Florida / Baptist Hospital
CMS certification 100093 · Pensacola, FL · 4 entries in CMS's price-transparency list
Baptist Hospital: charges and Medicare payments
Baptist Hospital reported 3,786 Medicare inpatient stays across 109 DRGs in 2024. Across them it charged 5.36 times what it was paid — among the lower ratios in Florida, number 107 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: 372 stays at an average charge of $71,727, 21% below the national average. It also billed 4,415 outpatient services, charging 10.91 times what Medicare paid.
- 1Medicare inpatient stays 3,786
- 2Charge ÷ paid, inpatient 5.36×
- 3Rank in FL (highest ratio = 1) 107 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 109 DRGs that can be compared with the national average, Baptist Hospital charged more than the national average in 36 (33%). 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 | 372 | $71,727 | -21% | $14,504 |
| 291 Heart Failure and Shock with MCC | 310 | $40,141 | -29% | $9,954 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 238 | $89,593 | -43% | $24,244 |
| 193 Simple Pneumonia and Pleurisy with MCC | 78 | $53,113 | -11% | $10,466 |
| 177 Respiratory Infections and Inflammations with MCC | 76 | $52,326 | -26% | $12,215 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 72 | $34,318 | -5% | $6,424 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 70 | $54,989 | -27% | $11,833 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 66 | $169,176 | -17% | $32,702 |
| 189 Pulmonary Edema and Respiratory Failure | 65 | $45,230 | -21% | $10,291 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 64 | $180,594 | -21% | $33,742 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 62 | $49,224 | -18% | $10,128 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 61 | $27,840 | -3% | $5,094 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 61 | $115,909 | +24% | $14,203 |
| 481 Hip and Femur Procedures except Major Joint with CC | 59 | $135,533 | +35% | $15,410 |
| 682 Renal Failure with MCC | 59 | $49,140 | -25% | $10,774 |
| 689 Kidney and Urinary Tract Infections with MCC | 59 | $47,830 | -7% | $8,897 |
| 378 Gastrointestinal Hemorrhage with CC | 57 | $46,396 | -4% | $8,011 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 56 | $115,813 | +1% | $15,320 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 51 | $137,723 | +35% | $15,984 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 51 | $48,998 | 0% | $8,298 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 48 | $57,945 | +2% | $10,094 |
| 377 Gastrointestinal Hemorrhage with MCC | 47 | $69,780 | -18% | $13,645 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 46 | $53,223 | -4% | $8,324 |
| 683 Renal Failure with CC | 46 | $41,350 | +2% | $7,518 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 42 | $83,663 | -16% | $14,723 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 42 | $68,168 | +7% | $9,195 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 36 | $85,813 | -24% | $16,376 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 35 | $100,851 | -26% | $20,904 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 35 | $134,446 | -39% | $34,877 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 35 | $50,287 | -32% | $11,654 |
| 070 Other Cerebrovascular Disorders with MCC | 31 | $61,137 | -20% | $13,192 |
| 330 Major Small and Large Bowel Procedures with CC | 31 | $161,828 | +36% | $18,551 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $48,663 | +21% | $6,690 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $42,727 | +15% | $6,595 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 30 | $188,193 | -11% | $31,091 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $40,003 | +6% | $6,690 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 29 | $136,422 | -17% | $22,574 |
| 811 Red Blood Cell Disorders with MCC | 29 | $56,360 | -17% | $10,899 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 28 | $203,423 | -27% | $44,739 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 26 | $45,732 | -9% | $7,725 |
| 603 Cellulitis without MCC | 26 | $34,380 | -8% | $7,406 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 25 | $200,925 | -6% | $28,977 |
| 637 Diabetes with MCC | 25 | $54,133 | -19% | $10,930 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 24 | $41,847 | -17% | $9,112 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 24 | $260,228 | -32% | $53,041 |
| 329 Major Small and Large Bowel Procedures with MCC | 24 | $191,020 | -11% | $29,941 |
| 467 Revision of Hip or Knee Replacement with CC | 24 | $194,929 | +24% | $26,316 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 23 | $172,316 | +45% | $17,729 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 22 | $165,599 | -42% | $44,030 |
| 472 Cervical Spinal Fusion with CC | 22 | $173,067 | +21% | $24,626 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 22 | $178,495 | +29% | $22,982 |
| 812 Red Blood Cell Disorders without MCC | 22 | $43,207 | -3% | $7,402 |
| 069 Transient Ischemia without Thrombolytic | 20 | $53,901 | +7% | $6,790 |
| 071 Other Cerebrovascular Disorders with CC | 20 | $61,474 | +22% | $8,492 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 20 | $78,606 | -29% | $16,650 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $53,365 | -13% | $10,271 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $45,241 | +18% | $6,776 |
| 312 Syncope and Collapse | 19 | $46,839 | +3% | $7,196 |
| 253 Other Vascular Procedures with CC | 18 | $112,410 | -15% | $18,852 |
| 305 Hypertension without MCC | 18 | $31,883 | -20% | $6,415 |
Showing the 60 most frequent of 109 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Hospital charged $71,727 on average, 36% less than the Florida average of $112,838, and was paid $14,504 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Baptist Hospital charged $40,141 on average, 41% less than the Florida average of $67,659, and was paid $9,954 against a state average of $10,715. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Baptist Hospital charged $89,593 on average, 52% less than the Florida average of $185,126, and was paid $24,244 against a state average of $24,802. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Baptist Hospital charged $53,113 on average, 32% less than the Florida average of $78,292, and was paid $10,466 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $30,153 was 6% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $35,017 was 16% below the state average of $41,880. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,384 was 65% below the state average of $3,903. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $97,521 was 9% below the state average of $106,979.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baptist Hospital in Pensacola, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-03-28 (CMS case 3462)
- Closure Notice — 2025-05-08 (CMS case 3462)
- Warning Notice — 2026-04-09 (CMS case 7412)
- Closure Notice — 2026-05-15 (CMS case 7412)
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.