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

HCA Florida Northside Hospital in Saint Petersburg, FL currently has 126 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, HCA Florida Northside Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns HCA Florida Northside Hospital an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 202 Beds · rural Updated: 2026-09-01

HCA Florida Northside Hospital

6000 49Th St N, Saint Petersburg, FL 33709 · 126 Priced Procedures · 53% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Above Fair Market · Negotiate

1.24×vs. Fair Market Price

Typical commercial prices here are +24% above the fair benchmark (1.24×) even after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 6% of the Time

File Completeness85

Price Logic82

Peer Alignment45

Clean Billing91

Real Cash Discount6

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.24× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +100% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

HCA Florida Northside Hospital prices routine shoppable procedures at 2.6× Medicare (median 1.03× Fair BaseRate) while upper-quartile commercial rates jump +100% to 2.06× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#103 of 165 in FL · 61st State Percentile#2,103 of 3,385 in U.S. · 62nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 6% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 53% patient recommendation (53/100 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 3.7× markup over Medicare rates
Commercial insurance median sits at 1.03× Fair BaseRate (2.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.06×) jump +100% above the median procedure ratio (Q50 1.03×)
Unnegotiated chargemaster list prices average 16.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.6× Medicare

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

Back-Door Captive & ER0.42× Divergence

1.1× Medicare

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

Quantile Tail Spread+100% Upper Tail

Q25 0.94× · Q50 1.03× · Q75 2.06×

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

2.6× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.7× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.4× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.5× MedicareElevated

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

4.8× MedicareWatchout

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

6% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 53/100Elevated

Procedure Prices at HCA Florida Northside Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 126 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$31,599	$31,599	$303	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$28,780	$30,775	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$21,463	$21,463	$242	unverified
CT scan, head (no contrast) CPT Code: `70450`	$20,725	$20,725	$160	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$20,248	$20,248	$168	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,852	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,737	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,329	$17,936	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$14,441	$14,441	$169	unverified
CT scan, pelvis CPT Code: `72192`	$13,437	$13,437	$163	82.4×
Total knee replacement CPT Code: `27447`	—	$11,000	$13,523	0.8×
Total hip replacement CPT Code: `27130`	—	$10,559	$13,413	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$10,261	$6,109	1.7×
Breast lump removal CPT Code: `19120`	—	$10,261	$3,875	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$9,467	$3,372	2.8×
Rabies immune globulin HCPCS Code: `90375`	$8,027	$8,027	$322	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,986	$8,223	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$7,480	$3,629	2.1×
Bunion correction surgery CPT Code: `28296`	—	$5,727	$3,446	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$5,258	$5,258	$134	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$4,182	$2,540	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$4,040	$4,040	$132	unverified
Ultrasound, pelvis CPT Code: `76856`	$3,750	$3,750	$130	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$40,066	$3,444	$511	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$5,460	$2,958	$1,021	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$2,762	$1,256	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,594	$987	2.6×
MRI, lower back (no contrast) CPT Code: `72148`	$8,013	$2,529	$338	7.5×
MRI, brain (no contrast) CPT Code: `70551`	$8,013	$2,487	$343	7.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,501	$855	2.9×
MRI, knee or other leg joint CPT Code: `73721`	$12,016	$2,398	$369	6.5×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,250	$2,680	0.8×
C-section delivery (full package) CPT Code: `59510`	—	$2,250	$2,975	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,024	$981	2.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$27,458	$1,878	$258	7.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$42,284	$1,878	$448	4.2×
Blood transfusion CPT Code: `36430`	$1,618	$1,618	$498	3.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$20,745	$976	$583	1.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$3,391	$570	$126	4.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,423	$573	$272	2.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$573	$573	$151	unverified
X-ray, shoulder CPT Code: `73030`	—	$443	$92	4.8×
X-ray, hip CPT Code: `73502`	—	$441	$93	4.7×
X-ray, chest (two views) CPT Code: `71046`	$2,569	$446	$93	unverified
X-ray, foot CPT Code: `73630`	—	$419	$92	4.6×
X-ray, ankle CPT Code: `73610`	—	$419	$93	4.5×
X-ray, hand CPT Code: `73130`	$4,736	$411	$93	4.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$5,137	$422	$93	unverified
X-ray, chest (single view) CPT Code: `71045`	$2,252	$375	$92	4.1×
X-ray, pelvis CPT Code: `72170`	$4,172	$391	$110	3.6×
Review of medical records for care CPT Code: `90889`	—	$228	$114	2.0×
New patient office visit (30-44 min) CPT Code: `99203`	$388	$170	$110	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$192	$185	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$182	$181	1.0×
Care planning with family CPT Code: `90887`	—	$156	$107	1.5×
Family therapy session CPT Code: `90847`	—	$171	$173	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$160	$166	1.0×
CT scan, sinuses CPT Code: `70486`	—	—	$166	—
CT scan, chest (no contrast) CPT Code: `71250`	—	—	$167	—
Group therapy session CPT Code: `90853`	—	$130	$100	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$464	$133	$123	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$460	$133	$64	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$232	$99	$86	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$352	$96	$87	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$111	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	—	$92	$123	0.7×
X-ray, lower back CPT Code: `72110`	—	—	$112	—
Speech therapy (language evaluation) CPT Code: `92507`	$381	$80	$86	0.9×
Typhoid vaccine HCPCS Code: `90675`	$1,244	$1,244	$347	3.6×
Flu vaccine injection HCPCS Code: `G0008`	$256	$256	$48	5.3×
Pneumococcal vaccine HCPCS Code: `90732`	$679	$150	$140	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$159	$39	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$174	$159	$56	unverified
Drug screening test HCPCS Code: `G0480`	$1,929	$120	$116	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$105	$105	$111	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$73	$49	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$95	$95	$203	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$268	$69	$49	1.4×
Behavioral health living support HCPCS Code: `H2019`	—	$34	$34	1.0×
Prosthetic fitting and training CPT Code: `97761`	$274	$42	$45	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$190	$58	$201	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$79	$79	$25	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$336	$15	$14	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Blood test, vitamin D CPT Code: `82306`	$107	$32	$31	1.0×
Orthotic fitting and training CPT Code: `97760`	$274	$45	$51	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	—	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$1,740	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$108	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	—	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$594	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$21	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$421	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$223	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$47	$10	$10	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$495	$33	$38	0.9×
Neurobehavioral status check CPT Code: `96116`	—	$53	$231	0.2×
Blood test, potassium CPT Code: `84132`	—	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$297	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$111	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$169	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$33	$15	$15	1.0×
Culture, blood CPT Code: `87040`	—	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	—	$9	$9	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$25	$25	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$159	$13	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$224	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$107	$34	$40	0.8×
Blood test, lipase CPT Code: `83690`	$955	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$91	$7	$7	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$130	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$161	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$278	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$159	$27	$34	0.8×
Blood test, vitamin B12 CPT Code: `82607`	$9	$9	$16	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$13	$35	0.4×
Blood antibody screen CPT Code: `86850`	$1,176	$11	$46	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$21	$128	0.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$53	$20	$19	unverified
Blood test, sodium CPT Code: `84295`	—	$5	$5	unverified
Speech therapy (group session) CPT Code: `92508`	—	$25	$27	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$784	$20	$20	unverified

Showing top 25 high-impact procedures of 126 total

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

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

CMS CCN: 100238

CPT 74176

Select Procedure to Audit:

Fair BaseRate™ $303

Medicare Rate $244

Self-Pay Cash $31,599

Insurer Median $31,599

1. Amount on Your Bill or Quote ($) Pre-filled with HCA Florida Northside 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 Published Cash: $31,599

Compare Prompt-Pay Cash Rate Against Remaining Deductible

HCA Florida Northside Hospital's published 45 CFR § 180 self-pay cash rate is $31,599 (vs. $31,599 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$31,296 Above Fair BaseRate

Negotiate Toward $303 Fair BaseRate ($244 Medicare)

Your bill ($31,599) is $31,296 above the denoised Fair BaseRate ($303) and 129.5× the $244 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: 610947837

Public IRS & CMS ownership records classify HCA Florida Northside 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 Composite53/100

Would Recommend53%

Rated 9 or 10 (HCAHPS)57%

Median ER Wait153 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate3.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

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

2025-05-06·administrative_or_closure
Met Requirements
Recorded
2023-09-28·administrative_or_closure
Closure Notice
Recorded
2023-06-16·warning_notice
Warning Notice
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 Northside Hospital.

Price Index: 0.83× regional baseline

Quality: 38/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Cigna

-48.5%

Blue Cross Blue Shield

-43.8%

AmeriHealth

+102.3%

Median Household Income$70,293U.S. Census ACS

Local Uninsured Share10.7%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 64/100 · Caution CMS CCN 100238 EIN 610947837

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100238) ↗ Verify IRS Form 990 (EIN 610947837) ↗ CMS HCRIS Cost Reports ↗

Published MRF File61-0947837_HCA-FLORIDA-NORTHSIDE-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 322.14 MB

Validated Rate Rows6,150 (CMS v3.0.0)

File Integrity Digestc4e306dd10d37aa84315…

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