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Hospital Profile Acute Care Hospital Proprietary 82 Beds · rural Updated: 2026-09-01

HCA Florida Putnam Hospital

611 Zeagler Dr, Palatka, FL 32177 · 131 Priced Procedures · 57% Patient Recommendation

CMS Overall Rating 2 / 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.High Markup · Shop Alternatives
1.77×vs. Fair Market Price
Position vs. 1.00× Fair Price+77% 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 +77% above the fair benchmark (1.77×) 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 2% 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 Alignment50Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing90Regularity (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.High Price · Lower Safety
CMS Star Rating2/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score57/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait119 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

2-Star CMS clinical quality rating paired with 1.77× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +199% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

HCA Florida Putnam Hospital prices routine shoppable procedures at 4.8× Medicare (median 1.06× Fair BaseRate) while upper-quartile commercial rates jump +199% to 3.17× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#152 of 165 in FL · 91st State Percentile#2,938 of 3,385 in U.S. · 86th 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 2% of shoppable procedures (25/100 Cash Honesty)
  • 2-Star CMS clinical rating with 57% 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 3.8× markup over Medicare rates
  • Commercial insurance median sits at 1.06× Fair BaseRate (4.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 3.17×) jump +199% above the median procedure ratio (Q50 1.06×)
  • Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
4.8× Medicare

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

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

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

Quantile Tail Spread+199% Upper Tail
Q25 0.93× · Q50 1.06× · Q75 3.17×

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
4.8× MedicareWatchout
Outpatient Surgery & ORBack-Door Captive
3.8× MedicareElevated
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.9× MedicareFair
Back-Door Captive ER VisitsBack-Door Captive
2.2× MedicareFair
Inpatient Lab & PathologyBack-Door Captive
3.4× MedicareElevated
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
6.7× MedicareWatchout
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
2% Cash Edge · 25/100Watchout
CMS Clinical Safety & Star ValueIntegrity & Outcomes
2 CMS · 57/100Elevated

Procedure Prices at HCA Florida Putnam 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:
Procedure & Billing Code This Hospital vs. Fair
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
$15,352 0.8×
Gallbladder removal (laparoscopic)
CPT Code: 47562
$14,626 2.4×
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
$13,025 unverified
Total hip replacement
CPT Code: 27130
$10,061 0.8×
Breast lump removal
CPT Code: 19120
$8,384 2.2×
Bunion correction surgery
CPT Code: 28296
$7,432 2.2×
Inguinal hernia repair
CPT Code: 49505
$7,432 2.0×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
$7,067 0.9×
Cataract surgery with lens implant
CPT Code: 66984
$5,253 2.1×
Vaginal delivery (full package)
CPT Code: 59400
$4,207 1.6×
C-section delivery (full package)
CPT Code: 59510
$4,207 1.4×
Trauma team activation
HCPCS Code: G0390
$4,091 2.8×
Colonoscopy with biopsy
CPT Code: 45380
$3,480 2.8×
Upper endoscopy with biopsy
CPT Code: 43239
$3,370 unverified
Colonoscopy (diagnostic)
CPT Code: 45378
$3,370 unverified
MRI, brain (no contrast)
CPT Code: 70551
$3,266 unverified
MRI, brain (with and without contrast)
CPT Code: 70553
$3,266 unverified
MRI, lower back (no contrast)
CPT Code: 72148
$3,266 unverified
MRI, knee or other leg joint
CPT Code: 73721
$3,266 unverified
Behavioral health counseling (per session)
HCPCS Code: H0008
$3,115 unverified
Behavioral health counseling (group)
HCPCS Code: H0009
$3,115 unverified
Behavioral health day treatment
HCPCS Code: H0010
$3,115 unverified
Behavioral health residential care
HCPCS Code: H0011
$3,115 unverified
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$2,803 unverified
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$2,701 8.9×
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 Putnam Hospital (Zero PHI Required)

CMS CCN: 100232
CPT 470
Fair BaseRate™ $19,432
Medicare Rate $14,044
Self-Pay Cash Request Quote
Insurer Median $15,352
Pre-filled with HCA Florida Putnam 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 Putnam 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 +$17,413 Above Fair BaseRate

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

Your bill ($36,845) is $17,413 above the denoised Fair BaseRate ($19,432) and 2.6× 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: 472762362

Public IRS & CMS ownership records classify HCA Florida Putnam 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 Recommend57%
Rated 9 or 10 (HCAHPS)62%
Median ER Wait119 min
Left ER Before Seen2%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame
Hip/Knee Complication Rate4.3%

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

  • 2025-05-05·administrative_or_closure

    Met Requirements

    Recorded
  • 2025-03-31·administrative_or_closure

    Met Requirements

    Recorded
  • 2023-11-15·administrative_or_closure

    Closure Notice

    Recorded
  • 2023-06-22·warning_notice

    Warning Notice

    Recorded

Source: CMS Hospital Care Compare (487 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 Putnam Hospital.

Price Index: 1.00× regional baseline
Quality: 44/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana
-57.1%
Blue Cross Blue Shield
-45.4%
Median Household Income$47,256U.S. Census ACS
Local Uninsured Share15.1%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 100232 EIN 472762362

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

Published MRF File47-2762362_HCA-FLORIDA-PUTNAM-HOSPITAL_standardcharges.json
Publication / Vintage2026-09-01 · 216.92 MB
Validated Rate Rows3,992 (CMS v3.0.0)
File Integrity Digest8a0f943a9cb09e8b6df6…

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.