Florida / Baycare Hospital Wesley Chapel
CMS certification 100362 · Wesley Chapel, FL · 2 entries in CMS's price-transparency list
Baycare Hospital Wesley Chapel: charges and Medicare payments
Baycare Hospital Wesley Chapel reported 211 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 3.72 times what it was paid — among the lower ratios in Florida, number 152 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: 67 stays at an average charge of $67,749, 25% below the national average. It also billed 254 outpatient services, charging 11.13 times what Medicare paid.
- 1Medicare inpatient stays 211
- 2Charge ÷ paid, inpatient 3.72×
- 3Rank in FL (highest ratio = 1) 152 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 10 DRGs that can be compared with the national average, Baycare Hospital Wesley Chapel charged more than the national average in 3 (30%). 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 | 67 | $67,749 | -25% | $19,256 |
| 291 Heart Failure and Shock with MCC | 26 | $50,514 | -10% | $14,563 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $42,764 | +6% | $9,971 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 18 | $59,075 | -20% | $16,555 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $61,551 | -19% | $15,665 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $48,605 | -1% | $12,706 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $63,402 | -10% | $15,812 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $49,263 | +1% | $11,484 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $53,712 | +5% | $14,673 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $36,328 | -4% | $8,129 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 155 | $24,859 | $2,412 |
| Level 2 Upper GI Procedures | 25 | $12,233 | $1,665 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 19 | $11,525 | $1,469 |
| Level 5 Urology and Related Services | 15 | $21,440 | $4,687 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 14 | $21,271 | $2,574 |
| Level 4 Urology and Related Services | 14 | $19,435 | $3,158 |
| Level 3 Urology and Related Services | 12 | $12,915 | $1,722 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baycare Hospital Wesley Chapel charged $67,749 on average, 40% less than the Florida average of $112,838, and was paid $19,256 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Baycare Hospital Wesley Chapel charged $50,514 on average, 25% less than the Florida average of $67,659, and was paid $14,563 against a state average of $10,715. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Baycare Hospital Wesley Chapel charged $42,764 on average, 20% less than the Florida average of $53,444, and was paid $9,971 against a state average of $7,095. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Baycare Hospital Wesley Chapel charged $59,075 on average, 34% less than the Florida average of $89,808, and was paid $16,555 against a state average of $13,414. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,859 was 13% below the state average of $28,431. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $12,233 was 35% below the state average of $18,929. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,525 was 21% below the state average of $14,597. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $21,440 was 58% below the state average of $51,337.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baycare Hospital Wesley Chapel in Wesley Chapel, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-08-20 (CMS case 6347)
- Closure Notice — 2025-08-25 (CMS case 6347)
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.