30/100
#1,872 nationally
Holmes Regional Medical Center
1350 S Hickory St, Melbourne, FL 32901 · (321) 434-7000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Holmes Regional Medical Center billed $6.61 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
- 6.6x
- volume-weighted across all its priced work
- Procedures priced
- 218
- inpatient and outpatient combined
- Rank in FL
- #50
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 17% of U.S. hospitals.
Better than 39% of U.S. hospitals.
Better than 35% of U.S. hospitals.
Better than 35% 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 |
410 | $17,013 | $2,469 | -12% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
345 | $82,520 | $14,098 | +26% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
230 | $17,670 | $2,938 | -30% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
199 | $140,620 | $22,842 | +13% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
196 | $104,592 | $11,906 | +67% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
187 | $60,265 | $9,587 | +39% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
186 | $77,042 | $12,447 | +40% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
167 | $119,513 | $21,459 | -10% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
149 | $18,050 | $2,557 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
130 | $12,589 | $1,469 | +25% |
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 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$27,090 | $1,699 | +139% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$383,726 | $40,556 | +103% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$41,141 | $2,741 | +102% |
|
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with
MS-DRG 617 · Inpatient stay |
$148,326 | $20,453 | +101% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$337,002 | $43,276 | +90% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$418,905 | $57,269 | +89% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$129,189 | $16,866 | +82% |
|
Multiple Level Spinal Fusion Except Cervical without Major Complications
MS-DRG 448 · Inpatient stay |
$254,083 | $38,366 | +80% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
$522,367 | $109,287 | -41% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
$49,253 | $12,362 | -40% |
|
Peripheral Vascular Disorders without Complications/mcc
MS-DRG 301 · Inpatient stay |
$21,293 | $6,878 | -38% |
|
Biopsies of Musculoskeletal System and Connective Tissue with Major Complications
MS-DRG 477 · Inpatient stay |
$128,893 | $22,908 | -34% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,664 | $1,451 | -34% |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 808 · Inpatient stay |
$71,487 | $16,053 | -33% |
|
Traumatic Stupor and Coma <1 Hour without Complications/mcc
MS-DRG 087 · Inpatient stay |
$37,365 | $7,025 | -32% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$17,670 | $2,938 | -30% |
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.