HCA Florida Trinity Hospital
HCA Florida Trinity Hospital in Trinity, FL charges 16.2x the Medicare reimbursement rate across analyzed procedures, with 90% showing significant price variations compared to other hospitals.
Trinity, FL 34655 · 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
16.23x
Charge / Medicare rate
Max markup
31.37x
Worst procedure
Procedures analyzed
57
With pricing data
Outlier procedures
89.5%
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $164,776 | $82,388 | — | 31.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $131,351 | $65,675 | — | 27x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $143,547 | $71,774 | — | 24.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $267,157 | $133,578 | — | 24x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $173,553 | $86,777 | — | 23.4x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $296,365 | $148,183 | — | 23.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $129,177 | $64,588 | — | 22.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $109,270 | $54,635 | — | 20.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $126,752 | $63,376 | — | 20.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $135,132 | $67,566 | — | 20.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $100,435 | $50,218 | — | 19.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $294,626 | $147,313 | — | 19.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $139,717 | $69,859 | — | 19.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $104,554 | $52,277 | — | 19.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $68,028 | $34,014 | — | 19x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $370,127 | $185,064 | — | 18.6x |
| SYNCOPE AND COLLAPSE | 312 | $115,564 | $57,782 | — | 18.6x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $294,362 | $147,181 | — | 18.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $247,802 | $123,901 | — | 17.7x |
| HYPERTENSION WITHOUT MCC | 305 | $86,547 | $43,274 | — | 17.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $95,880 | $47,940 | — | 17.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $194,211 | $97,105 | — | 17x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $222,964 | $111,482 | — | 16.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $87,437 | $43,718 | — | 16.8x |
| CHEST PAIN | 313 | $79,865 | $39,932 | — | 16.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $73,275 | $36,638 | — | 16.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $190,215 | $95,107 | — | 16.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $157,050 | $78,525 | — | 15.9x |
| RENAL FAILURE WITH CC | 683 | $92,985 | $46,493 | — | 15.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $208,328 | $104,164 | — | 15.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $98,892 | $49,446 | — | 15.4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $142,927 | $71,463 | — | 15x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $153,395 | $76,698 | — | 14.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $123,958 | $61,979 | — | 14.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $101,475 | $50,737 | — | 14.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $116,319 | $58,159 | — | 14.3x |
| DIABETES WITH CC | 638 | $86,644 | $43,322 | — | 14.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $188,683 | $94,342 | — | 13.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $341,780 | $170,890 | — | 13.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $150,871 | $75,436 | — | 13.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $82,213 | $41,107 | — | 13.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $102,725 | $51,363 | — | 13x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $175,257 | $87,628 | — | 12.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $164,062 | $82,031 | — | 12.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $108,502 | $54,251 | — | 12.5x |
| CELLULITIS WITHOUT MCC | 603 | $69,125 | $34,562 | — | 12.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $109,332 | $54,666 | — | 12.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $132,011 | $66,005 | — | 11.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $348,597 | $174,299 | — | 11.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $81,258 | $40,629 | — | 11.6x |
Showing 50 of 57 procedures
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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.
FAQ — for-profit hospital billing
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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