How many shoppable procedure prices are published for Winter Haven Hospital?

Winter Haven Hospital in Winter Haven, FL currently has 126 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Winter Haven Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Winter Haven Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Winter Haven Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Winter Haven 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 Voluntary non-profit - Private 455 Beds · rural Updated: 2026-01-01

Winter Haven Hospital

200 Ave F Ne, Winter Haven, FL 33881 · 126 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.96×vs. Fair Market Price

Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 60% of the Time

File Completeness51

Price Logic73

Peer Alignment66

Clean Billing90

Real Cash Discount100

Premium Quality Tier

3-Star CMS clinical quality rating paired with 0.96× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Winter Haven Hospital prices shoppable and inpatient services (1.0× to 1.1× Medicare, divergence 1.10×) in alignment with regional hospital peers (0.96× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#40 of 165 in FL · 23rd State Percentile#1,024 of 3,385 in U.S. · 30th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
Self-pay cash beats commercial insurance on 60% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 65% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (49.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.96× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.4×) & laboratory (1.0×) services average 1.10× higher multiples than routine shoppable care (1.0×)
Even at low-cost facilities (0.96× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 3,832) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.10× Divergence

1.1× Medicare

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

Quantile Tail Spread+7% Upper Tail

Q25 0.82× · Q50 0.97× · Q75 1.04×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

0.6× MedicareGood

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

60% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at Winter Haven Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 126 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$14,539	$13,413	1.1×
Total knee replacement CPT Code: `27447`	—	$14,539	$13,523	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,442	$6,109	1.1×
Breast lump removal CPT Code: `19120`	—	$4,228	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	$8,497	$3,617	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,583	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	—	$3,583	$3,446	1.0×
C-section delivery (full package) CPT Code: `59510`	$4,061	$2,666	$2,975	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,633	$2,540	unverified
Vaginal delivery (full package) CPT Code: `59400`	$3,631	$2,590	$2,680	1.0×
Trauma team activation HCPCS Code: `G0390`	—	$1,512	$1,453	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,304	$1,256	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,612	$1,061	$1,021	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,035	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,010	$981	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$1,319	$716	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,957	$567	$583	1.0×
Blood transfusion CPT Code: `36430`	$783	$451	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,532	$384	$448	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,355	$384	$511	0.8×
Rabies immune globulin HCPCS Code: `90375`	$1,197	$350	$322	1.1×
Review of medical records for care CPT Code: `90889`	—	$318	$114	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,094	$252	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,399	$252	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,511	$252	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,672	$252	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,653	$252	$369	0.7×
Behavioral health day program HCPCS Code: `H2012`	—	$226	$100	2.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$133	$202	$166	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$3,743	$211	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,408	$211	$258	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$139	$161	$123	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$496	$183	$151	1.2×
Family therapy session CPT Code: `90847`	$150	$202	$173	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$197	$202	$181	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$2,655	$149	$160	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$224	$168	$185	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$173	$90	$86	1.0×
X-ray, pelvis CPT Code: `72170`	$473	$107	$110	1.0×
Ultrasound, pelvis CPT Code: `76856`	$464	$114	$130	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,218	$114	$134	0.9×
X-ray, chest (single view) CPT Code: `71045`	$359	$88	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$656	$88	$92	1.0×
X-ray, foot CPT Code: `73630`	$665	$88	$92	1.0×
X-ray, lower back CPT Code: `72110`	$883	$107	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$455	$88	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$595	$88	$93	0.9×
X-ray, hand CPT Code: `73130`	$684	$88	$93	0.9×
X-ray, hip CPT Code: `73502`	$583	$88	$93	0.9×
X-ray, ankle CPT Code: `73610`	$584	$88	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$682	$113	$126	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,206	$113	$132	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$118	$91	$110	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$295	$112	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$273	$93	$123	0.8×
CT scan, pelvis CPT Code: `72192`	$2,933	$113	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$2,632	$113	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,713	$113	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,241	$113	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,004	$113	$169	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$92	$92	$201	0.5×
Neurobehavioral status check CPT Code: `96116`	$112	$112	$231	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$94	$108	$87	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$398	$398	$140	2.8×
Typhoid vaccine HCPCS Code: `90675`	$1,493	$328	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$285	$88	$203	0.4×
Behavioral health living support HCPCS Code: `H2019`	—	$45	$34	1.3×
Blood antibody screen CPT Code: `86850`	$67	$54	$46	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$59	$59	$86	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$30	$27	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$43	$48	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$72	$48	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$72	$48	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$288	$62	$64	1.0×
Care planning with family CPT Code: `90887`	—	$67	$107	0.6×
Blood test, calcium CPT Code: `82310`	$25	$6	$5	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$28	$15	$14	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$31	$20	$19	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$87	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$23	$11	$11	1.0×
Blood test, liver function panel CPT Code: `80076`	$24	$9	$9	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$22	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$25	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$17	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$50	$32	$31	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$17	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$22	$7	$7	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$29	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$12	$4	$4	1.0×
Blood test, potassium CPT Code: `84132`	$13	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$12	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$37	$18	$18	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$94	$14	$14	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$38	$19	$20	0.9×
Speech therapy (group session) CPT Code: `92508`	$52	$23	$27	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$98	$24	$34	0.7×
Prosthetic fitting and training CPT Code: `97761`	$70	$30	$45	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$82	$25	$38	0.7×
Orthotic fitting and training CPT Code: `97760`	$102	$33	$51	0.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$13	$25	0.5×
Group therapy session CPT Code: `90853`	$35	$35	$100	0.3×
Psychological testing by technician CPT Code: `96138`	$47	$47	$395	0.1×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$15	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$7	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$14	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$17	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$44	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$89	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$26	$9	$9	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$29	$33	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$74	$20	$25	0.8×
Physical therapy (gait training) CPT Code: `97116`	$91	$23	$33	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$104	$24	$35	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$103	$26	$38	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$53	$25	$38	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$92	$26	$40	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$85	$22	$35	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$101	$20	$37	0.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$99	$20	$39	0.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$174	$20	$56	0.4×
Drug screening test HCPCS Code: `G0480`	$36	$36	$116	0.3×
Psychological testing evaluation CPT Code: `96136`	$34	$34	$128	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$174	$20	$111	0.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$34	$14	$14	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$5	$5	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$16	$8	$8	unverified

Showing top 25 high-impact procedures of 126 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 49.0%

Audit a Bill or Quote at Winter Haven Hospital (Zero PHI Required)

CMS CCN: 100052

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $14,539

1. Amount on Your Bill or Quote ($) Pre-filled with Winter Haven 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 501(r) AGB Cap: $17,109 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $17,109

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (49.0% of gross = $17,109).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Winter Haven 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 +$21,481 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($34,894) is $21,481 above the denoised Fair BaseRate ($13,413) and 2.7× the $13,117 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) 501(c)(3) Nonprofit Hospital

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

EIN: 590724462

Filing Period: 199609

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: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (49.0% 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 Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait184 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

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

2025-05-21·administrative_or_closure
Closure Notice
Recorded
2025-03-05·warning_notice
Warning Notice
Recorded
2023-06-15·administrative_or_closure
Closure Notice
Recorded
2022-07-27·cap_corrective_action
CAP Request
Recorded
2021-09-29·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (2,263 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Winter Haven Hospital.

Price Index: 1.01× regional baseline

Quality: 59/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-61.6%

Median Household Income$63,644U.S. Census ACS

Local Uninsured Share13.0%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 75/100 · Corroborated CMS CCN 100052 EIN 590724462

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 100052) ↗ Verify IRS Form 990 (EIN 590724462) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-01-01

Validated Rate Rows10,670 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100052

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