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

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

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

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

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

CMS Care Compare assigns HCA Florida Palms West 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 206 Beds · urban Updated: 2026-09-01

HCA Florida Palms West Hospital

13001 Southern Blvd, Loxahatchee, FL 33470 · 131 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.61×vs. Fair Market Price

Typical commercial prices here are +61% above the fair benchmark (1.61×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 3% of the Time

File Completeness85

Price Logic86

Peer Alignment60

Clean Billing89

Real Cash Discount6

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.61× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +116% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

HCA Florida Palms West Hospital prices routine shoppable procedures at 5.3× Medicare (median 1.29× Fair BaseRate) while upper-quartile commercial rates jump +116% to 2.79× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#144 of 165 in FL · 86th State Percentile#2,773 of 3,385 in U.S. · 81st 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 3% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 61% patient recommendation (57/100 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 3.0× markup over Medicare rates
Commercial insurance median sits at 1.29× Fair BaseRate (5.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.79×) jump +116% above the median procedure ratio (Q50 1.29×)
Unnegotiated chargemaster list prices average 19.5× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

5.3× Medicare

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

Back-Door Captive & ER0.79× Divergence

4.2× Medicare

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

Quantile Tail Spread+116% Upper Tail

Q25 1.00× · Q50 1.29× · Q75 2.79×

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

5.3× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

3.0× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.7× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

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

1.9× MedicareGood

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

3% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 57/100Elevated

Procedure Prices at HCA Florida Palms West 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.

Sort:

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`	—	$18,339	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,109	$19,087	unverified
Breast lump removal CPT Code: `19120`	—	$11,456	$3,875	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$10,980	$6,109	1.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,327	$8,223	1.0×
Bunion correction surgery CPT Code: `28296`	—	$6,802	$3,446	2.0×
Inguinal hernia repair CPT Code: `49505`	—	$6,802	$3,629	1.9×
Total hip replacement CPT Code: `27130`	—	$6,802	$13,413	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$5,933	$2,540	unverified
Trauma team activation HCPCS Code: `G0390`	—	$4,564	$1,453	3.1×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$4,250	$1,021	4.2×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$4,012	$30,775	0.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$3,120	$981	3.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$3,120	$987	3.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$3,120	$1,256	unverified
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$2,936	$257	unverified
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$2,936	$269	unverified
Behavioral health day treatment HCPCS Code: `H0010`	—	$2,936	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$2,936	$364	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$2,750	$2,680	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,750	$2,975	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$11,462	$2,202	$160	13.8×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,194	$855	2.6×
CT scan, head (with contrast) CPT Code: `70460`	$12,613	$2,202	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$15,133	$2,202	$258	unverified
CT scan, sinuses CPT Code: `70486`	$12,798	$2,202	$166	unverified
MRI, brain (no contrast) CPT Code: `70551`	$15,173	$2,202	$343	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$19,981	$2,202	$511	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$14,112	$2,202	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$14,463	$2,202	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$12,906	$2,202	$168	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$15,173	$2,202	$338	unverified
CT scan, pelvis CPT Code: `72192`	$14,673	$2,202	$163	unverified
MRI, knee or other leg joint CPT Code: `73721`	$15,173	$2,202	$369	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$29,346	$2,202	$303	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$32,279	$2,202	$448	unverified
Blood transfusion CPT Code: `36430`	$2,090	$2,160	$498	4.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$6,361	$1,449	$134	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$5,813	$1,221	$272	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$5,288	$1,145	$583	2.0×
Ultrasound, pelvis CPT Code: `76856`	$4,806	$1,105	$130	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$4,672	$1,011	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$4,306	$947	$126	unverified
X-ray, lower back CPT Code: `72110`	$3,699	$800	$112	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$626	$17,936	unverified
X-ray, shoulder CPT Code: `73030`	$2,242	$583	$92	unverified
X-ray, ankle CPT Code: `73610`	$2,232	$580	$93	unverified
X-ray, hand CPT Code: `73130`	$2,055	$550	$93	unverified
X-ray, hip CPT Code: `73502`	$2,474	$544	$93	unverified
X-ray, foot CPT Code: `73630`	$2,117	$550	$92	unverified
Residential mental health treatment HCPCS Code: `H2036`	—	$486	$406	1.2×
Rabies immune globulin HCPCS Code: `90375`	—	$454	$322	1.4×
X-ray, chest (single view) CPT Code: `71045`	$2,151	$452	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$2,028	$446	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$2,206	$463	$93	unverified
X-ray, pelvis CPT Code: `72170`	$2,051	$431	$110	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$1,327	$300	$151	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$1,500	$303	$123	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,354	$284	$64	unverified
Review of medical records for care CPT Code: `90889`	—	$241	$114	2.1×
Speech therapy (language evaluation) CPT Code: `92507`	$1,913	$253	$86	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,745	$227	$148	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$198	$185	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$188	$181	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$1,179	$189	$38	unverified
Care planning with family CPT Code: `90887`	—	$161	$107	1.5×
Family therapy session CPT Code: `90847`	—	$177	$173	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$165	$166	1.0×
Group therapy session CPT Code: `90853`	—	$133	$100	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$633	$133	$201	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$759	$147	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$740	$150	$34	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$450	$96	$123	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$669	$119	$35	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$680	$126	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$471	$91	$33	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$525	$94	$40	unverified
Orthotic fitting and training CPT Code: `97760`	$878	$118	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	$680	$137	$45	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$450	$96	$110	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$728	$111	$14	unverified
Typhoid vaccine HCPCS Code: `90675`	$10,545	$1,703	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,097	$252	$203	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$758	$197	$140	1.4×
Blood test, calcium CPT Code: `82310`	$1,070	$171	$5	34.2×
Blood test, amylase CPT Code: `82150`	$1,107	$177	$7	25.3×
Blood test, magnesium CPT Code: `83735`	$873	$145	$7	20.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$436	$168	$111	1.5×
Culture, bacterial CPT Code: `87070`	$863	$160	$9	unverified
Drug screening test HCPCS Code: `G0480`	$1,971	$141	$116	unverified
Colorectal cancer screening HCPCS Code: `G0010`	—	$77	$49	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$159	$61	$39	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$172	$55	$37	1.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$334	$52	$35	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$249	$65	$56	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$343	$73	$87	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$38	$25	1.5×
Blood test, vitamin D CPT Code: `82306`	$348	$36	$31	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$121	$61	$86	0.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$419	$12	$4	3.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$1,147	$5	$3	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$1,054	$9	$6	1.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$642	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$356	$7	$5	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$4,168	$15	$11	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$994	$19	$14	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$1,601	$12	$9	1.3×
Blood test, liver function panel CPT Code: `80076`	$2,559	$12	$9	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$1,027	$24	$18	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$246	$18	$14	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$737	$5	$4	1.3×
Blood test, sodium CPT Code: `84295`	$580	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$972	$6	$5	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$201	$22	$19	1.2×
Blood test, hemoglobin CPT Code: `85018`	$220	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$25	$25	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Behavioral health living support HCPCS Code: `H2019`	—	$34	$34	1.0×
Speech therapy (group session) CPT Code: `92508`	—	$26	$27	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$161	$34	$48	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$161	$34	$49	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$54	$231	0.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$63	$19	$20	0.9×
Blood antibody screen CPT Code: `86850`	$929	$15	$46	0.3×
Psychological testing evaluation CPT Code: `96136`	—	$21	$128	0.2×
Blood test, vitamin B12 CPT Code: `82607`	$562	$21	$16	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$500	$14	$10	unverified
Blood test, lipase CPT Code: `83690`	$1,321	$10	$7	unverified
Hepatitis C antibody test CPT Code: `86803`	$404	$19	$15	unverified
Culture, blood CPT Code: `87040`	$968	$15	$11	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 Palms West Hospital (Zero PHI Required)

CMS CCN: 100269

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $18,339

1. Amount on Your Bill or Quote ($) Pre-filled with HCA Florida Palms West 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 Palms West 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 +$24,582 Above Fair BaseRate

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

Your bill ($44,014) is $24,582 above the denoised Fair BaseRate ($19,432) and 3.1× 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: 621694178

Public IRS & CMS ownership records classify HCA Florida Palms West 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 Composite57/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait127 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

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

2025-07-09·administrative_or_closure
Closure Notice
Recorded
2025-05-08·warning_notice
Warning Notice
Recorded
2023-09-29·administrative_or_closure
Closure Notice
Recorded
2023-06-21·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (599 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 Palms West Hospital.

Price Index: 1.18× regional baseline

Quality: 41/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-68.3%

Blue Cross Blue Shield

-49.1%

Prominence Healthfirst

-45.8%

Cigna

-44.4%

Medica

+74.0%

WellCare

+87.5%

Median Household Income$81,115U.S. Census ACS

Local Uninsured Share13.2%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 68/100 · Caution CMS CCN 100269 EIN 621694178

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100269) ↗ Verify IRS Form 990 (EIN 621694178) ↗ CMS HCRIS Cost Reports ↗

Published MRF File62-1694178_HCA-FLORIDA-PALMS-WEST-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 368.71 MB

Validated Rate Rows5,964 (CMS v3.0.0)

File Integrity Digestfd4eab0cfcff967ef57d…

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