Florida / Baptist Medical Center - Beaches

CMS certification 100117 · Jacksonville Beach, FL · 2 entries in CMS's price-transparency list

Baptist Medical Center - Beaches: charges and Medicare payments

Baptist Medical Center - Beaches reported 1,703 Medicare inpatient stays across 56 DRGs in 2024. Across them it charged 7.32 times what it was paid — mid-range in Florida, number 76 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: 169 stays at an average charge of $111,256, 23% above the national average. It also billed 2,049 outpatient services, charging 9.1 times what Medicare paid.

1Medicare inpatient stays 1,703
2Charge ÷ paid, inpatient 7.32×
3Rank in FL (highest ratio = 1) 76 of 159
4CMS price-transparency actions 2

Average charge per stay at Baptist Medical Center - Beaches, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 56 DRGs that can be compared with the national average, Baptist Medical Center - Beaches charged more than the national average in 34 (61%). 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	169	$111,256	+23%	$13,587
291 Heart Failure and Shock with MCC	149	$63,285	+12%	$8,905
177 Respiratory Infections and Inflammations with MCC	68	$92,008	+30%	$11,171
193 Simple Pneumonia and Pleurisy with MCC	68	$69,069	+16%	$9,708
690 Kidney and Urinary Tract Infections without MCC	56	$41,006	+8%	$5,840
683 Renal Failure with CC	55	$51,848	+27%	$6,408
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	52	$39,468	-2%	$6,092
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	44	$69,722	+16%	$8,741
309 Cardiac Arrhythmia and Conduction Disorders with CC	43	$44,633	+24%	$5,723
481 Hip and Femur Procedures except Major Joint with CC	43	$100,209	-1%	$16,628
190 Chronic Obstructive Pulmonary Disease with MCC	40	$75,325	+49%	$8,211
689 Kidney and Urinary Tract Infections with MCC	39	$50,184	-2%	$8,661
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	38	$36,886	0%	$5,394
682 Renal Failure with MCC	36	$80,690	+22%	$10,433
280 Acute Myocardial Infarction, Discharged Alive with MCC	35	$74,422	-2%	$11,532
603 Cellulitis without MCC	35	$41,281	+11%	$6,497
378 Gastrointestinal Hemorrhage with CC	33	$55,598	+15%	$7,072
698 Other Kidney and Urinary Tract Diagnoses with MCC	33	$74,041	+1%	$11,899
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	31	$117,446	+15%	$14,369
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	31	$51,541	+5%	$7,865
189 Pulmonary Edema and Respiratory Failure	30	$98,105	+70%	$10,548
308 Cardiac Arrhythmia and Conduction Disorders with MCC	30	$62,274	+10%	$8,245
194 Simple Pneumonia and Pleurisy with CC	26	$49,542	+29%	$5,766
178 Respiratory Infections and Inflammations with CC	25	$47,919	+6%	$6,430
638 Diabetes with CC	24	$67,754	+63%	$7,665
699 Other Kidney and Urinary Tract Diagnoses with CC	24	$41,278	-13%	$7,450
286 Circulatory Disorders except AMI, with Cardiac...	22	$99,174	-12%	$14,568
312 Syncope and Collapse	22	$50,482	+11%	$6,101
853 Infectious and Parasitic Diseases with O.R. Procedures with...	21	$265,021	+16%	$36,528
812 Red Blood Cell Disorders without MCC	19	$42,546	-4%	$6,760
314 Other Circulatory System Diagnoses with MCC	18	$73,730	-22%	$13,663
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	17	$48,053	-14%	$7,682
281 Acute Myocardial Infarction, Discharged Alive with CC	17	$45,373	-10%	$7,317
377 Gastrointestinal Hemorrhage with MCC	17	$136,108	+59%	$19,253
389 Gastrointestinal Obstruction with CC	17	$29,296	-25%	$6,155
470 Major Hip and Knee Joint Replacement or Reattachment of...	17	$129,658	+39%	$14,352
811 Red Blood Cell Disorders with MCC	16	$67,900	0%	$9,678
480 Hip and Femur Procedures except Major Joint with MCC	15	$136,259	-2%	$19,669
483 Major Joint or Limb Reattachment Procedures of Upper...	15	$110,298	-13%	$19,007
643 Endocrine Disorders with MCC	15	$85,186	+15%	$11,037
713 Transurethral Prostatectomy with CC/MCC	15	$82,437	+8%	$11,565
330 Major Small and Large Bowel Procedures with CC	14	$132,270	+11%	$16,151
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	14	$68,625	+2%	$10,140
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	13	$104,091	+60%	$9,905
202 Bronchitis and Asthma with CC/MCC	13	$44,502	-4%	$7,482
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	13	$33,872	+18%	$4,795
390 Gastrointestinal Obstruction without CC/MCC	13	$27,089	-3%	$3,918
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	12	$90,754	+49%	$11,033
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	12	$147,580	+9%	$19,924
552 Medical Back Problems without MCC	12	$45,652	-7%	$6,759
637 Diabetes with MCC	12	$47,704	-28%	$9,583
191 Chronic Obstructive Pulmonary Disease with CC	11	$49,130	+24%	$5,906
331 Major Small and Large Bowel Procedures without CC/MCC	11	$69,804	-19%	$14,686
494 Lower Extremity and Humerus Procedures except Hip, Foot and...	11	$101,881	+7%	$15,316
516 Other Musculoskeletal System and Connective Tissue O.R....	11	$91,304	-10%	$14,027
813 Coagulation Disorders	11	$69,971	-13%	$11,136

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	424	$23,149	$2,465
Level 5 Musculoskeletal Procedures	130	$99,812	$11,906
Level 2 Excision/ Biopsy/ Incision and Drainage	129	$15,771	$1,469
Level 4 Musculoskeletal Procedures	109	$48,092	$6,386
Level 1 Endovascular Procedures	106	$19,900	$2,936
Level 3 Urology and Related Services	102	$18,704	$1,845
Level 5 Urology and Related Services	101	$32,901	$4,687
Level 3 Musculoskeletal Procedures	88	$28,819	$2,932
Level 4 Urology and Related Services	87	$24,402	$3,100
Level 1 Laparoscopy and Related Services	76	$35,400	$5,227
Level 2 Musculoskeletal Procedures	72	$12,635	$1,456
Level 3 Excision/ Biopsy/ Incision and Drainage	59	$16,871	$2,574
Level 3 Vascular Procedures	59	$17,876	$2,887
Level 1 Nerve Procedures	59	$15,038	$1,725
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	55	$27,158	$3,134
Level 6 Urology and Related Services	53	$43,641	$8,317
Level 2 Upper GI Procedures	46	$10,573	$1,723
Level 2 Laparoscopy and Related Services	40	$58,860	$9,138
Level 3 Airway Endoscopy	39	$12,812	$1,537
Level 2 Pacemaker and Similar Procedures	37	$18,050	$7,696
Level 4 Gynecologic Procedures	37	$22,339	$2,710
Level 2 Vascular Procedures	32	$6,638	$1,451
Level 5 Neurostimulator and Related Procedures	26	$121,034	$28,046
Level 1 Breast/Lymphatic Surgery and Related Procedures	22	$26,097	$3,453
Level 5 Airway Endoscopy	19	$51,227	$6,200

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Medical Center - Beaches charged $111,256 on average, 1% less than the Florida average of $112,838, and was paid $13,587 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Baptist Medical Center - Beaches charged $63,285 on average, 6% less than the Florida average of $67,659, and was paid $8,905 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Baptist Medical Center - Beaches charged $92,008 on average, 8% more than the Florida average of $85,454, and was paid $11,171 against a state average of $13,200. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Baptist Medical Center - Beaches charged $69,069 on average, 12% less than the Florida average of $78,292, and was paid $9,708 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,149 was 19% below the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $99,812 was 7% below the state average of $106,979. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,771 was 8% above the state average of $14,597. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $48,092 was 35% below the state average of $74,087.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Baptist Medical Center - Beaches in Jacksonville Beach, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2026-02-04 (CMS case 6932)
Closure Notice — 2026-05-07 (CMS case 6932)

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.