Palm Beach Gardens Medical Center
Palm Beach Gardens Medical Center in Palm Beach Gardens, FL charges 17.0x the Medicare reimbursement rate, with 71% of procedures showing significant price variations above typical ranges.
Palm Beach Gardens, FL 33410 · 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
16.96x
Charge / Medicare rate
Max markup
28.75x
Worst procedure
Procedures analyzed
85
With pricing data
Outlier procedures
70.6%
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $268,481 | $134,240 | — | 28.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $117,138 | $58,569 | — | 26.3x |
| DYSEQUILIBRIUM | 149 | $78,957 | $39,479 | — | 25.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $86,218 | $43,109 | — | 25.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $126,201 | $63,100 | — | 23.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $80,595 | $40,297 | — | 23.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $106,836 | $53,418 | — | 23x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $88,161 | $44,081 | — | 22.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $104,767 | $52,383 | — | 22.2x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $132,572 | $66,286 | — | 21.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $389,702 | $194,851 | — | 21.7x |
| CHEST PAIN | 313 | $60,299 | $30,150 | — | 21.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $39,554 | $19,777 | — | 20.9x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $412,391 | $206,195 | — | 20.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $81,442 | $40,721 | — | 20.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $78,105 | $39,053 | — | 20.2x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $618,907 | $309,454 | — | 20.2x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $505,774 | $252,887 | — | 20.1x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $68,064 | $34,032 | — | 19.8x |
| CELLULITIS WITHOUT MCC | 603 | $82,191 | $41,096 | — | 19.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $351,303 | $175,651 | — | 19.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $76,664 | $38,332 | — | 19.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $80,909 | $40,455 | — | 19.2x |
| RENAL FAILURE WITH CC | 683 | $82,672 | $41,336 | — | 19.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $202,323 | $101,161 | — | 18.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $110,347 | $55,174 | — | 18.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $79,722 | $39,861 | — | 18.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $74,961 | $37,481 | — | 18.7x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $78,214 | $39,107 | — | 18.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $226,250 | $113,125 | — | 18.5x |
| HYPERTENSION WITHOUT MCC | 305 | $61,009 | $30,505 | — | 18.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $131,968 | $65,984 | — | 18.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $128,286 | $64,143 | — | 17.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $60,316 | $30,158 | — | 17.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $187,245 | $93,622 | — | 17.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $59,662 | $29,831 | — | 17.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $94,773 | $47,387 | — | 17.5x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $395,288 | $197,644 | — | 17.4x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $231,917 | $115,959 | — | 17.2x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $259,269 | $129,635 | — | 17.2x |
| SYNCOPE AND COLLAPSE | 312 | $76,936 | $38,468 | — | 17.2x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $121,648 | $60,824 | — | 17.1x |
| CELLULITIS WITH MCC | 602 | $127,963 | $63,982 | — | 17x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $98,192 | $49,096 | — | 16.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $99,196 | $49,598 | — | 16.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $218,606 | $109,303 | — | 16.6x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $89,342 | $44,671 | — | 16.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $186,419 | $93,210 | — | 16.5x |
| DIABETES WITH MCC | 637 | $134,846 | $67,423 | — | 16.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $81,121 | $40,561 | — | 16x |
Showing 50 of 85 procedures
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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