Florida / Baptist Medical Center Jacksonville
CMS certification 100088 · Jacksonville, FL · 7 entries in CMS's price-transparency list
Baptist Medical Center Jacksonville: charges and Medicare payments
Baptist Medical Center Jacksonville reported 13,224 Medicare inpatient stays across 249 DRGs in 2024. Across them it charged 6.12 times what it was paid — mid-range in Florida, number 95 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: 941 stays at an average charge of $105,834, 17% above the national average. It also billed 11,321 outpatient services, charging 8.54 times what Medicare paid.
- 1Medicare inpatient stays 13,224
- 2Charge ÷ paid, inpatient 6.12×
- 3Rank in FL (highest ratio = 1) 95 of 159
- 4CMS price-transparency actions 7
Inpatient stays
For the 249 DRGs that can be compared with the national average, Baptist Medical Center Jacksonville charged more than the national average in 148 (59%). 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 | 941 | $105,834 | +17% | $15,956 |
| 291 Heart Failure and Shock with MCC | 593 | $73,308 | +30% | $11,255 |
| 177 Respiratory Infections and Inflammations with MCC | 295 | $78,860 | +12% | $12,709 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 247 | $45,528 | +13% | $6,915 |
| 193 Simple Pneumonia and Pleurisy with MCC | 222 | $75,236 | +26% | $11,383 |
| 689 Kidney and Urinary Tract Infections with MCC | 222 | $58,997 | +15% | $9,412 |
| 690 Kidney and Urinary Tract Infections without MCC | 221 | $43,200 | +14% | $6,939 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 210 | $64,381 | +31% | $9,134 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 206 | $193,121 | -32% | $45,939 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 205 | $92,993 | +27% | $13,379 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 204 | $62,959 | +4% | $10,619 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 177 | $47,097 | +30% | $6,788 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 174 | $120,814 | +21% | $16,022 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 173 | $242,110 | +6% | $42,649 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 170 | $70,115 | +26% | $8,608 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 167 | $137,577 | -12% | $25,297 |
| 682 Renal Failure with MCC | 165 | $84,548 | +28% | $12,203 |
| 683 Renal Failure with CC | 153 | $45,238 | +11% | $7,587 |
| 312 Syncope and Collapse | 148 | $48,706 | +7% | $7,495 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 138 | $88,146 | +16% | $12,823 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 137 | $46,336 | +25% | $6,885 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 135 | $68,499 | +21% | $10,033 |
| 378 Gastrointestinal Hemorrhage with CC | 129 | $60,625 | +25% | $8,709 |
| 603 Cellulitis without MCC | 128 | $47,396 | +27% | $7,763 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 120 | $63,534 | -1% | $8,866 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 117 | $100,408 | -12% | $14,451 |
| 189 Pulmonary Edema and Respiratory Failure | 107 | $75,827 | +32% | $11,100 |
| 194 Simple Pneumonia and Pleurisy with CC | 106 | $49,225 | +28% | $7,226 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 106 | $63,809 | +5% | $10,842 |
| 377 Gastrointestinal Hemorrhage with MCC | 104 | $99,923 | +17% | $14,933 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 96 | $67,654 | +34% | $9,590 |
| 481 Hip and Femur Procedures except Major Joint with CC | 95 | $102,243 | +1% | $15,854 |
| 552 Medical Back Problems without MCC | 94 | $45,504 | -7% | $8,133 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 86 | $100,636 | -10% | $17,323 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 85 | $233,968 | +1% | $37,325 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 85 | $79,030 | +21% | $12,022 |
| 329 Major Small and Large Bowel Procedures with MCC | 82 | $203,986 | -5% | $35,971 |
| 638 Diabetes with CC | 80 | $53,013 | +27% | $7,587 |
| 811 Red Blood Cell Disorders with MCC | 80 | $81,648 | +20% | $12,183 |
| 305 Hypertension without MCC | 79 | $42,770 | +7% | $6,790 |
| 812 Red Blood Cell Disorders without MCC | 78 | $44,033 | -1% | $8,981 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 77 | $35,035 | +22% | $5,317 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 76 | $54,702 | +15% | $9,239 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 75 | $290,201 | +3% | $50,503 |
| 176 Pulmonary Embolism without MCC | 72 | $53,234 | +28% | $7,220 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 72 | $192,144 | -5% | $35,471 |
| 178 Respiratory Infections and Inflammations with CC | 69 | $48,017 | +6% | $8,729 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 67 | $229,765 | +6% | $36,522 |
| 389 Gastrointestinal Obstruction with CC | 66 | $38,666 | -1% | $7,131 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 64 | $58,002 | +15% | $8,369 |
| 394 Other Digestive System Diagnoses with CC | 64 | $56,825 | +21% | $8,554 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 64 | $150,643 | +9% | $23,629 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 63 | $247,601 | +17% | $31,267 |
| 393 Other Digestive System Diagnoses with MCC | 60 | $71,512 | -7% | $13,287 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 59 | $159,809 | -2% | $26,021 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 59 | $104,340 | +2% | $16,652 |
| 069 Transient Ischemia without Thrombolytic | 58 | $56,163 | +11% | $7,384 |
| 100 Seizures with MCC | 58 | $102,986 | +9% | $15,131 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 58 | $305,370 | +14% | $40,470 |
| 314 Other Circulatory System Diagnoses with MCC | 58 | $133,391 | +41% | $20,246 |
Showing the 60 most frequent of 249 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Medical Center Jacksonville charged $105,834 on average, 6% less than the Florida average of $112,838, and was paid $15,956 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Baptist Medical Center Jacksonville charged $73,308 on average, 8% more than the Florida average of $67,659, and was paid $11,255 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Baptist Medical Center Jacksonville charged $78,860 on average, 8% less than the Florida average of $85,454, and was paid $12,709 against a state average of $13,200. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Baptist Medical Center Jacksonville charged $45,528 on average, 15% less than the Florida average of $53,444, and was paid $6,915 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,109 was 8% below the state average of $28,431. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,149 was 17% below the state average of $14,597. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $78,221 was 27% below the state average of $106,979. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,084 was 45% below the state average of $41,880.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baptist Medical Center Jacksonville in Jacksonville, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 497)
- CAP Request — 2022-05-04 (CMS case 497)
- Closure Notice — 2022-08-25 (CMS case 497)
- Warning Notice — 2025-03-28 (CMS case 3451)
- Closure Notice — 2025-06-03 (CMS case 3451)
- Warning Notice — 2026-04-10 (CMS case 7416)
- Closure Notice — 2026-07-15 (CMS case 7416)
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.