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Lee Memorial Hospital

Lee Memorial Hospital in Fort Myers, FL charges 6.8x the Medicare reimbursement rate across 155 analyzed procedures, representing a government-owned facility's pricing structure.

Fort Myers, FL 33901 · Acute Care Hospitals · CMS Rating: 4/5

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

155 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 4.7x2.7x15.0x
6.8x
Medicare markup ratio
FL lowestLee Memorial HospitalFL highest
6.8x
Avg markup ratio
6.5x
Median markup
155
Procedures
1%
Outlier procedures
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Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

D

High

Avg markup vs Medicare

6.76x

Charge / Medicare rate

Max markup

14.91x

Worst procedure

Procedures analyzed

155

With pricing data

Outlier procedures

1.3%

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$99,262$49,63114.9x
MAJOR CHEST PROCEDURES WITHOUT CC/MCC165$147,770$73,88512.1x
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC036$127,718$63,85910.3x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$78,544$39,27210x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$45,382$22,69110x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$105,585$52,7929.8x
MAJOR CHEST PROCEDURES WITH CC164$171,239$85,6199.7x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC661$61,595$30,7979.6x
PLEURAL EFFUSION WITH MCC186$97,931$48,9669.5x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$97,114$48,5579.3x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$119,659$59,8309.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$115,509$57,7549.2x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$49,052$24,5269.1x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$141,202$70,6018.9x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$57,761$28,8818.8x
OTHER VASCULAR PROCEDURES WITH CC253$164,580$82,2908.6x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$26,632$13,3168.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$38,626$19,3138.6x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$119,265$59,6328.4x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$101,946$50,9738.4x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC417$130,675$65,3378.3x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$270,399$135,2008.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$180,322$90,1618.1x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$45,567$22,7838.1x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$220,357$110,1788x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC273$175,298$87,6498x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$316,494$158,2478x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$212,137$106,0698x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$155,197$77,5987.9x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$71,888$35,9447.9x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$105,494$52,7477.9x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$276,066$138,0337.8x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$120,313$60,1567.8x
DISORDERS OF THE BILIARY TRACT WITH CC445$56,787$28,3947.7x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$329,831$164,9167.6x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC982$114,346$57,1737.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$45,705$22,8537.6x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$347,218$173,6097.6x
RESPIRATORY NEOPLASMS WITH MCC180$88,327$44,1647.5x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$47,986$23,9937.4x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$173,846$86,9237.4x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$37,884$18,9427.4x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$371,636$185,8187.4x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$136,545$68,2727.4x
GASTROINTESTINAL OBSTRUCTION WITH CC389$37,913$18,9567.3x
PULMONARY EMBOLISM WITHOUT MCC176$38,377$19,1897.2x
GASTROINTESTINAL OBSTRUCTION WITH MCC388$71,301$35,6507.1x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$50,279$25,1397.1x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$231,874$115,9377.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$35,450$17,7257.1x

Showing 50 of 155 procedures

How LEE MEMORIAL 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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

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