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Sarasota Memorial Hospital

SARASOTA MEMORIAL HOSPITAL in Sarasota, FL charges 7.4x the Medicare reimbursement rate on average across 286 analyzed procedures, making it a government-owned facility with relatively moderate pricing compared to many hospitals.

Sarasota, FL 34239 · Acute Care Hospitals · CMS Rating: 5/5

By Michael Glenn , Healthcare Data Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

286 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 5.2x3.0x15.0x
7.4x
Medicare markup ratio
FL lowestSarasota Memorial Hosp...FL highest
7.4x
Avg markup ratio
7.2x
Median markup
286
Procedures
1%
Outlier procedures
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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

7.42x

Charge / Medicare rate

Max markup

12.96x

Worst procedure

Procedures analyzed

286

With pricing data

Outlier procedures

1.4%

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
MAJOR CHEST PROCEDURES WITHOUT CC/MCC165$157,535$78,76713x
MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC708$115,756$57,87812.8x
PNEUMOTHORAX WITH CC200$74,389$37,19511.9x
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC328$122,086$61,04311.9x
DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC446$52,952$26,47611.4x
PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC337$94,555$47,27811.2x
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC373$47,381$23,69110.9x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$30,867$15,43310.9x
TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC084$60,197$30,09910.9x
TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC087$53,289$26,64510.9x
MAJOR CHEST PROCEDURES WITH CC164$177,728$88,86410.8x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC661$65,070$32,53510.8x
SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC511$118,509$59,25510.7x
DISORDERS OF THE BILIARY TRACT WITH CC445$74,149$37,07510.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$123,141$61,57110.7x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$41,160$20,58010.6x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC395$36,037$18,01810.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$40,400$20,20010.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$122,214$61,10710.2x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$160,830$80,41510x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$72,494$36,2479.9x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$64,687$32,3439.9x
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC327$154,966$77,4839.8x
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC357$138,180$69,0909.7x
GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC379$35,955$17,9789.6x
NEUROLOGICAL EYE DISORDERS123$43,222$21,6119.6x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$28,532$14,2669.6x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$291,888$145,9449.6x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC565$49,372$24,6869.5x
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC093$36,340$18,1709.5x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC272$156,806$78,4039.5x
TRAUMATIC INJURY WITHOUT MCC914$50,703$25,3529.5x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC083$76,806$38,4039.5x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC494$104,861$52,4319.3x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$233,302$116,6519.1x
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC963$142,923$71,4619x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$41,075$20,5389x
SKIN DEBRIDEMENT WITH CC571$78,729$39,3649x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$93,052$46,5269x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC192$25,028$12,5149x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$206,941$103,4709x
PERITONEAL ADHESIOLYSIS WITH CC336$122,762$61,3819x
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC657$100,111$50,0559x
OTHER VASCULAR PROCEDURES WITHOUT CC/MCC254$101,788$50,8948.9x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$73,787$36,8948.9x
FRACTURES OF HIP AND PELVIS WITHOUT MCC536$39,285$19,6438.9x
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$106,222$53,1118.9x
SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC195$29,018$14,5098.9x
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC856$263,361$131,6808.8x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$311,237$155,6198.8x

Showing 50 of 286 procedures

How SARASOTA 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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

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