 | — | 12.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTA | 469 | $246,252 | $123,126 | — | 12.4x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $112,024 | $56,012 | — | 12.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $98,216 | $49,108 | — | 12.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $72,649 | $36,324 | — | 12.2x |
Showing 50 of 71 procedures
How HCA FLORIDA SARASOTA DOCTORS 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.
Got a bill from HCA FLORIDA SARASOTA DOCTORS HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — for-profit hospital billing
How much do for-profit hospitals typically charge compared to Medicare rates?
Why do for-profit hospitals charge more than Medicare rates?
Does insurance typically pay the full hospital charge amount?
What should I know about billing differences between hospital types?
Related pricing data
Got a bill from HCA Florida Sarasota Doctors Hospital?
Free guides to help you take action
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