Florida / Ascension St Vincent's Riverside

CMS certification 100040 · Jacksonville, FL

Ascension St Vincent's Riverside: charges and Medicare payments

Ascension St Vincent's Riverside reported 2,537 Medicare inpatient stays across 80 DRGs in 2024. Across them it charged 6.22 times what it was paid — mid-range in Florida, number 93 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: 248 stays at an average charge of $60,654, 33% below the national average. It also billed 3,341 outpatient services, charging 15.37 times what Medicare paid.

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  1. 1Medicare inpatient stays 2,537
  2. 2Charge ÷ paid, inpatient 6.22×
  3. 3Rank in FL (highest ratio = 1) 93 of 159
  4. 4CMS price-transparency actions 0
DRG 871$60,654DRG 291$39,039DRG 274$211,477DRG 266$285,813DRG 481$89,682DRG 193$45,065DRG 177$52,056DRG 378$39,498DRG 309$25,790DRG 689$35,136
Average charge per stay at Ascension St Vincent's Riverside, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 80 DRGs that can be compared with the national average, Ascension St Vincent's Riverside charged more than the national average in 26 (33%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC248$60,654-33%$14,289
291 Heart Failure and Shock with MCC169$39,039-31%$10,174
274 Percutaneous and Other Intracardiac Procedures without MCC165$211,477+35%$25,095
266 Endovascular Cardiac Valve Replacement and Supplement...80$285,8130%$44,641
481 Hip and Femur Procedures except Major Joint with CC76$89,682-11%$15,431
193 Simple Pneumonia and Pleurisy with MCC70$45,065-25%$10,822
177 Respiratory Infections and Inflammations with MCC69$52,056-26%$12,249
378 Gastrointestinal Hemorrhage with CC54$39,498-19%$8,036
309 Cardiac Arrhythmia and Conduction Disorders with CC51$25,790-29%$6,295
689 Kidney and Urinary Tract Infections with MCC49$35,136-32%$9,043
280 Acute Myocardial Infarction, Discharged Alive with MCC48$62,363-18%$11,672
480 Hip and Femur Procedures except Major Joint with MCC43$100,249-28%$19,542
522 Hip Replacement with Principal Diagnosis of Hip Fracture...43$108,104+6%$15,308
236 Coronary Bypass without Cardiac Catheterization without MCC39$242,367+15%$28,387
189 Pulmonary Edema and Respiratory Failure35$36,960-36%$10,123
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...35$45,544-24%$9,985
683 Renal Failure with CC34$31,904-22%$7,463
470 Major Hip and Knee Joint Replacement or Reattachment of...33$128,905+38%$14,216
698 Other Kidney and Urinary Tract Diagnoses with MCC33$47,600-35%$12,272
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC33$40,586-17%$8,374
322 Percutaneous Cardiovascular Procedures with Intraluminal...32$126,635+11%$13,716
690 Kidney and Urinary Tract Infections without MCC31$24,996-34%$6,679
853 Infectious and Parasitic Diseases with O.R. Procedures with...31$188,528-18%$32,014
234 Coronary Bypass with Cardiac Catheterization or Open...30$304,946+13%$37,462
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC30$43,318+51%$4,802
682 Renal Failure with MCC30$39,812-40%$11,037
286 Circulatory Disorders except AMI, with Cardiac...29$92,260-18%$16,461
287 Circulatory Disorders except AMI, with Cardiac...29$76,438+20%$8,429
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...29$31,907-21%$6,683
308 Cardiac Arrhythmia and Conduction Disorders with MCC28$34,790-39%$9,583
377 Gastrointestinal Hemorrhage with MCC28$49,422-42%$13,042
321 Percutaneous Cardiovascular Procedures with Intraluminal...27$167,056+2%$22,488
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...27$24,798-33%$6,085
235 Coronary Bypass without Cardiac Catheterization with MCC25$316,087+8%$42,180
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...24$35,620-36%$8,054
603 Cellulitis without MCC23$34,436-8%$7,516
267 Endovascular Cardiac Valve Replacement and Supplement...22$278,945+26%$34,759
312 Syncope and Collapse22$29,056-36%$7,485
330 Major Small and Large Bowel Procedures with CC22$171,080+44%$18,909
164 Major Chest Procedures with CC21$132,925+4%$19,304
190 Chronic Obstructive Pulmonary Disease with MCC21$34,815-31%$8,041
329 Major Small and Large Bowel Procedures with MCC21$242,470+13%$28,829
243 Permanent Cardiac Pacemaker Implant with CC20$202,757+83%$20,164
314 Other Circulatory System Diagnoses with MCC20$76,350-19%$15,517
812 Red Blood Cell Disorders without MCC20$35,366-20%$7,090
036 Carotid Artery Stent Procedures without CC/MCC18$99,582+13%$13,579
194 Simple Pneumonia and Pleurisy with CC18$27,824-28%$6,929
233 Coronary Bypass with Cardiac Catheterization or Open...18$382,060-1%$44,142
039 Extracranial Procedures without CC/MCC17$70,999+11%$9,671
100 Seizures with MCC17$35,254-63%$14,137
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...17$42,241-31%$10,146
482 Hip and Femur Procedures except Major Joint without CC/MCC17$74,381-5%$11,917
521 Hip Replacement with Principal Diagnosis of Hip Fracture...17$116,698-14%$20,613
064 Intracranial Hemorrhage or Cerebral Infarction with MCC16$48,396-52%$12,958
208 Respiratory System Diagnosis with Ventilator Support <=96...16$82,143-39%$22,042
273 Percutaneous and Other Intracardiac Procedures with MCC16$321,548+50%$26,305
281 Acute Myocardial Infarction, Discharged Alive with CC16$52,969+5%$8,249
467 Revision of Hip or Knee Replacement with CC16$167,329+6%$25,732
870 Septicemia or Severe Sepsis with MV >96 Hours15$187,842-42%$42,605
389 Gastrointestinal Obstruction with CC14$24,444-37%$6,311

Showing the 60 most frequent of 80 DRGs.

Outpatient services

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ascension St Vincent's Riverside charged $60,654 on average, 46% less than the Florida average of $112,838, and was paid $14,289 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Ascension St Vincent's Riverside charged $39,039 on average, 42% less than the Florida average of $67,659, and was paid $10,174 against a state average of $10,715. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Ascension St Vincent's Riverside charged $211,477 on average, 14% more than the Florida average of $185,126, and was paid $25,095 against a state average of $24,802. For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), Ascension St Vincent's Riverside charged $285,813 on average, 10% less than the Florida average of $318,422, and was paid $44,641 against a state average of $48,648. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,541 was 38% below the state average of $28,431. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $398,721 was 104% above the state average of $195,231. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $57,771 was 38% above the state average of $41,880. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $113,505 was 6% above the state average of $106,979.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.