How many shoppable procedure prices are published for Marion Communtiy Hospital?

Marion Communtiy Hospital in Ocala, FL currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Marion Communtiy Hospital's commercial prices compare to the fair BaseRate?

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

What is Marion Communtiy Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Marion Communtiy 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 509 Beds · urban Updated: 2026-09-01

Marion Communtiy Hospital

1431 Sw 1St Ave, Ocala, FL 34471 · 127 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

High Markup · Shop Alternatives

1.62×vs. Fair Market Price

Typical commercial prices here are +62% above the fair benchmark (1.62×) even after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 3% of the Time

File Completeness100

Price Logic91

Peer Alignment51

Clean Billing95

Real Cash Discount6

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.62× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +159% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Marion Communtiy Hospital prices routine shoppable procedures at 3.6× Medicare (median 1.05× Fair BaseRate) while upper-quartile commercial rates jump +159% to 2.72× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#145 of 165 in FL · 87th State Percentile#2,789 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 3% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 67% 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 3.4× markup over Medicare rates
Commercial insurance median sits at 1.05× Fair BaseRate (3.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.72×) jump +159% above the median procedure ratio (Q50 1.05×)
Consolidated metro market (HHI 4,975) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.6× Medicare

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

Back-Door Captive & ER0.31× Divergence

1.1× Medicare

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

Quantile Tail Spread+159% Upper Tail

Q25 0.97× · Q50 1.05× · Q75 2.72×

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

3.6× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

3.4× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

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

5.0× MedicareWatchout

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

3% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 57/100Elevated

Procedure Prices at Marion Communtiy Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$31,896	$30,775	1.0×
Trauma team activation HCPCS Code: `G0390`	$28,577	$28,577	$1,453	19.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,482	$19,432	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,237	$19,087	1.0×
Total knee replacement CPT Code: `27447`	—	$17,885	$13,523	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,577	$17,936	1.0×
Total hip replacement CPT Code: `27130`	—	$16,759	$13,413	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$13,255	$6,109	unverified
Inguinal hernia repair CPT Code: `49505`	—	$12,044	$3,629	unverified
Breast lump removal CPT Code: `19120`	—	$10,082	$3,875	2.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$9,824	$3,372	2.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,305	$8,223	1.0×
Rabies immune globulin HCPCS Code: `90375`	$8,179	$8,179	$322	unverified
Bunion correction surgery CPT Code: `28296`	—	$8,004	$3,446	2.3×
Vaginal delivery (full package) CPT Code: `59400`	—	$6,429	$2,680	2.4×
C-section delivery (full package) CPT Code: `59510`	—	$6,429	$2,975	2.2×
Ultrasound, pelvis CPT Code: `76856`	$6,057	$6,057	$130	46.6×
X-ray, lower back CPT Code: `72110`	$4,754	$4,754	$112	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$4,338	$2,540	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$4,230	$4,230	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,558	$3,558	$134	26.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$3,203	$1,256	2.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,928	$981	3.0×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,928	$987	3.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$17,940	$2,589	$511	5.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,500	$2,500	$151	16.6×
Blood transfusion CPT Code: `36430`	$2,252	$2,252	$498	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$10,552	$2,144	$338	6.3×
MRI, brain (no contrast) CPT Code: `70551`	$20,394	$2,124	$343	6.2×
MRI, knee or other leg joint CPT Code: `73721`	$11,840	$2,082	$369	5.6×
CT scan, head (no contrast) CPT Code: `70450`	$5,163	$1,556	$160	9.7×
CT scan, pelvis CPT Code: `72192`	$8,427	$1,556	$163	9.5×
CT scan, sinuses CPT Code: `70486`	$6,635	$1,556	$166	9.4×
CT scan, chest (no contrast) CPT Code: `71250`	$4,823	$1,556	$167	9.3×
CT scan, head (with contrast) CPT Code: `70460`	$6,322	$1,556	$242	6.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$6,477	$1,556	$258	6.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$14,579	$1,556	$303	5.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$13,594	$1,556	$448	3.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$10,105	$1,556	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$8,767	$1,556	$168	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$11,523	$923	$583	1.6×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$732	$1,021	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$4,372	$547	$126	4.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$7,706	$546	$272	2.0×
X-ray, shoulder CPT Code: `73030`	$2,739	$425	$92	4.6×
X-ray, chest (two views) CPT Code: `71046`	$2,198	$428	$93	4.6×
X-ray, hip CPT Code: `73502`	$3,273	$423	$93	4.5×
X-ray, foot CPT Code: `73630`	$2,661	$402	$92	4.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$2,431	$405	$93	4.4×
X-ray, ankle CPT Code: `73610`	$2,616	$402	$93	4.3×
X-ray, hand CPT Code: `73130`	$3,309	$395	$93	4.2×
X-ray, chest (single view) CPT Code: `71045`	$1,464	$360	$92	3.9×
X-ray, pelvis CPT Code: `72170`	$2,602	$375	$110	3.4×
New patient office visit (30-44 min) CPT Code: `99203`	$1,643	$241	$110	2.2×
Review of medical records for care CPT Code: `90889`	—	$222	$114	1.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$187	$185	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$178	$181	1.0×
Care planning with family CPT Code: `90887`	—	$150	$107	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$2,712	$169	$123	1.4×
Family therapy session CPT Code: `90847`	—	$166	$173	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$154	$166	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$203	$126	$64	2.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$1,081	$128	$87	1.5×
Group therapy session CPT Code: `90853`	—	$123	$100	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$99	$97	$86	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$112	$148	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$479	$80	$86	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	—	$93	$123	0.8×
Typhoid vaccine HCPCS Code: `90675`	$1,844	$1,844	$347	5.3×
Hepatitis B vaccine HCPCS Code: `90744`	$155	$155	$37	4.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$181	$152	$39	3.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$318	$152	$56	2.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$583	$157	$111	1.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$745	$157	$203	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$125	$125	$25	5.0×
Drug screening test HCPCS Code: `G0480`	$704	$121	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$762	$146	$140	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$441	$71	$49	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$245	$67	$49	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$896	$15	$14	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Blood test, vitamin D CPT Code: `82306`	$182	$32	$31	1.0×
Blood test, calcium CPT Code: `82310`	$592	$6	$5	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	—	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	—	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$441	$7	$7	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$271	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$1,165	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$983	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$970	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$32	$7	$7	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$1,031	$20	$20	1.0×
Behavioral health living support HCPCS Code: `H2019`	—	$33	$34	1.0×
Prosthetic fitting and training CPT Code: `97761`	$289	$42	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$297	$46	$51	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$431	$35	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$271	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$321	$32	$38	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$464	$55	$201	0.3×
Neurobehavioral status check CPT Code: `96116`	—	$53	$231	0.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$519	$20	$19	1.1×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$26	$25	1.0×
Blood test, potassium CPT Code: `84132`	$320	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$297	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$1,123	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$247	$4	$4	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$593	$13	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$318	$29	$33	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$363	$33	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$375	$29	$35	0.8×
Blood test, hemoglobin CPT Code: `85018`	$227	$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`	$254	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$701	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$127	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$290	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$813	$9	$9	1.0×
Speech therapy (group session) CPT Code: `92508`	$209	$25	$27	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$277	$28	$34	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$407	$21	$48	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$13	$35	0.4×
Blood antibody screen CPT Code: `86850`	$84	$10	$46	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$21	$128	0.2×

Showing top 25 high-impact procedures of 127 total

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

Audit a Bill or Quote at Marion Communtiy Hospital (Zero PHI Required)

CMS CCN: 100212

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,896

1. Amount on Your Bill or Quote ($) Pre-filled with Marion Communtiy 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 Marion Communtiy 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 +$45,775 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($76,550) is $45,775 above the denoised Fair BaseRate ($30,775) and 3.3× the $23,504 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: 591479652

Public IRS & CMS ownership records classify Marion Communtiy 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 Recommend67%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait108 min

Left ER Before Seen1%

30-Day Mortality vs U.S.worse

Unplanned Readmissionworse

Hip/Knee Complication Rate3.1%

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

Source: CMS Hospital Care Compare (1,103 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 Marion Communtiy Hospital.

Price Index: 1.00× regional baseline

Quality: 32/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-64.1%

Molina

+85.0%

Median Household Income$58,535U.S. Census ACS

Local Uninsured Share12.2%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 72/100 · Corroborated CMS CCN 100212 EIN 591479652

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100212) ↗ Verify IRS Form 990 (EIN 591479652) ↗ CMS HCRIS Cost Reports ↗

Published MRF File59-1479652_HCA-FLORIDA-OCALA-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 373.54 MB

Validated Rate Rows7,016 (CMS v3.0.0)

File Integrity Digest86efd483ad419a01ae59…

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