HCA Florida West Hospital
HCA Florida West Hospital in Pensacola charges 12.7x the Medicare reimbursement rate on average, based on analysis of 107 common procedures at this for-profit facility.
Pensacola, FL 32514 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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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
12.66x
Charge / Medicare rate
Max markup
23.28x
Worst procedure
Procedures analyzed
107
With pricing data
Outlier procedures
30.8%
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 |
|---|---|---|---|---|---|
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $161,979 | $80,989 | — | 23.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $77,132 | $38,566 | — | 22.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $219,651 | $109,826 | — | 21x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $121,530 | $60,765 | — | 20.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $56,995 | $28,497 | — | 19.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $260,443 | $130,221 | — | 19.6x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $130,900 | $65,450 | — | 19.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $190,977 | $95,488 | — | 19.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $42,286 | $21,143 | — | 18x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $194,657 | $97,328 | — | 17.8x |
| CHEST PAIN | 313 | $63,305 | $31,652 | — | 17.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $97,657 | $48,828 | — | 17.4x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $246,491 | $123,245 | — | 17.3x |
| DYSEQUILIBRIUM | 149 | $68,664 | $34,332 | — | 17.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $272,973 | $136,487 | — | 17.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $87,267 | $43,633 | — | 17.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $102,689 | $51,344 | — | 16.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $70,750 | $35,375 | — | 16.3x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $257,787 | $128,893 | — | 15.9x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $192,972 | $96,486 | — | 15.2x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $212,662 | $106,331 | — | 15.1x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $126,886 | $63,443 | — | 15x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $176,350 | $88,175 | — | 15x |
| HYPERTENSION WITHOUT MCC | 305 | $62,757 | $31,379 | — | 14.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $95,021 | $47,511 | — | 14.9x |
| SYNCOPE AND COLLAPSE | 312 | $72,771 | $36,386 | — | 14.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $138,728 | $69,364 | — | 14.7x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $705,669 | $352,835 | — | 14.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $189,654 | $94,827 | — | 14.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $63,265 | $31,633 | — | 14.3x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $91,844 | $45,922 | — | 14.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $92,927 | $46,464 | — | 13.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $158,628 | $79,314 | — | 13.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $171,749 | $85,875 | — | 13.8x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $62,534 | $31,267 | — | 13.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $60,287 | $30,143 | — | 13.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $370,274 | $185,137 | — | 13.4x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $311,948 | $155,974 | — | 13.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $117,168 | $58,584 | — | 13.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $56,885 | $28,442 | — | 13.3x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $142,927 | $71,464 | — | 13.1x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $402,423 | $201,211 | — | 12.9x |
| RENAL FAILURE WITH CC | 683 | $65,742 | $32,871 | — | 12.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $70,856 | $35,428 | — | 12.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $66,911 | $33,455 | — | 12.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $66,809 | $33,404 | — | 12.4x |
| SEIZURES WITHOUT MCC | 101 | $59,651 | $29,825 | — | 12.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $172,396 | $86,198 | — | 12.4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $69,668 | $34,834 | — | 12.4x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $63,191 | $31,595 | — | 12.3x |
Showing 50 of 107 procedures
How HCA FLORIDA WEST 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