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St Anthonys Hospital

ST ANTHONYS HOSPITAL in Saint Petersburg, FL charges 6.3x the Medicare reimbursement rate across 97 analyzed procedures, reflecting pricing patterns common among nonprofit religious healthcare systems.

Saint Petersburg, FL 33705 · Acute Care Hospitals · CMS Rating: 3/5

By Kevin Nyk , Medical Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.

97 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 4.4x2.5x15.0x
6.3x
Medicare markup ratio
FL lowestSt Anthonys HospitalFL highest
6.3x
Avg markup ratio
6.0x
Median markup
97
Procedures
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Billing patterns — nonprofit-religious

Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.

Pricing grade

D

High

Avg markup vs Medicare

6.27x

Charge / Medicare rate

Max markup

9.93x

Worst procedure

Procedures analyzed

97

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$32,661$16,3309.9x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$34,021$17,0109.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$51,542$25,7719.2x
GASTROINTESTINAL OBSTRUCTION WITH MCC388$81,997$40,9998.6x
HYPERTENSION WITHOUT MCC305$41,966$20,9838.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$49,601$24,8008.4x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$78,684$39,3428.4x
CHEST PAIN313$40,959$20,4798.4x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$132,799$66,4008.1x
DIGESTIVE MALIGNANCY WITH CC375$70,016$35,0088.1x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$41,732$20,8668.1x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$37,329$18,6647.8x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$35,127$17,5637.8x
GASTROINTESTINAL OBSTRUCTION WITH CC389$40,512$20,2567.6x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$62,916$31,4587.6x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$62,406$31,2037.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$46,216$23,1087.4x
GASTROINTESTINAL HEMORRHAGE WITH CC378$46,369$23,1857.4x
DIABETES WITH MCC637$56,740$28,3707.4x
FRACTURES OF HIP AND PELVIS WITHOUT MCC536$34,452$17,2267.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$87,762$43,8817.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$81,264$40,6327.1x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$49,192$24,5967.1x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$38,349$19,1757.1x
SYNCOPE AND COLLAPSE312$39,308$19,6547x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$66,853$33,4267x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$55,855$27,9286.9x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$79,721$39,8606.9x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$71,889$35,9446.9x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$32,726$16,3636.9x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$36,401$18,2016.8x
MEDICAL BACK PROBLEMS WITHOUT MCC552$39,756$19,8786.8x
PERITONEAL ADHESIOLYSIS WITH CC336$84,086$42,0436.7x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$33,645$16,8236.7x
DIABETES WITH CC638$37,427$18,7146.6x
RED BLOOD CELL DISORDERS WITH MCC811$61,567$30,7836.6x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$53,617$26,8096.5x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$33,099$16,5496.5x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$39,303$19,6516.5x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$41,235$20,6176.5x
RENAL FAILURE WITH CC683$36,487$18,2436.4x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$52,891$26,4456.4x
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC617$76,117$38,0596.4x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$54,251$27,1266.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$77,576$38,7886.2x
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC372$42,076$21,0386.1x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$73,615$36,8076.1x
HEART FAILURE AND SHOCK WITH MCC291$48,222$24,1116x
ENDOCRINE DISORDERS WITH CC644$42,597$21,2986x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$42,941$21,4706x

Showing 50 of 97 procedures

How ST ANTHONYS 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 — nonprofit-religious hospital billing

How do nonprofit religious hospital charges compare to Medicare rates?
Data shows that 203 nonprofit religious hospitals have an average markup of 5.4 times Medicare rates for similar services. These hospitals operate under religious organizational structures while maintaining nonprofit tax status, which provides context for their billing practices and pricing structures.
What does a 5.4x Medicare markup mean for my medical bills?
A 5.4x markup means these hospitals typically charge 5.4 times what Medicare would pay for the same service. For example, if Medicare pays $1,000 for a procedure, the hospital's standard charge would average $5,400, though your actual out-of-pocket costs depend on your insurance coverage and negotiated rates.
Are nonprofit religious hospitals required to offer financial assistance?
Yes, nonprofit hospitals including religious institutions must provide charity care and financial assistance programs as a condition of their tax-exempt status. These hospitals are required to have written financial assistance policies and must make them publicly available, though the specific terms and eligibility requirements vary by institution.
How can I find out the actual charges at a specific nonprofit religious hospital?
Nonprofit hospitals are required to publish their standard charges online, typically called a 'chargemaster' or price transparency list. You can also request a good faith estimate before receiving services, which may show potential differences between standard charges and what you might actually pay based on your insurance coverage.

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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