HOLMES REGIONAL MEDICAL CENTER
MELBOURNE, FL 32901 · Acute Care Hospitals
166 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
166
With CMS pricing data
Avg Charge-to-Medicare Ratio
7.3x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
1%
Compared to FL hospitals
Understanding Your Costs
When you receive a bill from HOLMES REGIONAL MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, HOLMES REGIONAL MEDICAL CENTER lists chargemaster rates that average 7.3x the corresponding Medicare reimbursement amount across 166 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in FL has a chargemaster-to-Medicare ratio of 8.6x, with ratios across the state ranging from 1.0x to 20.0x. At 7.3x, this facility’s average ratio is below the state median. 165 hospitals in FL report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at HOLMES REGIONAL MEDICAL CENTER is INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC (DRG 066). The listed chargemaster rate is $47,172, while Medicare reimburses $3,918 for the same procedure — a ratio of 12.0x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
1 of 166 procedures (1%) at this facility have listed rates above the 90th percentile compared to other FL hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
HOLMES REGIONAL MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $47,172 | $3,918 | 12.0x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $115,763 | $10,321 | 11.2x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $75,906 | $6,890 | 11.0x | 1th | Compare your bill |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $112,141 | $10,328 | 10.9x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $148,962 | $14,694 | 10.1x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $162,257 | $16,107 | 10.1x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $97,286 | $9,826 | 9.9x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $126,195 | $12,864 | 9.8x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $46,407 | $4,737 | 9.8x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $48,616 | $4,982 | 9.8x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $254,902 | $26,144 | 9.8x | 1th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $151,990 | $15,749 | 9.7x | 1th | Compare your bill |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $117,080 | $12,189 | 9.6x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $112,112 | $11,707 | 9.6x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $44,146 | $4,614 | 9.6x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $54,469 | $5,794 | 9.4x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $364,405 | $39,177 | 9.3x | 1th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $61,949 | $6,739 | 9.2x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $386,699 | $42,159 | 9.2x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $81,869 | $8,948 | 9.2x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $214,396 | $23,617 | 9.1x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $68,950 | $7,775 | 8.9x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITH CC | 472 | $175,481 | $19,817 | 8.8x | 1th | Compare your bill |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $120,284 | $13,627 | 8.8x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $43,470 | $4,966 | 8.8x | 0th | Compare your bill |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | 863 | $55,102 | $6,328 | 8.7x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $110,966 | $12,987 | 8.5x | 1th | Compare your bill |
| DIABETES WITH CC | 638 | $44,602 | $5,226 | 8.5x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $142,510 | $16,730 | 8.5x | 1th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $134,911 | $15,936 | 8.5x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $301,105 | $35,608 | 8.5x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $203,443 | $24,056 | 8.5x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $433,830 | $51,990 | 8.3x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $61,091 | $7,356 | 8.3x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $25,227 | $3,066 | 8.2x | 1th | Compare your bill |
| DIABETES WITH MCC | 637 | $72,096 | $8,766 | 8.2x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $72,247 | $8,804 | 8.2x | 1th | Compare your bill |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $201,065 | $24,514 | 8.2x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $54,194 | $6,707 | 8.1x | 1th | Compare your bill |
| DYSEQUILIBRIUM | 149 | $34,825 | $4,337 | 8.0x | 0th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $50,805 | $6,367 | 8.0x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $305,268 | $38,294 | 8.0x | 1th | Compare your bill |
| HEADACHES WITHOUT MCC | 103 | $40,260 | $5,061 | 8.0x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $64,857 | $8,180 | 7.9x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $117,928 | $14,866 | 7.9x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $49,265 | $6,251 | 7.9x | 0th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $285,367 | $36,602 | 7.8x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $525,557 | $67,539 | 7.8x | 1th | Compare your bill |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $100,766 | $13,020 | 7.7x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $380,600 | $49,170 | 7.7x | 1th | Compare your bill |
Showing 50 of 166 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across FL hospitals
165 hospitals in FL report pricing data to CMS. This facility's average ratio of 7.3x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About HOLMES REGIONAL MEDICAL CENTER
How much does HOLMES REGIONAL MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, HOLMES REGIONAL MEDICAL CENTER's listed chargemaster rates average 7.3x the Medicare reimbursement amount across 166 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at HOLMES REGIONAL MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at HOLMES REGIONAL MEDICAL CENTER is INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC (DRG 066), with a listed charge of $47,172 compared to Medicare reimbursement of $3,918 — a ratio of 12.0x. Source: CMS IPPS Provider Summary.
Is HOLMES REGIONAL MEDICAL CENTER expensive compared to other FL hospitals?
HOLMES REGIONAL MEDICAL CENTER's average chargemaster-to-Medicare ratio is 7.3x. Ratios vary significantly across FL hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for HOLMES REGIONAL MEDICAL CENTER come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from HOLMES REGIONAL MEDICAL CENTER is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does HOLMES REGIONAL MEDICAL CENTER in MELBOURNE, FL accept Medicare?
HOLMES REGIONAL MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact HOLMES REGIONAL MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.