Florida / Bethesda Hospital East

CMS certification 100002 · Boynton Beach, FL · 2 entries in CMS's price-transparency list

Bethesda Hospital East: charges and Medicare payments

Bethesda Hospital East reported 4,207 Medicare inpatient stays across 109 DRGs in 2024. Across them it charged 7.2 times what it was paid — mid-range in Florida, number 77 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: 383 stays at an average charge of $98,957, 10% above the national average. It also billed 3,945 outpatient services, charging 10.31 times what Medicare paid.

1Medicare inpatient stays 4,207
2Charge ÷ paid, inpatient 7.2×
3Rank in FL (highest ratio = 1) 77 of 159
4CMS price-transparency actions 2

Average charge per stay at Bethesda Hospital East, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 109 DRGs that can be compared with the national average, Bethesda Hospital East charged more than the national average in 95 (87%). 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	383	$98,957	+10%	$15,111
291 Heart Failure and Shock with MCC	201	$70,998	+26%	$10,126
177 Respiratory Infections and Inflammations with MCC	157	$103,389	+46%	$13,167
193 Simple Pneumonia and Pleurisy with MCC	157	$82,866	+39%	$10,976
690 Kidney and Urinary Tract Infections without MCC	130	$44,161	+17%	$6,800
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	125	$66,687	+36%	$8,572
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	116	$48,837	+22%	$6,936
378 Gastrointestinal Hemorrhage with CC	114	$58,718	+21%	$8,413
603 Cellulitis without MCC	113	$41,500	+11%	$7,307
274 Percutaneous and Other Intracardiac Procedures without MCC	99	$145,924	-7%	$25,041
689 Kidney and Urinary Tract Infections with MCC	97	$62,483	+22%	$9,452
190 Chronic Obstructive Pulmonary Disease with MCC	89	$81,439	+61%	$9,346
194 Simple Pneumonia and Pleurisy with CC	81	$59,503	+55%	$7,331
853 Infectious and Parasitic Diseases with O.R. Procedures with...	70	$335,256	+46%	$43,510
481 Hip and Femur Procedures except Major Joint with CC	69	$118,538	+18%	$17,266
309 Cardiac Arrhythmia and Conduction Disorders with CC	62	$46,837	+30%	$6,339
312 Syncope and Collapse	61	$49,755	+9%	$7,311
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	58	$114,839	+12%	$16,723
189 Pulmonary Edema and Respiratory Failure	56	$63,065	+10%	$10,102
683 Renal Failure with CC	56	$47,255	+16%	$7,130
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	54	$37,451	+1%	$6,548
178 Respiratory Infections and Inflammations with CC	46	$57,939	+28%	$8,168
280 Acute Myocardial Infarction, Discharged Alive with MCC	46	$105,281	+39%	$13,733
377 Gastrointestinal Hemorrhage with MCC	44	$81,401	-5%	$13,415
281 Acute Myocardial Infarction, Discharged Alive with CC	43	$67,763	+34%	$7,724
322 Percutaneous Cardiovascular Procedures with Intraluminal...	36	$155,853	+36%	$14,654
330 Major Small and Large Bowel Procedures with CC	36	$167,031	+40%	$19,123
389 Gastrointestinal Obstruction with CC	36	$50,496	+30%	$6,910
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	35	$73,562	+32%	$8,201
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$68,919	+14%	$10,931
252 Other Vascular Procedures with MCC	32	$178,580	+5%	$27,501
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	31	$87,501	+30%	$10,764
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	30	$37,396	+30%	$5,027
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	30	$71,785	+18%	$10,639
202 Bronchitis and Asthma with CC/MCC	29	$66,021	+43%	$8,268
267 Endovascular Cardiac Valve Replacement and Supplement...	29	$269,775	+22%	$37,677
552 Medical Back Problems without MCC	29	$57,292	+17%	$7,812
682 Renal Failure with MCC	29	$63,919	-3%	$11,201
812 Red Blood Cell Disorders without MCC	29	$42,920	-3%	$7,900
270 Other Major Cardiovascular Procedures with MCC	28	$252,491	-3%	$43,089
195 Simple Pneumonia and Pleurisy without CC/MCC	27	$41,185	+36%	$5,622
698 Other Kidney and Urinary Tract Diagnoses with MCC	27	$73,606	0%	$12,911
253 Other Vascular Procedures with CC	26	$200,102	+52%	$23,175
329 Major Small and Large Bowel Procedures with MCC	26	$257,934	+20%	$37,188
602 Cellulitis with MCC	26	$83,641	+39%	$11,724
390 Gastrointestinal Obstruction without CC/MCC	25	$37,748	+35%	$5,069
271 Other Major Cardiovascular Procedures with CC	24	$200,352	+15%	$27,288
536 Fractures of Hip and Pelvis without MCC	24	$40,350	+7%	$6,802
314 Other Circulatory System Diagnoses with MCC	23	$96,038	+1%	$16,426
321 Percutaneous Cardiovascular Procedures with Intraluminal...	23	$232,420	+42%	$25,416
418 Laparoscopic Cholecystectomy without C.D.E. with CC	23	$118,999	+28%	$13,692
482 Hip and Femur Procedures except Major Joint without CC/MCC	23	$103,667	+33%	$12,808
811 Red Blood Cell Disorders with MCC	23	$80,502	+18%	$11,924
191 Chronic Obstructive Pulmonary Disease with CC	22	$59,506	+50%	$7,327
243 Permanent Cardiac Pacemaker Implant with CC	22	$158,157	+42%	$17,869
372 Major Gastrointestinal Disorders and Peritoneal Infections...	22	$59,558	+25%	$8,802
468 Revision of Hip or Knee Replacement without CC/MCC	22	$120,467	-3%	$20,774
637 Diabetes with MCC	22	$81,880	+23%	$11,103
854 Infectious and Parasitic Diseases with O.R. Procedures with...	22	$119,001	+21%	$15,810
286 Circulatory Disorders except AMI, with Cardiac...	21	$118,960	+6%	$16,075

Showing the 60 most frequent of 109 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,638	$23,231	$2,465
Level 5 Musculoskeletal Procedures	370	$85,007	$11,906
Level 1 Endovascular Procedures	187	$38,872	$2,934
Level 5 Urology and Related Services	148	$40,568	$4,687
Level 4 Urology and Related Services	142	$31,636	$3,158
Level 2 Excision/ Biopsy/ Incision and Drainage	137	$13,816	$1,469
Level 3 Endovascular Procedures	137	$86,958	$9,957
Level 1 Laparoscopy and Related Services	122	$54,082	$5,090
Level 2 Upper GI Procedures	110	$14,510	$1,716
Level 3 Vascular Procedures	105	$30,380	$2,887
Level 3 Electrophysiologic Procedures	103	$146,263	$21,459
Level 4 Musculoskeletal Procedures	94	$69,320	$6,480
Level 2 Endovascular Procedures	92	$42,846	$5,088
Level 3 Urology and Related Services	88	$18,397	$1,803
Level 3 Excision/ Biopsy/ Incision and Drainage	48	$28,610	$2,504
Level 2 Laparoscopy and Related Services	46	$91,694	$9,152
Level 3 Musculoskeletal Procedures	44	$32,950	$2,932
Level 4 Vascular Procedures	39	$49,551	$4,978
Level 4 Endovascular Procedures	34	$121,134	$15,852
Level 3 Airway Endoscopy	32	$10,496	$1,537
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	29	$40,897	$3,134
Level 3 Pacemaker and Similar Procedures	28	$73,022	$9,666
Level 2 Musculoskeletal Procedures	24	$18,920	$1,456
Level 2 Vascular Procedures	24	$10,601	$1,451
Level 6 Musculoskeletal Procedures	21	$123,388	$16,845

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bethesda Hospital East charged $98,957 on average, 12% less than the Florida average of $112,838, and was paid $15,111 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Bethesda Hospital East charged $70,998 on average, 5% more than the Florida average of $67,659, and was paid $10,126 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Bethesda Hospital East charged $103,389 on average, 21% more than the Florida average of $85,454, and was paid $13,167 against a state average of $13,200. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Bethesda Hospital East charged $82,866 on average, 6% more than the Florida average of $78,292, and was paid $10,976 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,231 was 18% below the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $85,007 was 21% below the state average of $106,979. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $38,872 was 7% below the state average of $41,880. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $40,568 was 21% below the state average of $51,337.

Price-transparency record

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

Warning Notice — 2024-01-31 (CMS case 10)
Closure Notice — 2024-04-04 (CMS case 10)

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.