How many shoppable procedure prices are published for Palm Bay Hospital?

Palm Bay Hospital in Palm Bay, FL currently has 89 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Palm Bay Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Palm Bay Hospital's median negotiated commercial rate is 2.7× the regionally adjusted fair BaseRate benchmark.

What is Palm Bay Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Palm Bay 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 120 Beds · urban Updated: 2026-03-02

Palm Bay Hospital

1425 Malabar Rd, Ne, Palm Bay, FL 32907 · 89 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

2.74×vs. Fair Market Price

Typical commercial prices here are +174% above the fair benchmark (2.74×) even after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 77% of the Time

File Completeness66

Price Logic44

Peer Alignment82

Clean Billing78

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 2.74× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +55% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Palm Bay Hospital prices routine shoppable procedures at 4.4× Medicare (median 2.93× Fair BaseRate) while upper-quartile commercial rates jump +55% to 4.55× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#161 of 165 in FL · 96th State Percentile#3,304 of 3,385 in U.S. · 97th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 2.04× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 77% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (60/100 safety score) with 67% 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 5.5× markup over Medicare rates
Commercial insurance median sits at 2.93× Fair BaseRate (4.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 4.55×) jump +55% above the median procedure ratio (Q50 2.93×)
Consolidated metro market (HHI 2,711) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

4.4× Medicare

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

Back-Door Captive & ER0.55× Divergence

2.4× Medicare

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

Quantile Tail Spread+55% Upper Tail

Q25 2.04× · Q50 2.93× · Q75 4.55×

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

4.4× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

5.5× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

6.4× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

5.2× MedicareWatchout

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

5.0× MedicareWatchout

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

77% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 60/100Elevated

Procedure Prices at Palm Bay Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$40,386	$19,087	2.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$40,103	$19,432	2.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$36,654	$17,936	2.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$16,208	$8,223	2.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,410	$2,122	$448	4.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$682	$2,046	$583	3.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$998	$1,824	$303	6.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$991	$1,811	$511	3.5×
MRI, brain (no contrast) CPT Code: `70551`	$854	$1,561	$343	4.6×
Blood transfusion CPT Code: `36430`	$369	$1,477	$498	3.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$731	$1,335	$258	5.2×
MRI, lower back (no contrast) CPT Code: `72148`	$742	$1,356	$338	4.0×
MRI, knee or other leg joint CPT Code: `73721`	$742	$1,356	$369	3.7×
CT scan, head (no contrast) CPT Code: `70450`	$590	$1,079	$160	6.7×
CT scan, head (with contrast) CPT Code: `70460`	$602	$1,100	$242	4.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$563	$1,029	$169	6.1×
CT scan, sinuses CPT Code: `70486`	$544	$994	$166	6.0×
CT scan, pelvis CPT Code: `72192`	$529	$967	$163	5.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$510	$932	$168	5.5×
CT scan, chest (no contrast) CPT Code: `71250`	$418	$765	$167	4.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$334	$611	$134	4.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$303	$608	$272	2.2×
Screening mammogram (both breasts) CPT Code: `77067`	$200	$629	$123	unverified
Ultrasound, pelvis CPT Code: `76856`	$265	$484	$130	3.7×
Family therapy session CPT Code: `90847`	$105	$421	$173	2.4×
X-ray, chest (two views) CPT Code: `71046`	$141	$422	$93	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$208	$381	$126	3.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$207	$378	$132	2.9×
X-ray, chest (single view) CPT Code: `71045`	$108	$324	$92	3.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$70	$281	$87	3.2×
Group therapy session CPT Code: `90853`	$73	$290	$100	2.9×
X-ray, lower back CPT Code: `72110`	$149	$272	$112	2.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$127	$283	$181	1.6×
X-ray, ankle CPT Code: `73610`	$127	$232	$93	2.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$125	$251	$201	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$122	$223	$93	2.4×
X-ray, shoulder CPT Code: `73030`	$105	$191	$92	2.1×
X-ray, foot CPT Code: `73630`	$100	$183	$92	2.0×
X-ray, hand CPT Code: `73130`	$100	$182	$93	2.0×
X-ray, pelvis CPT Code: `72170`	$113	$206	$110	1.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$53	$212	$166	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$53	$210	$185	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$81	$162	$64	2.5×
X-ray, hip CPT Code: `73502`	$122	$122	$93	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$142	$142	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,681	$1,681	$347	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$197	$280	$56	5.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$76	$76	$39	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$72	$72	$40	1.8×
Drug screening test HCPCS Code: `G0480`	$86	$86	$116	0.7×
Physical therapy (gait training) CPT Code: `97116`	$57	$57	$33	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$56	$56	$35	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$19	$74	$48	1.5×
Blood antibody screen CPT Code: `86850`	$30	$58	$46	1.3×
Prosthetic fitting and training CPT Code: `97761`	$54	$54	$45	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$15	$58	$86	0.7×
Culture, blood CPT Code: `87040`	$65	$65	$11	unverified
Blood test, lipase CPT Code: `83690`	$26	$26	$7	3.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$22	$22	$6	3.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$16	$16	$5	3.2×
Blood test, amylase CPT Code: `82150`	$22	$22	$7	3.1×
Blood test, basic metabolic panel CPT Code: `80048`	$25	$25	$9	2.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$29	$29	$11	2.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$12	$12	$5	2.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$6	$3	2.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$25	$25	$14	1.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$18	$18	$14	1.3×
Blood test, vitamin D CPT Code: `82306`	$39	$39	$31	1.3×
Culture, bacterial CPT Code: `87070`	$39	$39	$9	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$56	$56	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$60	$60	$34	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$59	$59	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$55	$55	$51	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$42	$42	$14	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$11	$11	$4	2.8×
Blood test, calcium CPT Code: `82310`	$13	$13	$5	2.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$9	$9	$4	2.3×
Blood test, potassium CPT Code: `84132`	$10	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$10	$10	$5	2.0×
Blood test, magnesium CPT Code: `83735`	$13	$13	$7	1.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$18	$18	$10	1.8×
Hepatitis C antibody test CPT Code: `86803`	$26	$26	$15	1.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$31	$31	$18	1.7×
Blood test, vitamin B12 CPT Code: `82607`	$25	$25	$16	1.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$26	$26	$19	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$15	$15	$20	0.8×
Blood test, liver function panel CPT Code: `80076`	$26	$26	$9	unverified
Blood test, hemoglobin CPT Code: `85018`	$11	$11	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$25	$25	$8	unverified

Showing top 25 high-impact procedures of 89 total

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

Audit a Bill or Quote at Palm Bay Hospital (Zero PHI Required)

CMS CCN: 100316

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $40,386

1. Amount on Your Bill or Quote ($) Pre-filled with Palm Bay 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 Palm Bay 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 +$77,839 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($96,926) is $77,839 above the denoised Fair BaseRate ($19,087) and 6.9× the $14,117 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)

Public IRS & CMS ownership records classify Palm Bay 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 Recommend67%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait204 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (437 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 Palm Bay Hospital.

Price Index: 0.98× regional baseline

Quality: 48/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

+135.8%

Median Household Income$75,817U.S. Census ACS

Local Uninsured Share9.9%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 71/100 · Corroborated CMS CCN 100316

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 100316) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-02

Validated Rate Rows1,869 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100316

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