How many shoppable procedure prices are published for Tampa General Hospital Crystal River?

Tampa General Hospital Crystal River in Crystal River, FL currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Tampa General Hospital Crystal River's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Tampa General Hospital Crystal River's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Tampa General Hospital Crystal River's CMS Care Compare overall star rating?

CMS Care Compare assigns Tampa General Hospital Crystal River 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 Voluntary non-profit - Private 121 Beds · rural Updated: 2026-04-01

Tampa General Hospital Crystal River

6201 N Suncoast Blvd, Crystal River, FL 34428 · 104 Priced Procedures · 56% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.34×vs. Fair Market Price

Typical commercial prices here are +34% above the fair benchmark (1.34×) even after accounting for local nurse/doctor wages and patient complexity.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness85

Price Logic98

Peer Alignment63

Clean Billing85

Real Cash Discount100

Regional Value Leader

2-Star CMS clinical quality rating paired with 1.34× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 5,181), Tampa General Hospital Crystal River commands a 1.34× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#116 of 165 in FL · 69th State Percentile#2,334 of 3,385 in U.S. · 68th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.13× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 56% patient recommendation (58/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
Commercial insurance median sits at 1.33× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 5,181) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER0.87× Divergence

1.4× Medicare

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

Quantile Tail Spread+11% Upper Tail

Q25 1.13× · Q50 1.33× · Q75 1.47×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

1.1× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 58/100Elevated

Procedure Prices at Tampa General Hospital Crystal River

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 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`	—	$25,487	$30,775	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,572	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,467	$19,432	0.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$11,039	$2,680	4.1×
C-section delivery (full package) CPT Code: `59510`	—	$11,039	$2,975	3.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$9,912	$6,109	1.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,490	$8,223	0.8×
Breast lump removal CPT Code: `19120`	—	$6,419	$3,875	1.7×
Inguinal hernia repair CPT Code: `49505`	—	$5,870	$3,629	1.6×
Bunion correction surgery CPT Code: `28296`	—	$5,467	$3,446	1.6×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,856	$2,540	1.5×
Trauma team activation HCPCS Code: `G0390`	—	$2,185	$1,453	1.5×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,999	$1,256	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,554	$981	1.6×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,515	$987	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,179	$855	1.4×
Rabies immune globulin HCPCS Code: `90375`	$917	$917	$322	2.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$896	$583	1.5×
Psychological testing by technician CPT Code: `96138`	—	$732	$395	1.9×
Blood transfusion CPT Code: `36430`	—	$737	$498	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$477	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$493	$511	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$391	$272	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$359	$201	1.8×
Neurobehavioral status check CPT Code: `96116`	—	$354	$231	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$326	$303	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	—	$326	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	—	$326	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	—	$329	$369	0.9×
CT scan, head (with contrast) CPT Code: `70460`	—	$240	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$245	$258	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$218	$128	1.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$177	$148	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$156	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$151	$134	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	—	$173	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$173	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$173	$169	1.0×
X-ray, chest (single view) CPT Code: `71045`	—	$143	$92	1.6×
X-ray, chest (two views) CPT Code: `71046`	—	$143	$93	1.5×
X-ray, pelvis CPT Code: `72170`	—	$143	$110	1.3×
Ultrasound, pelvis CPT Code: `76856`	—	$146	$130	1.1×
X-ray, foot CPT Code: `73630`	—	$119	$92	1.3×
X-ray, ankle CPT Code: `73610`	—	$119	$93	1.3×
X-ray, lower back CPT Code: `72110`	—	$143	$112	1.3×
CT scan, sinuses CPT Code: `70486`	—	$162	$166	1.0×
CT scan, pelvis CPT Code: `72192`	—	$158	$163	1.0×
X-ray, shoulder CPT Code: `73030`	—	$119	$92	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$119	$93	1.3×
X-ray, hand CPT Code: `73130`	—	$119	$93	1.3×
X-ray, hip CPT Code: `73502`	—	$119	$93	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$143	$126	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	—	$137	$123	1.1×
CT scan, head (no contrast) CPT Code: `70450`	—	$144	$160	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$97	$64	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	—	$118	$86	1.4×
Typhoid vaccine HCPCS Code: `90675`	$429	$429	$347	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$212	$212	$56	3.8×
Drug screening test HCPCS Code: `G0480`	—	$135	$116	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$77	$49	1.6×
Colorectal cancer screening HCPCS Code: `G0010`	—	$77	$49	1.6×
Orthotic fitting and training CPT Code: `97760`	—	$75	$51	1.5×
Speech therapy (group session) CPT Code: `92508`	—	$39	$27	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$57	$40	1.4×
Physical therapy (gait training) CPT Code: `97116`	—	$47	$33	1.4×
Prosthetic fitting and training CPT Code: `97761`	—	$64	$45	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$54	$38	1.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$37	$27	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$51	$38	1.3×
Blood antibody screen CPT Code: `86850`	—	$57	$46	1.2×
Flu vaccine injection HCPCS Code: `G0008`	—	$77	$48	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$11	$8	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$26	$19	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	—	$50	$38	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$21	$14	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$19	$14	1.4×
Blood test, vitamin D CPT Code: `82306`	—	$42	$31	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$27	$20	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$24	$18	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$46	$35	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$8	$6	1.3×
Hepatitis C antibody test CPT Code: `86803`	—	$20	$15	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	—	$45	$34	1.3×
Blood test, calcium CPT Code: `82310`	—	$7	$5	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$15	$11	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$19	$14	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	—	$12	$9	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$4	$3	1.3×
Blood test, vitamin B12 CPT Code: `82607`	—	$21	$16	1.3×
Blood test, amylase CPT Code: `82150`	—	$9	$7	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$6	$5	1.2×
Blood test, hemoglobin CPT Code: `85018`	—	$3	$3	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$20	$35	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$5	$5	$25	0.2×
Blood test, liver function panel CPT Code: `80076`	—	$12	$9	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$6	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$14	$10	unverified
Blood test, lipase CPT Code: `83690`	—	$10	$7	unverified
Blood test, magnesium CPT Code: `83735`	—	$9	$7	unverified
Blood test, potassium CPT Code: `84132`	—	$7	$5	unverified
Blood test, sodium CPT Code: `84295`	—	$7	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$6	$4	unverified
Culture, bacterial CPT Code: `87070`	—	$12	$9	unverified

Showing top 25 high-impact procedures of 104 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 25.7%

Audit a Bill or Quote at Tampa General Hospital Crystal River (Zero PHI Required)

CMS CCN: 100249

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,487

1. Amount on Your Bill or Quote ($) Pre-filled with Tampa General Hospital Crystal River’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 501(r) AGB Cap: $15,739 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,739

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.7% of gross = $15,739).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Tampa General Hospital Crystal River'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 +$30,394 Above Fair BaseRate

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

Your bill ($61,169) is $30,394 above the denoised Fair BaseRate ($30,775) and 2.6× 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 933085834

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: prospective_medicare_median

Hospital-Specific CMS HCRIS Benchmark (25.7% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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 Composite58/100

Would Recommend56%

Rated 9 or 10 (HCAHPS)54%

Median ER Wait137 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.6%

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 Tampa General Hospital Crystal River. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-08·administrative_or_closure
Closure Notice
Recorded
2025-07-01·cap_corrective_action
CAP Request
Recorded
2022-12-08·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (613 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 Tampa General Hospital Crystal River.

Price Index: 0.79× regional baseline

Quality: 46/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

+105.1%

Median Household Income$55,355U.S. Census ACS

Local Uninsured Share11.5%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 87/100 · Verified CMS CCN 100249 EIN 933085834

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100249) ↗ Verify IRS Form 990 (EIN 933085834) ↗ CMS HCRIS Cost Reports ↗

Published MRF File93-3085834_tampa-general-hospital-crystal-river_standardcharges.csv

Publication / Vintage2026-04-01 · 26.10 MB

Validated Rate Rows903 (CMS v3.0.0)

File Integrity Digestab5219e27e4ab9dc5cd2…

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