Holmes Regional Medical Center
Holmes Regional Medical Center in Melbourne, FL charges 7.3x the Medicare reimbursement rate on average across 166 analyzed procedures at this nonprofit-private hospital.
Melbourne, FL 32901 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
7.26x
Charge / Medicare rate
Max markup
12.04x
Worst procedure
Procedures analyzed
166
With pricing data
Outlier procedures
0.6%
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $47,172 | $23,586 | — | 12x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $115,763 | $57,881 | — | 11.2x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $75,906 | $37,953 | — | 11x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $112,141 | $56,070 | — | 10.9x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $148,962 | $74,481 | — | 10.1x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $162,257 | $81,129 | — | 10.1x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $97,286 | $48,643 | — | 9.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $126,195 | $63,098 | — | 9.8x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $46,407 | $23,204 | — | 9.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $48,616 | $24,308 | — | 9.8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $254,902 | $127,451 | — | 9.8x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $151,990 | $75,995 | — | 9.7x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $117,080 | $58,540 | — | 9.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $112,112 | $56,056 | — | 9.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $44,146 | $22,073 | — | 9.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $54,469 | $27,234 | — | 9.4x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $364,405 | $182,202 | — | 9.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $61,949 | $30,974 | — | 9.2x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $386,699 | $193,350 | — | 9.2x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $81,869 | $40,935 | — | 9.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $214,396 | $107,198 | — | 9.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $68,950 | $34,475 | — | 8.9x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $175,481 | $87,741 | — | 8.9x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $120,284 | $60,142 | — | 8.8x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $43,470 | $21,735 | — | 8.8x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | 863 | $55,102 | $27,551 | — | 8.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $110,966 | $55,483 | — | 8.5x |
| DIABETES WITH CC | 638 | $44,602 | $22,301 | — | 8.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $142,510 | $71,255 | — | 8.5x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $134,911 | $67,456 | — | 8.5x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $301,105 | $150,552 | — | 8.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $203,443 | $101,722 | — | 8.5x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $433,830 | $216,915 | — | 8.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $61,091 | $30,546 | — | 8.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $25,227 | $12,614 | — | 8.2x |
| DIABETES WITH MCC | 637 | $72,096 | $36,048 | — | 8.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $72,247 | $36,124 | — | 8.2x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $201,065 | $100,533 | — | 8.2x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $54,194 | $27,097 | — | 8.1x |
| DYSEQUILIBRIUM | 149 | $34,825 | $17,413 | — | 8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $50,805 | $25,402 | — | 8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $305,268 | $152,634 | — | 8x |
| HEADACHES WITHOUT MCC | 103 | $40,260 | $20,130 | — | 8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $117,928 | $58,964 | — | 7.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $64,857 | $32,429 | — | 7.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $49,265 | $24,633 | — | 7.9x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $285,367 | $142,684 | — | 7.8x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $525,557 | $262,779 | — | 7.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $380,600 | $190,300 | — | 7.7x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $100,766 | $50,383 | — | 7.7x |
Showing 50 of 166 procedures
How HOLMES REGIONAL MEDICAL CENTER 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