Florida / Ascension St Vincent's Clay County
CMS certification 100321 · Middleburg, FL · 4 entries in CMS's price-transparency list
Ascension St Vincent's Clay County: charges and Medicare payments
Ascension St Vincent's Clay County reported 1,082 Medicare inpatient stays across 40 DRGs in 2024. Across them it charged 5.16 times what it was paid — among the lower ratios in Florida, number 116 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 164 stays at an average charge of $72,372, 20% below the national average. It also billed 1,520 outpatient services, charging 13.24 times what Medicare paid.
- 1Medicare inpatient stays 1,082
- 2Charge ÷ paid, inpatient 5.16×
- 3Rank in FL (highest ratio = 1) 116 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 40 DRGs that can be compared with the national average, Ascension St Vincent's Clay County charged more than the national average in 4 (10%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 164 | $72,372 | -20% | $13,879 |
| 291 Heart Failure and Shock with MCC | 86 | $34,864 | -38% | $9,418 |
| 177 Respiratory Infections and Inflammations with MCC | 73 | $48,569 | -31% | $11,659 |
| 193 Simple Pneumonia and Pleurisy with MCC | 63 | $41,856 | -30% | $9,680 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 39 | $71,044 | -6% | $11,446 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $45,055 | -22% | $9,759 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 32 | $175,519 | +7% | $20,327 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $41,087 | -32% | $9,556 |
| 682 Renal Failure with MCC | 27 | $54,438 | -17% | $10,950 |
| 683 Renal Failure with CC | 27 | $25,997 | -36% | $6,942 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $29,199 | -23% | $6,298 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 23 | $34,197 | -30% | $7,667 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 22 | $43,617 | -56% | $13,427 |
| 603 Cellulitis without MCC | 22 | $28,954 | -22% | $6,847 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 22 | $265,472 | -18% | $45,916 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $40,446 | -17% | $7,555 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $32,268 | -37% | $8,428 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 20 | $109,674 | -2% | $16,408 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $119,946 | +5% | $13,141 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 20 | $172,080 | -25% | $32,991 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $57,817 | -32% | $13,989 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $32,922 | -41% | $7,503 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $30,652 | -24% | $6,112 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $23,324 | -37% | $6,077 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $59,406 | +18% | $7,674 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $30,629 | -15% | $6,149 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $52,091 | -29% | $11,385 |
| 811 Red Blood Cell Disorders with MCC | 16 | $32,756 | -52% | $10,389 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 15 | $67,318 | +5% | $8,191 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $41,388 | -27% | $8,600 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $39,510 | -22% | $8,172 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $26,297 | -31% | $7,200 |
| 393 Other Digestive System Diagnoses with MCC | 14 | $41,260 | -46% | $11,989 |
| 312 Syncope and Collapse | 13 | $28,003 | -39% | $6,747 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $31,619 | -48% | $9,495 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $177,420 | -17% | $30,275 |
| 389 Gastrointestinal Obstruction with CC | 12 | $22,725 | -42% | $6,010 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $135,463 | 0% | $19,149 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $23,506 | -18% | $4,580 |
| 638 Diabetes with CC | 11 | $31,595 | -24% | $7,492 |
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ascension St Vincent's Clay County charged $72,372 on average, 36% less than the Florida average of $112,838, and was paid $13,879 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Ascension St Vincent's Clay County charged $34,864 on average, 48% less than the Florida average of $67,659, and was paid $9,418 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Ascension St Vincent's Clay County charged $48,569 on average, 43% less than the Florida average of $85,454, and was paid $11,659 against a state average of $13,200. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Ascension St Vincent's Clay County charged $41,856 on average, 47% less than the Florida average of $78,292, and was paid $9,680 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,376 was 32% below the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $50,506 was 21% above the state average of $41,880. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $113,495 was 6% above the state average of $106,979. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,274 was 23% below the state average of $14,597.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ascension St Vincent's Clay County in Middleburg, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2022-11-21 (CMS case 1295)
- Met Requirements — 2024-11-01 (CMS case 2897)
- Met Requirements — 2025-06-06 (CMS case 4930)
- Met Requirements — 2026-05-08 (CMS case 7742)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.