2/100
#2,593 nationally
Hca Florida Twin Cities Hospital
2190 Hwy 85 N, Niceville, FL 32578 · (850) 678-4131
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Hca Florida Twin Cities Hospital billed $15.44 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 15.4x
- volume-weighted across all its priced work
- Procedures priced
- 33
- inpatient and outpatient combined
- Rank in FL
- #159
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 0% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 2% of U.S. hospitals.
Better than 4% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
219 | $67,410 | $2,426 | +247% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
101 | $32,064 | $2,061 | +173% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
85 | $133,375 | $11,785 | +114% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
80 | $159,038 | $12,511 | +144% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
55 | $115,661 | $8,529 | +166% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
48 | $113,289 | $5,227 | +223% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
32 | $136,208 | $9,271 | +192% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
31 | $107,068 | $7,511 | +232% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
31 | $67,349 | $1,756 | +421% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
28 | $141,499 | $10,781 | +157% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$51,495 | $1,451 | +500% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$67,349 | $1,756 | +421% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$47,272 | $1,456 | +321% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$93,243 | $3,134 | +301% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$76,723 | $2,776 | +277% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$67,410 | $2,426 | +247% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$71,320 | $3,158 | +245% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$135,057 | $6,845 | +244% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$153,947 | $16,845 | +85% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$133,375 | $11,785 | +114% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$183,424 | $13,577 | +120% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$109,897 | $8,220 | +127% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$126,667 | $9,343 | +139% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$159,038 | $12,511 | +144% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$211,448 | $13,719 | +147% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$92,275 | $6,153 | +148% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.