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
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 — 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.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $99,262 | $49,631 | — | 14.9x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $147,770 | $73,885 | — | 12.1x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $127,718 | $63,859 | — | 10.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $78,544 | $39,272 | — | 10x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $45,382 | $22,691 | — | 10x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $105,585 | $52,792 | — | 9.8x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $171,239 | $85,619 | — | 9.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $61,595 | $30,797 | — | 9.6x |
| PLEURAL EFFUSION WITH MCC | 186 | $97,931 | $48,966 | — | 9.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $97,114 | $48,557 | — | 9.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $119,659 | $59,830 | — | 9.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $115,509 | $57,754 | — | 9.2x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $49,052 | $24,526 | — | 9.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $141,202 | $70,601 | — | 8.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $57,761 | $28,881 | — | 8.8x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $164,580 | $82,290 | — | 8.6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $26,632 | $13,316 | — | 8.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $38,626 | $19,313 | — | 8.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $119,265 | $59,632 | — | 8.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $101,946 | $50,973 | — | 8.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $130,675 | $65,337 | — | 8.3x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $270,399 | $135,200 | — | 8.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $180,322 | $90,161 | — | 8.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $45,567 | $22,783 | — | 8.1x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $220,357 | $110,178 | — | 8x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $175,298 | $87,649 | — | 8x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $316,494 | $158,247 | — | 8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $212,137 | $106,069 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $155,197 | $77,598 | — | 7.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $71,888 | $35,944 | — | 7.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $105,494 | $52,747 | — | 7.9x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $276,066 | $138,033 | — | 7.8x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $120,313 | $60,156 | — | 7.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $56,787 | $28,394 | — | 7.7x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $329,831 | $164,916 | — | 7.6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $114,346 | $57,173 | — | 7.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $45,705 | $22,853 | — | 7.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $347,218 | $173,609 | — | 7.6x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $88,327 | $44,164 | — | 7.5x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $47,986 | $23,993 | — | 7.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $173,846 | $86,923 | — | 7.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $37,884 | $18,942 | — | 7.4x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $371,636 | $185,818 | — | 7.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $136,545 | $68,272 | — | 7.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $37,913 | $18,956 | — | 7.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $38,377 | $19,189 | — | 7.2x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $71,301 | $35,650 | — | 7.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $50,279 | $25,139 | — | 7.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $231,874 | $115,937 | — | 7.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $35,450 | $17,725 | — | 7.1x |
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.
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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