Marion Communtiy Hospital
MARION COMMUNITY HOSPITAL in Ocala, FL charges 11.8x the Medicare reimbursement rate across 202 analyzed procedures, with 33% showing significant price variations.
Ocala, FL 34471 · Acute Care Hospitals · CMS Rating: 1/5
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
11.83x
Charge / Medicare rate
Max markup
24.51x
Worst procedure
Procedures analyzed
202
With pricing data
Outlier procedures
33.2%
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 |
|---|---|---|---|---|---|
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $177,348 | $88,674 | — | 24.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $181,626 | $90,813 | — | 23.8x |
| URINARY STONES WITHOUT MCC | 694 | $95,080 | $47,540 | — | 20.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $215,944 | $107,972 | — | 19.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $85,347 | $42,673 | — | 19.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $85,772 | $42,886 | — | 19.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $300,992 | $150,496 | — | 19.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $209,009 | $104,505 | — | 18.9x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $105,100 | $52,550 | — | 18.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $125,440 | $62,720 | — | 18.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $236,939 | $118,469 | — | 18.8x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $230,480 | $115,240 | — | 18.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $283,255 | $141,627 | — | 18.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $108,650 | $54,325 | — | 18.2x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $194,836 | $97,418 | — | 17.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $150,708 | $75,354 | — | 17.3x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $471,334 | $235,667 | — | 17.2x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $273,068 | $136,534 | — | 17.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $212,592 | $106,296 | — | 17.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $85,016 | $42,508 | — | 17x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $209,545 | $104,772 | — | 16.8x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $154,259 | $77,129 | — | 16.5x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $52,488 | $26,244 | — | 16.4x |
| PNEUMOTHORAX WITH CC | 200 | $102,360 | $51,180 | — | 16.3x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $232,093 | $116,046 | — | 16.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $94,350 | $47,175 | — | 16x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $188,655 | $94,328 | — | 15.9x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $105,714 | $52,857 | — | 15.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $167,111 | $83,555 | — | 15.8x |
| DYSEQUILIBRIUM | 149 | $70,016 | $35,008 | — | 15.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $155,944 | $77,972 | — | 15.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $71,099 | $35,549 | — | 15.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $88,541 | $44,271 | — | 15.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $103,320 | $51,660 | — | 15.2x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $454,703 | $227,351 | — | 15.1x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $67,303 | $33,651 | — | 15x |
| OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | 958 | $369,144 | $184,572 | — | 14.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $206,834 | $103,417 | — | 14.9x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $126,041 | $63,021 | — | 14.9x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | 440 | $54,273 | $27,136 | — | 14.8x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | 494 | $169,368 | $84,684 | — | 14.8x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $207,820 | $103,910 | — | 14.3x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $73,774 | $36,887 | — | 14x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $157,254 | $78,627 | — | 14x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $169,716 | $84,858 | — | 14x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $227,924 | $113,962 | — | 13.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $192,900 | $96,450 | — | 13.8x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | 565 | $83,050 | $41,525 | — | 13.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $391,367 | $195,683 | — | 13.6x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $215,484 | $107,742 | — | 13.4x |
Showing 50 of 202 procedures
How MARION COMMUNTIY 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