How many shoppable procedure prices are published for HCA Florida Lehigh Hospital?

HCA Florida Lehigh Hospital in Lehigh Acres, FL currently has 116 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do HCA Florida Lehigh Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, HCA Florida Lehigh Hospital's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

What is HCA Florida Lehigh Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns HCA Florida Lehigh Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 53 Beds · urban Updated: 2026-09-01

HCA Florida Lehigh Hospital

1500 Lee Blvd, Lehigh Acres, FL 33936 · 116 Priced Procedures · 55% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.81×vs. Fair Market Price

Typical commercial prices here are +81% above the fair benchmark (1.81×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness100

Price Logic97

Peer Alignment55

Clean Billing88

Real Cash Discount6

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.81× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +197% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

HCA Florida Lehigh Hospital prices routine shoppable procedures at 5.9× Medicare (median 1.08× Fair BaseRate) while upper-quartile commercial rates jump +197% to 3.21× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#154 of 165 in FL · 92nd State Percentile#2,963 of 3,385 in U.S. · 87th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 55% patient recommendation (60/100 safety score)
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 2.0× markup over Medicare rates
Commercial insurance median sits at 1.08× Fair BaseRate (5.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.21×) jump +197% above the median procedure ratio (Q50 1.08×)
Consolidated metro market (HHI 8,400) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

5.9× Medicare

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

Back-Door Captive & ER0.25× Divergence

1.5× Medicare

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

Quantile Tail Spread+197% Upper Tail

Q25 1.00× · Q50 1.08× · Q75 3.21×

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

5.9× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.2× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

3.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.0× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

4.7× MedicareWatchout

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 60/100Elevated

Procedure Prices at HCA Florida Lehigh Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 116 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,961	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,388	$19,087	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$14,352	$6,109	2.3×
Breast lump removal CPT Code: `19120`	—	$12,361	$3,875	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,385	$8,223	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$8,253	$2,680	3.1×
C-section delivery (full package) CPT Code: `59510`	—	$8,253	$2,975	2.8×
Bunion correction surgery CPT Code: `28296`	—	$8,253	$3,446	2.4×
Inguinal hernia repair CPT Code: `49505`	—	$8,253	$3,629	2.3×
Total hip replacement CPT Code: `27130`	—	$8,253	$13,413	0.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,993	$2,540	2.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$17,480	$4,020	$583	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$3,951	$30,775	0.1×
Colonoscopy with biopsy CPT Code: `45380`	—	$3,813	$1,256	3.0×
Upper endoscopy with biopsy CPT Code: `43239`	—	$3,813	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$3,813	$981	unverified
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$3,836	$257	unverified
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$3,836	$269	unverified
Behavioral health day treatment HCPCS Code: `H0010`	—	$3,836	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$3,836	$364	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$21,849	$3,365	$448	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$21,245	$3,144	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$18,867	$2,906	$303	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,821	$855	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$17,998	$2,772	$168	unverified
CT scan, sinuses CPT Code: `70486`	$17,430	$2,632	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$16,856	$2,495	$169	unverified
CT scan, head (no contrast) CPT Code: `70450`	$13,438	$2,069	$160	12.9×
CT scan, head (with contrast) CPT Code: `70460`	$13,890	$2,056	$242	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,992	$1,021	2.0×
CT scan, chest (no contrast) CPT Code: `71250`	$13,518	$2,001	$167	unverified
Blood transfusion CPT Code: `36430`	$1,389	$1,950	$498	3.9×
MRI, knee or other leg joint CPT Code: `73721`	$11,510	$1,922	$369	unverified
CT scan, pelvis CPT Code: `72192`	$12,583	$1,862	$163	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$11,566	$1,712	$338	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$5,764	$1,470	$134	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$9,309	$1,378	$511	2.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$4,919	$1,358	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$4,810	$1,227	$130	unverified
MRI, brain (no contrast) CPT Code: `70551`	$7,666	$1,158	$343	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$3,650	$931	$132	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$4,317	$872	$272	unverified
X-ray, shoulder CPT Code: `73030`	$3,270	$779	$92	unverified
X-ray, ankle CPT Code: `73610`	$2,856	$675	$93	unverified
X-ray, hip CPT Code: `73502`	$2,620	$603	$93	unverified
X-ray, foot CPT Code: `73630`	$2,500	$575	$92	6.3×
Rabies immune globulin HCPCS Code: `90375`	—	$592	$322	1.8×
X-ray, hand CPT Code: `73130`	$2,190	$513	$93	unverified
X-ray, lower back CPT Code: `72110`	$5,015	$391	$112	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$327	$17,936	unverified
X-ray, chest (two views) CPT Code: `71046`	$2,164	$339	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$2,995	$347	$93	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$2,263	$301	$151	unverified
X-ray, pelvis CPT Code: `72170`	$3,475	$271	$110	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,419	$247	$64	unverified
X-ray, chest (single view) CPT Code: `71045`	$815	$182	$92	2.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$812	$125	$14	8.9×
Speech therapy (language evaluation) CPT Code: `92507`	$1,030	$150	$86	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$209	$108	$86	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$112	$148	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$753	$116	$201	0.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$822	$125	$35	unverified
Screening mammogram (both breasts) CPT Code: `77067`	—	$93	$123	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$535	$85	$40	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$495	$203	2.4×
Typhoid vaccine HCPCS Code: `90675`	$1,747	$355	$347	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$287	$140	2.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$611	$183	$111	1.6×
Culture, blood CPT Code: `87040`	$2,170	$169	$11	unverified
Drug screening test HCPCS Code: `G0480`	$1,373	$117	$116	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$896	$142	$49	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$80	$39	2.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$357	$85	$56	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$191	$57	$37	1.5×
Orthotic fitting and training CPT Code: `97760`	$460	$73	$51	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$1,974	$35	$38	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$467	$59	$38	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$161	$26	$48	0.5×
Physical therapy (gait training) CPT Code: `97116`	$372	$47	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$416	$64	$34	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$554	$70	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$460	$72	$45	unverified
Behavioral health living support HCPCS Code: `H2019`	—	$35	$34	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$815	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$2,211	$7	$6	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$2,273	$12	$11	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$2,086	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$1,588	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$837	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$1,647	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$899	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$368	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, vitamin D CPT Code: `82306`	$266	$30	$31	1.0×
Speech therapy (group session) CPT Code: `92508`	—	$25	$27	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$101	$23	$25	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$13	$25	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$13	$35	0.4×
Blood antibody screen CPT Code: `86850`	$56	$11	$46	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	$867	$9	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$1,709	$15	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$1,574	$9	$9	unverified
Blood test, calcium CPT Code: `82310`	$829	$6	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$145	$15	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$133	$14	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$764	$4	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$361	$11	$10	unverified
Blood test, lipase CPT Code: `83690`	$1,918	$8	$7	unverified
Blood test, magnesium CPT Code: `83735`	$954	$7	$7	unverified
Blood test, potassium CPT Code: `84132`	$954	$5	$5	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$6	$18	$19	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$2,059	$5	$5	unverified
Hepatitis C antibody test CPT Code: `86803`	$139	$15	$15	unverified
Culture, bacterial CPT Code: `87070`	$1,153	$9	$9	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$173	$20	$20	unverified

Showing top 25 high-impact procedures of 116 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

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

CMS CCN: 100107

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $16,961

1. Amount on Your Bill or Quote ($) Pre-filled with HCA Florida Lehigh Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 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 Lehigh 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 +$21,274 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($40,706) is $21,274 above the denoised Fair BaseRate ($19,432) and 2.9× the $14,044 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: 871999484

Public IRS & CMS ownership records classify HCA Florida Lehigh 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 Overall2/5 Stars (2/5)

Safety Composite60/100

Would Recommend55%

Rated 9 or 10 (HCAHPS)54%

Median ER Wait124 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (371 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

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

Price Index: 1.00× regional baseline

Quality: 46/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-68.5%

Blue Cross Blue Shield

-54.3%

WellCare

-45.1%

AmeriHealth

+193.3%

Median Household Income$73,099U.S. Census ACS

Local Uninsured Share12.5%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 73/100 · Corroborated CMS CCN 100107 EIN 871999484

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100107) ↗ Verify IRS Form 990 (EIN 871999484) ↗ CMS HCRIS Cost Reports ↗

Published MRF File87-1999484_HCA-FLORIDA-LEHIGH-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 134.86 MB

Validated Rate Rows2,933 (CMS v3.0.0)

File Integrity Digest3038c201696b5a44177b…

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.

Submit MRF Update Correction Policy