Memorial Hospital West
Memorial Hospital West in Pembroke Pines, FL charges 10.9x the Medicare reimbursement rate across 75 analyzed procedures, with 61% showing significant price variations.
Pembroke Pines, FL 33028 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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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
F
Very high
Avg markup vs Medicare
10.87x
Charge / Medicare rate
Max markup
17.28x
Worst procedure
Procedures analyzed
75
With pricing data
Outlier procedures
61.3%
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 |
|---|---|---|---|---|---|
| DIABETES WITH MCC | 637 | $135,050 | $67,525 | — | 17.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $156,885 | $78,443 | — | 17.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $103,108 | $51,554 | — | 15.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $146,038 | $73,019 | — | 14.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $125,884 | $62,942 | — | 14.8x |
| DIABETES WITH CC | 638 | $91,228 | $45,614 | — | 14.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $72,784 | $36,392 | — | 14.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $104,619 | $52,310 | — | 14.6x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $103,159 | $51,580 | — | 14.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $86,131 | $43,065 | — | 14.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $89,280 | $44,640 | — | 13.1x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $95,719 | $47,859 | — | 12.9x |
| SEIZURES WITHOUT MCC | 101 | $77,052 | $38,526 | — | 12.5x |
| SEIZURES WITH MCC | 100 | $174,052 | $87,026 | — | 12.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $121,421 | $60,710 | — | 12.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $75,101 | $37,550 | — | 12.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $262,806 | $131,403 | — | 12.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $72,828 | $36,414 | — | 12.1x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $81,749 | $40,875 | — | 11.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $93,888 | $46,944 | — | 11.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $97,834 | $48,917 | — | 11.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $188,080 | $94,040 | — | 11.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $127,668 | $63,834 | — | 11.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $71,368 | $35,684 | — | 11.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $188,627 | $94,313 | — | 11.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $193,823 | $96,911 | — | 11.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $82,476 | $41,238 | — | 11.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $443,598 | $221,799 | — | 11.2x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $180,644 | $90,322 | — | 11.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $92,618 | $46,309 | — | 11.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $191,575 | $95,788 | — | 11x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $144,034 | $72,017 | — | 10.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $201,948 | $100,974 | — | 10.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $162,741 | $81,371 | — | 10.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $83,108 | $41,554 | — | 10.8x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $79,794 | $39,897 | — | 10.7x |
| RENAL FAILURE WITH MCC | 682 | $120,274 | $60,137 | — | 10.7x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $76,207 | $38,104 | — | 10.6x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $86,340 | $43,170 | — | 10.6x |
| RENAL FAILURE WITH CC | 683 | $72,720 | $36,360 | — | 10.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $65,962 | $32,981 | — | 10.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $59,080 | $29,540 | — | 10.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $63,572 | $31,786 | — | 10.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $70,667 | $35,334 | — | 10.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $79,526 | $39,763 | — | 10.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $116,683 | $58,341 | — | 10.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $43,160 | $21,580 | — | 10.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $112,692 | $56,346 | — | 10.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $579,766 | $289,883 | — | 10.3x |
| DYSEQUILIBRIUM | 149 | $53,280 | $26,640 | — | 10x |
Showing 50 of 75 procedures
How MEMORIAL HOSPITAL WEST 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.
FAQ — government hospital billing
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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