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Hospital Profile Acute Care Hospital Proprietary 100 Beds · urban Updated: 2026-09-01

HCA Florida Englewood Hospital

700 Medical Blvd, Englewood, FL 34223 · 127 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 3 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.35×vs. Fair Market Price
Position vs. 1.00× Fair Price+35% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +35% above the fair benchmark (1.35×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).67/100 · Caution
67/100Self-Pay Cash Beats Insurance 4% of the Time
File Completeness85Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment49Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing89Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount6Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Premium Quality Tier
CMS Star Rating3/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score66/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait148 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

3-Star CMS clinical quality rating paired with 1.35× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +110% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

HCA Florida Englewood Hospital prices routine shoppable procedures at 3.2× Medicare (median 1.04× Fair BaseRate) while upper-quartile commercial rates jump +110% to 2.18× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#118 of 165 in FL · 70th State Percentile#2,353 of 3,385 in U.S. · 69th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
  • CMS clinical safety score (66/100 safety score) with 66% patient recommendation
  • Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
  • Commercial insurance median sits at 1.04× Fair BaseRate (3.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 2.18×) jump +110% above the median procedure ratio (Q50 1.04×)
  • Unnegotiated chargemaster list prices average 18.0× Medicare (14¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
3.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.31× Divergence
1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+110% Upper Tail
Q25 0.93× · Q50 1.04× · Q75 2.18×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
3.2× MedicareElevated
Outpatient Surgery & ORBack-Door Captive
1.6× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
3.4× MedicareElevated
Back-Door Captive ER VisitsBack-Door Captive
1.9× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
2.5× MedicareFair
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
3.6× MedicareElevated
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
4% Cash Edge · 25/100Watchout
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 66/100Fair

Procedure Prices at HCA Florida Englewood Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
$25,667 0.8×
CT scan, sinuses
CPT Code: 70486
$19,173 115.5×
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
$15,610 0.8×
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
$15,506 0.8×
CT scan, chest (no contrast)
CPT Code: 71250
$14,870 89.0×
CT scan, head (no contrast)
CPT Code: 70450
$14,782 92.4×
Heart stent placement (inpatient stay)
MS-DRG Code: 322
$14,202 0.8×
CT scan, pelvis
CPT Code: 72192
$13,842 84.9×
Total knee replacement
CPT Code: 27447
$10,638 0.8×
Total hip replacement
CPT Code: 27130
$10,100 0.8×
Gallbladder removal (laparoscopic)
CPT Code: 47562
$8,771 1.4×
Knee arthroscopy with meniscus repair
CPT Code: 29881
$8,346 2.5×
Inguinal hernia repair
CPT Code: 49505
$8,264 2.3×
Breast lump removal
CPT Code: 19120
$8,275 2.1×
Bunion correction surgery
CPT Code: 28296
$6,854 2.0×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
$6,797 0.8×
Ultrasound, abdomen (complete)
CPT Code: 76700
$6,383 47.6×
X-ray, lower back
CPT Code: 72110
$5,516 49.3×
Ultrasound, pelvis
CPT Code: 76856
$5,328 41.0×
Cataract surgery with lens implant
CPT Code: 66984
$4,284 1.7×
Ultrasound, thyroid and neck
CPT Code: 76536
$4,015 unverified
MRI, brain (with and without contrast)
CPT Code: 70553
$3,265 unverified
Colonoscopy with biopsy
CPT Code: 45380
$3,193 2.5×
Injection procedure for pain management
HCPCS Code: G0260
$2,821 3.3×
Upper endoscopy with biopsy
CPT Code: 43239
$2,653 2.7×
Showing top 25 high-impact procedures of 127 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at HCA Florida Englewood Hospital (Zero PHI Required)

CMS CCN: 100267
CPT 451
Fair BaseRate™ $30,775
Medicare Rate $23,504
Self-Pay Cash Request Quote
Insurer Median $25,667
Pre-filled with HCA Florida Englewood Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask HCA Florida Englewood Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$30,826 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($61,601) is $30,826 above the denoised Fair BaseRate ($30,775) and 2.6× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 351611050

Public IRS & CMS ownership records classify HCA Florida Englewood Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)
Safety Composite66/100
Would Recommend66%
Rated 9 or 10 (HCAHPS)69%
Median ER Wait148 min
Left ER Before Seen0%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame
Hip/Knee Complication Rate3.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)
C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at HCA Florida Englewood Hospital. Prior administrative notices do not necessarily reflect current compliance status.

  • 2025-05-05·administrative_or_closure

    Met Requirements

    Recorded
  • 2023-10-05·administrative_or_closure

    Closure Notice

    Recorded
  • 2023-06-21·warning_notice

    Warning Notice

    Recorded

Source: CMS Hospital Care Compare (483 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for HCA Florida Englewood Hospital.

Price Index: 1.15× regional baseline
Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield
-54.5%
Cigna
-49.4%
Centurion
-45.7%
Molina
+72.3%
AmeriHealth
+128.0%
Median Household Income$80,633U.S. Census ACS
Local Uninsured Share10.0%Regional ACS estimate
200% FPL (1 Person)$31,920Common free-care ceiling
400% FPL (Family of 4)$128,600Common AGB cap ceiling
45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 67/100 · Caution CMS CCN 100267 EIN 351611050

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Published MRF File35-1611050_HCA-FLORIDA-ENGLEWOOD-HOSPITAL_standardcharges.json
Publication / Vintage2026-09-01 · 268.76 MB
Validated Rate Rows5,926 (CMS v3.0.0)
File Integrity Digest540f694f92a3829f0e67…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.