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

HCA Florida North Florida Hospital in Gainesville, FL currently has 131 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, HCA Florida North Florida Hospital's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns HCA Florida North Florida Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 472 Beds · urban Updated: 2026-09-01

HCA Florida North Florida Hospital

6500 W Newberry Rd, Gainesville, FL 32605 · 131 Priced Procedures · 59% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.64×vs. Fair Market Price

Typical commercial prices here are +64% above the fair benchmark (1.64×) even after accounting for local nurse/doctor wages and patient complexity.

67/100 · Caution

67/100Self-Pay Cash Beats Insurance 7% of the Time

File Completeness90

Price Logic85

Peer Alignment48

Clean Billing91

Real Cash Discount6

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.64× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

HCA Florida North Florida Hospital prices routine shoppable procedures near 8.0× Medicare (p50 1.07×) while skewing captive emergency, lab, and upper-quartile codes to 9.4× Medicare (p75 2.75×, +157% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#147 of 165 in FL · 88th State Percentile#2,810 of 3,385 in U.S. · 82nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 7% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (60/100 safety score) with 59% 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 5.3× markup over Medicare rates
Captive ER (4.1×) & laboratory (4.6×) services average 1.18× higher multiples than routine shoppable care (8.0×)
Upper-quartile procedures (Q75 2.75×) jump +157% above the median procedure ratio (Q50 1.07×)
Consolidated metro market (HHI 5,233) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

8.0× Medicare

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

Back-Door Captive & ER1.18× Divergence

9.4× Medicare

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

Quantile Tail Spread+157% Upper Tail

Q25 0.97× · Q50 1.07× · Q75 2.75×

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

8.0× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

5.3× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.1× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

4.1× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.6× MedicareWatchout

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

5.4× MedicareWatchout

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

7% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 60/100Elevated

Procedure Prices at HCA Florida North Florida Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 131 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$17,811	$6,109	unverified
Total hip replacement CPT Code: `27130`	—	$17,429	$13,413	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,396	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,781	$19,087	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$14,857	$2,680	unverified
C-section delivery (full package) CPT Code: `59510`	—	$14,857	$2,975	unverified
Inguinal hernia repair CPT Code: `49505`	—	$12,748	$3,629	3.5×
Bunion correction surgery CPT Code: `28296`	—	$12,748	$3,446	unverified
Breast lump removal CPT Code: `19120`	—	$10,340	$3,875	2.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$29,324	$8,445	$448	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,646	$8,223	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$24,506	$7,058	$303	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$6,405	$2,540	2.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$18,777	$5,520	$583	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$19,034	$5,482	$258	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$20,619	$5,227	$1,021	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$4,622	$30,775	0.2×
Trauma team activation HCPCS Code: `G0390`	—	$4,592	$1,453	3.2×
CT scan, head (with contrast) CPT Code: `70460`	$15,886	$4,575	$242	unverified
CT scan, pelvis CPT Code: `72192`	$15,704	$4,523	$163	27.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$15,344	$4,419	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$14,206	$4,091	$168	unverified
CT scan, head (no contrast) CPT Code: `70450`	—	$3,992	$160	24.9×
CT scan, chest (no contrast) CPT Code: `71250`	$13,760	$3,963	$167	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$3,765	$1,256	3.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$3,370	$981	3.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$3,370	$987	3.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$9,824	$3,266	$511	unverified
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$3,115	$257	unverified
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$3,115	$269	unverified
Behavioral health day treatment HCPCS Code: `H0010`	—	$3,115	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$3,115	$364	unverified
CT scan, sinuses CPT Code: `70486`	$10,290	$2,963	$166	unverified
MRI, brain (no contrast) CPT Code: `70551`	$6,545	$2,835	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$6,545	$2,858	$338	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,707	$855	3.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$5,271	$2,372	$134	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$6,331	$1,963	$272	unverified
X-ray, lower back CPT Code: `72110`	$5,168	$1,551	$112	unverified
X-ray, shoulder CPT Code: `73030`	$2,970	$1,485	$92	unverified
Blood transfusion CPT Code: `36430`	$1,858	$1,368	$498	2.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$4,605	$1,364	$132	unverified
X-ray, hand CPT Code: `73130`	$2,414	$1,207	$93	unverified
Rabies immune globulin HCPCS Code: `90375`	$2,744	$1,150	$322	3.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$3,063	$1,155	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$3,109	$1,162	$130	unverified
X-ray, ankle CPT Code: `73610`	$1,857	$928	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$2,728	$818	$93	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,446	$819	$369	unverified
X-ray, pelvis CPT Code: `72170`	$2,493	$748	$110	unverified
X-ray, foot CPT Code: `73630`	$1,368	$684	$92	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$402	$17,936	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$882	$374	$151	unverified
X-ray, hip CPT Code: `73502`	$642	$289	$93	3.1×
X-ray, chest (single view) CPT Code: `71045`	$561	$253	$92	2.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,146	$271	$148	unverified
Group therapy session CPT Code: `90853`	$823	$245	$100	2.5×
Review of medical records for care CPT Code: `90889`	—	$242	$114	2.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$1,101	$253	$166	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$511	$213	$64	3.3×
Residential mental health treatment HCPCS Code: `H2036`	—	$223	$406	0.5×
X-ray, chest (two views) CPT Code: `71046`	$561	$182	$93	2.0×
Family therapy session CPT Code: `90847`	$762	$194	$173	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$199	$185	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$762	$194	$181	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$1,071	$196	$110	unverified
Care planning with family CPT Code: `90887`	—	$162	$107	1.5×
Screening mammogram (both breasts) CPT Code: `77067`	$529	$163	$123	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$663	$180	$87	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$653	$188	$123	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$341	$82	$86	1.0×
Typhoid vaccine HCPCS Code: `90675`	$1,818	$864	$347	unverified
Culture, bacterial CPT Code: `87070`	$2,325	$720	$9	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$691	$203	3.4×
Culture, blood CPT Code: `87040`	—	$449	$11	unverified
Blood test, calcium CPT Code: `82310`	—	$402	$5	80.4×
Drug screening test HCPCS Code: `G0480`	$2,650	$408	$116	3.5×
Blood antibody screen CPT Code: `86850`	$1,329	$360	$46	7.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$1,129	$346	$4	unverified
Blood test, amylase CPT Code: `82150`	$1,756	$211	$7	30.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$1,720	$206	$14	14.7×
Blood test, sodium CPT Code: `84295`	—	$148	$5	29.6×
Blood test, potassium CPT Code: `84132`	$957	$131	$5	26.2×
Pneumococcal vaccine HCPCS Code: `90732`	$251	$128	$140	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$1,326	$145	$19	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$479	$149	$37	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	$119	$5	23.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$155	$78	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$844	$99	$111	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$729	$112	$16	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$759	$119	$18	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$283	$111	$39	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$204	$102	$56	unverified
Blood test, hemoglobin CPT Code: `85018`	—	$71	$3	23.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$261	$66	$201	0.3×
Blood test, basic metabolic panel CPT Code: `80048`	$722	$74	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$707	$78	$14	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$1,026	$15	$4	3.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$72	$36	$25	1.4×
Physical therapy (gait training) CPT Code: `97116`	$423	$34	$33	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$25	$8	$6	1.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$26	$25	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Behavioral health living support HCPCS Code: `H2019`	—	$33	$34	1.0×
Speech therapy (group session) CPT Code: `92508`	—	$25	$27	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$335	$34	$38	0.9×
Neurobehavioral status check CPT Code: `96116`	—	$54	$231	0.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$390	$64	$35	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$434	$77	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$419	$68	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$439	$79	$51	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$288	$77	$49	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prosthetic fitting and training CPT Code: `97761`	—	$42	$45	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$31	$38	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$182	$27	$35	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$108	$32	$49	0.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$1,257	$39	$11	unverified
Blood test, vitamin D CPT Code: `82306`	$108	$30	$31	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$15	$4	$3	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$108	$28	$48	0.6×
Blood test, liver function panel CPT Code: `80076`	$635	$29	$9	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$46	$10	$10	unverified
Blood test, lipase CPT Code: `83690`	$1,510	$21	$7	unverified
Blood test, magnesium CPT Code: `83735`	$115	$36	$7	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$63	$32	$5	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$2,073	$52	$20	unverified
Psychological testing evaluation CPT Code: `96136`	—	$21	$128	0.2×
Hepatitis C antibody test CPT Code: `86803`	$88	$14	$15	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$393	$29	$34	unverified

Showing top 25 high-impact procedures of 131 total

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

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

CMS CCN: 100204

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash Request Quote

Insurer Median $17,811

1. Amount on Your Bill or Quote ($) Pre-filled with HCA Florida North Florida 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 North Florida 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 +$36,637 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($42,746) is $36,637 above the denoised Fair BaseRate ($6,109) and 6.9× the $6,176 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: 611269294

Public IRS & CMS ownership records classify HCA Florida North Florida 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 Recommend59%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait99 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate2.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

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 North Florida Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-07·administrative_or_closure
Met Requirements
Recorded
2024-03-06·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (574 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 Quality & Price Benchmark

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

Price Index: 1.07× regional baseline

Quality: 45/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-63.8%

Capital Health Plan

-49.1%

Blue Cross Blue Shield

-44.9%

Beacon Health Options

+87.5%

Median Household Income$59,659U.S. Census ACS

Local Uninsured Share7.8%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 100204 EIN 611269294

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100204) ↗ Verify IRS Form 990 (EIN 611269294) ↗ CMS HCRIS Cost Reports ↗

Published MRF File61-1269294_HCA-FLORIDA-NORTH-FLORIDA-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 368.91 MB

Validated Rate Rows6,269 (CMS v3.0.0)

File Integrity Digest93024f9c29d2db0386ed…

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.

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