Residential mental health treatment cost in FL
What a residential mental health treatment costs at FL hospitals — and the fair price to aim for.
Typical commercial prices here are 6% below the fair benchmark (0.94×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
HCA Florida North Florida Hospital prices routine shoppable procedures near 8.0× Medicare (p50 1.07×) while skewing captive emergency, lab, and upper-quartile codes to 9.4× Medicare (p75 2.75×, +157% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
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 7% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (60/100 safety score) with 59% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 5.3× markup over Medicare rates
- Captive ER (4.1×) & laboratory (4.6×) services average 1.18× higher multiples than routine shoppable care (8.0×)
- Upper-quartile procedures (Q75 2.75×) jump +157% above the median procedure ratio (Q50 1.07×)
- Consolidated metro market (HHI 5,233) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
In general, FL hospitals charge about the fair price for this. how we calculate the BaseRate →
Compared with the rest of the country, FL’s fair BaseRate ($407) is above the national fair price of $339.
Cheapest FL hospitals for a residential mental health treatment
- HCA Florida North Florida Hospital · Gainesville $223
- HCA Florida Lake City Hospital · Lake City $223
- HCA Florida Putnam Hospital · Palatka $223
- HCA Florida Jfk Hospital · Atlantis $229
- HCA Florida Gulf Coast Hospital · Panama City $327
- Halifax Health Medical Center · Daytona Beach $338
- Gulf Breeze Hospital · Gulf Breeze $355
- Jay Hospital · Jay $355
- Baptist Hospital · Pensacola $355
- Cleveland Clinic Hospital · Weston $383
- Cleveland Clinic Indian River Hospital · Vero Beach $383
- Villages Regional Hospital, The · The Villages $383
- Lakeside Medical Center · Belle Glade $383
- UF Health Leesburg Hospital · Leesburg $383
- Cleveland Clinic Martin North Hospital · Stuart $399
Audit a Bill or Quote at FL Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $334
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $334).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask FL Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $407 Fair BaseRate ($236 Medicare)
Your bill ($919) is $512 above the denoised Fair BaseRate ($407) and 3.9× the $236 Medicare rate.