Manatee Memorial Hospital
Manatee Memorial Hospital in Bradenton, FL charges 11.2x the Medicare reimbursement rate across 95 analyzed procedures, with 43% showing significant price variations.
Bradenton, FL 34208 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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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
11.15x
Charge / Medicare rate
Max markup
17.04x
Worst procedure
Procedures analyzed
95
With pricing data
Outlier procedures
43.2%
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 |
|---|---|---|---|---|---|
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $95,781 | $47,891 | — | 17x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $217,966 | $108,983 | — | 16.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $118,587 | $59,293 | — | 16.2x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $296,644 | $148,322 | — | 15.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $208,111 | $104,056 | — | 15.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $84,360 | $42,180 | — | 15.4x |
| DYSEQUILIBRIUM | 149 | $75,940 | $37,970 | — | 15.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $105,459 | $52,729 | — | 15x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $178,241 | $89,120 | — | 14.9x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $382,119 | $191,060 | — | 14.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $433,670 | $216,835 | — | 14.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $245,228 | $122,614 | — | 14.5x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $524,257 | $262,129 | — | 14.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $76,754 | $38,377 | — | 14x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $95,327 | $47,663 | — | 13.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $286,318 | $143,159 | — | 13.9x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $187,847 | $93,923 | — | 13.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $280,554 | $140,277 | — | 13.6x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $320,277 | $160,138 | — | 13.6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $661,229 | $330,615 | — | 13.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $50,263 | $25,131 | — | 13.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $71,232 | $35,616 | — | 13.4x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $140,458 | $70,229 | — | 13.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $77,858 | $38,929 | — | 13.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $86,373 | $43,187 | — | 12.9x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $288,247 | $144,124 | — | 12.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $82,048 | $41,024 | — | 12.4x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $485,804 | $242,902 | — | 12.3x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $402,414 | $201,207 | — | 12.2x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $76,516 | $38,258 | — | 12.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $355,042 | $177,521 | — | 12.2x |
| SEIZURES WITHOUT MCC | 101 | $70,022 | $35,011 | — | 12x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $388,057 | $194,029 | — | 12x |
| DIABETES WITH MCC | 637 | $115,667 | $57,834 | — | 12x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $179,367 | $89,683 | — | 11.9x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | 863 | $81,199 | $40,600 | — | 11.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $195,182 | $97,591 | — | 11.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $67,302 | $33,651 | — | 11.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $107,695 | $53,847 | — | 11.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $90,713 | $45,356 | — | 11.7x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR | 041 | $179,249 | $89,625 | — | 11.7x |
| SYNCOPE AND COLLAPSE | 312 | $71,028 | $35,514 | — | 11.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $187,806 | $93,903 | — | 11.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $107,854 | $53,927 | — | 11.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $89,181 | $44,591 | — | 11.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $77,519 | $38,760 | — | 11.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $71,499 | $35,749 | — | 11.3x |
| CELLULITIS WITHOUT MCC | 603 | $67,314 | $33,657 | — | 11.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $171,119 | $85,560 | — | 11x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $147,219 | $73,610 | — | 10.9x |
Showing 50 of 95 procedures
How MANATEE 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