Sarasota Memorial Hospital - Venice
Sarasota Memorial Hospital - Venice in North Venice, FL charges 8.1x the Medicare reimbursement rate across 105 analyzed procedures, making it a government-owned facility with pricing above the Medicare benchmark.
North Venice, FL 34275 · Acute Care Hospitals · CMS Rating: 4/5
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
8.08x
Charge / Medicare rate
Max markup
13.72x
Worst procedure
Procedures analyzed
105
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $42,869 | $21,434 | — | 13.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $124,158 | $62,079 | — | 13.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $27,876 | $13,938 | — | 13.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $28,832 | $14,416 | — | 13.3x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | 440 | $30,985 | $15,492 | — | 12.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $80,060 | $40,030 | — | 11.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $64,132 | $32,066 | — | 11.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $124,367 | $62,183 | — | 11.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $117,689 | $58,845 | — | 11x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $119,087 | $59,543 | — | 10.9x |
| DYSEQUILIBRIUM | 149 | $36,960 | $18,480 | — | 10.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $96,868 | $48,434 | — | 10.7x |
| URINARY STONES WITHOUT MCC | 694 | $44,208 | $22,104 | — | 10.7x |
| PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | 337 | $88,386 | $44,193 | — | 10.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $47,651 | $23,825 | — | 10.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $54,107 | $27,054 | — | 10.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $146,092 | $73,046 | — | 10.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $39,368 | $19,684 | — | 10.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $41,763 | $20,881 | — | 10.2x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $81,329 | $40,664 | — | 10.1x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $34,567 | $17,283 | — | 9.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $51,633 | $25,817 | — | 9.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $85,832 | $42,916 | — | 9.8x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $33,233 | $16,617 | — | 9.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $43,930 | $21,965 | — | 9.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $221,195 | $110,597 | — | 9.4x |
| HYPERTENSION WITHOUT MCC | 305 | $33,000 | $16,500 | — | 9.2x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $31,691 | $15,846 | — | 9.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $35,794 | $17,897 | — | 9.2x |
| CHEST PAIN | 313 | $30,482 | $15,241 | — | 9.1x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $146,360 | $73,180 | — | 9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $169,444 | $84,722 | — | 8.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $70,912 | $35,456 | — | 8.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $34,511 | $17,256 | — | 8.8x |
| SEIZURES WITHOUT MCC | 101 | $38,465 | $19,232 | — | 8.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $31,411 | $15,705 | — | 8.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $33,773 | $16,886 | — | 8.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $105,329 | $52,665 | — | 8.7x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $46,644 | $23,322 | — | 8.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $44,393 | $22,197 | — | 8.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $103,555 | $51,778 | — | 8.5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $47,415 | $23,708 | — | 8.5x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $179,509 | $89,755 | — | 8.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $47,521 | $23,761 | — | 8.3x |
| SYNCOPE AND COLLAPSE | 312 | $36,851 | $18,425 | — | 8.3x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $77,337 | $38,668 | — | 8.3x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $48,617 | $24,309 | — | 8.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $39,192 | $19,596 | — | 8.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $87,114 | $43,557 | — | 8.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $40,535 | $20,268 | — | 8.2x |
Showing 50 of 105 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