St Mary's Medical Center
ST MARY'S MEDICAL CENTER in West Palm Beach, FL charges 11.9x the Medicare reimbursement rate across 40 analyzed procedures, with 60% showing outlier pricing patterns.
West Palm Beach, FL 33407 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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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
11.86x
Charge / Medicare rate
Max markup
19.5x
Worst procedure
Procedures analyzed
40
With pricing data
Outlier procedures
60%
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 |
|---|---|---|---|---|---|
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $219,022 | $109,511 | — | 19.5x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | 084 | $93,618 | $46,809 | — | 16.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $208,003 | $104,002 | — | 15.7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $265,116 | $132,558 | — | 15.4x |
| SYNCOPE AND COLLAPSE | 312 | $107,534 | $53,767 | — | 15.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $287,478 | $143,739 | — | 15x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $119,352 | $59,676 | — | 15x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $102,873 | $51,436 | — | 14.6x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $146,295 | $73,147 | — | 14.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $223,979 | $111,990 | — | 13.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $447,234 | $223,617 | — | 13x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $346,994 | $173,497 | — | 13x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $195,172 | $97,586 | — | 12.8x |
| LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | 956 | $296,370 | $148,185 | — | 12.5x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $114,266 | $57,133 | — | 12.5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $119,684 | $59,842 | — | 12.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $78,799 | $39,400 | — | 12.2x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $89,366 | $44,683 | — | 11.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $162,637 | $81,319 | — | 11.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $110,239 | $55,119 | — | 11.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $449,375 | $224,688 | — | 11.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $63,245 | $31,622 | — | 11.2x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $185,181 | $92,591 | — | 11x |
| SEIZURES WITHOUT MCC | 101 | $84,988 | $42,494 | — | 11x |
| RENAL FAILURE WITH MCC | 682 | $118,420 | $59,210 | — | 10.7x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $475,279 | $237,639 | — | 10.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $119,119 | $59,560 | — | 10.4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $157,987 | $78,993 | — | 10.3x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $352,955 | $176,477 | — | 10.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $132,829 | $66,415 | — | 10.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $162,198 | $81,099 | — | 10.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $102,411 | $51,206 | — | 9.8x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $223,243 | $111,622 | — | 9.4x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $191,182 | $95,591 | — | 9.2x |
| RENAL FAILURE WITH CC | 683 | $65,946 | $32,973 | — | 9.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $55,002 | $27,501 | — | 9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $88,328 | $44,164 | — | 8.9x |
| DIABETES WITH MCC | 637 | $90,816 | $45,408 | — | 8.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $68,950 | $34,475 | — | 8.3x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $76,575 | $38,287 | — | 7.2x |
How ST MARY'S MEDICAL CENTER 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.
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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