Florida / Baptist Medical Center - Nassau
CMS certification 100140 · Fernandina Beach, FL · 2 entries in CMS's price-transparency list
Baptist Medical Center - Nassau: charges and Medicare payments
Baptist Medical Center - Nassau reported 799 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 5.28 times what it was paid — among the lower ratios in Florida, number 112 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: 152 stays at an average charge of $72,407, 20% below the national average. It also billed 960 outpatient services, charging 10.41 times what Medicare paid.
- 1Medicare inpatient stays 799
- 2Charge ÷ paid, inpatient 5.28×
- 3Rank in FL (highest ratio = 1) 112 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 27 DRGs that can be compared with the national average, Baptist Medical Center - Nassau charged more than the national average in 9 (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 | 152 | $72,407 | -20% | $14,246 |
| 291 Heart Failure and Shock with MCC | 94 | $49,672 | -12% | $9,455 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 44 | $49,376 | +1% | $7,714 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 41 | $40,385 | +1% | $6,370 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $54,219 | -9% | $9,949 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $57,333 | -19% | $11,812 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $34,634 | -4% | $6,039 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $34,788 | -6% | $6,393 |
| 689 Kidney and Urinary Tract Infections with MCC | 28 | $46,384 | -10% | $8,592 |
| 378 Gastrointestinal Hemorrhage with CC | 24 | $50,519 | +4% | $9,318 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $48,005 | +27% | $10,153 |
| 683 Renal Failure with CC | 23 | $43,111 | +6% | $6,799 |
| 312 Syncope and Collapse | 21 | $37,174 | -18% | $7,230 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $41,922 | +9% | $6,601 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 19 | $44,425 | -22% | $9,327 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $58,310 | -21% | $11,414 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $55,906 | -3% | $11,255 |
| 603 Cellulitis without MCC | 17 | $39,581 | +6% | $6,961 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $63,396 | -16% | $12,543 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $145,573 | +22% | $19,703 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $123,420 | -46% | $35,847 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $50,458 | 0% | $8,565 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $42,298 | -30% | $10,561 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $44,463 | -20% | $7,821 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $80,835 | -20% | $15,421 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $33,165 | +15% | $4,439 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $161,119 | -25% | $29,071 |
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Medical Center - Nassau charged $72,407 on average, 36% less than the Florida average of $112,838, and was paid $14,246 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Baptist Medical Center - Nassau charged $49,672 on average, 27% less than the Florida average of $67,659, and was paid $9,455 against a state average of $10,715. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Baptist Medical Center - Nassau charged $49,376 on average, 21% less than the Florida average of $62,885, and was paid $7,714 against a state average of $8,998. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Baptist Medical Center - Nassau charged $40,385 on average, 24% less than the Florida average of $53,444, and was paid $6,370 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,798 was 13% below the state average of $28,431. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,746 was 38% below the state average of $18,929. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $18,811 was 20% below the state average of $23,471. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $27,042 was 47% below the state average of $51,337.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baptist Medical Center - Nassau in Fernandina 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 6923)
- Closure Notice — 2026-05-07 (CMS case 6923)
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.