Florida / Cape Coral Hospital
CMS certification 100244 · Cape Coral, FL · 1 entry in CMS's price-transparency list
Cape Coral Hospital: charges and Medicare payments
Cape Coral Hospital reported 3,787 Medicare inpatient stays across 99 DRGs in 2024. Across them it charged 5.6 times what it was paid — mid-range in Florida, number 102 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: 376 stays at an average charge of $85,235, 6% below the national average. It also billed 2,120 outpatient services, charging 11.35 times what Medicare paid.
- 1Medicare inpatient stays 3,787
- 2Charge ÷ paid, inpatient 5.6×
- 3Rank in FL (highest ratio = 1) 102 of 159
- 4CMS price-transparency actions 1
Inpatient stays
For the 99 DRGs that can be compared with the national average, Cape Coral Hospital charged more than the national average in 18 (18%). 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 | 376 | $85,235 | -6% | $14,765 |
| 291 Heart Failure and Shock with MCC | 280 | $48,123 | -15% | $9,376 |
| 177 Respiratory Infections and Inflammations with MCC | 215 | $64,576 | -9% | $12,017 |
| 193 Simple Pneumonia and Pleurisy with MCC | 128 | $48,430 | -19% | $9,613 |
| 189 Pulmonary Edema and Respiratory Failure | 116 | $62,393 | +8% | $9,444 |
| 690 Kidney and Urinary Tract Infections without MCC | 110 | $33,731 | -11% | $6,171 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 97 | $36,146 | -10% | $6,209 |
| 378 Gastrointestinal Hemorrhage with CC | 96 | $42,381 | -13% | $7,535 |
| 683 Renal Failure with CC | 78 | $35,661 | -12% | $6,807 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 76 | $58,782 | -20% | $11,897 |
| 689 Kidney and Urinary Tract Infections with MCC | 73 | $38,974 | -24% | $8,591 |
| 603 Cellulitis without MCC | 71 | $27,696 | -26% | $6,973 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 69 | $29,153 | -21% | $6,228 |
| 682 Renal Failure with MCC | 64 | $54,947 | -17% | $10,278 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 63 | $46,406 | -5% | $7,827 |
| 481 Hip and Femur Procedures except Major Joint with CC | 58 | $100,825 | 0% | $15,494 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 50 | $196,970 | -14% | $35,274 |
| 312 Syncope and Collapse | 49 | $37,483 | -18% | $7,028 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 46 | $32,145 | -32% | $7,548 |
| 377 Gastrointestinal Hemorrhage with MCC | 45 | $68,467 | -20% | $13,631 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 42 | $47,191 | -22% | $9,696 |
| 552 Medical Back Problems without MCC | 41 | $40,281 | -18% | $7,227 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 40 | $70,102 | +4% | $10,311 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 39 | $38,898 | -18% | $7,864 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 37 | $112,148 | +10% | $16,093 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 35 | $116,256 | +25% | $13,823 |
| 057 Degenerative Nervous System Disorders without MCC | 34 | $39,691 | -30% | $9,589 |
| 194 Simple Pneumonia and Pleurisy with CC | 33 | $36,271 | -5% | $6,517 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $58,257 | -5% | $10,731 |
| 389 Gastrointestinal Obstruction with CC | 32 | $31,636 | -19% | $6,589 |
| 394 Other Digestive System Diagnoses with CC | 32 | $30,830 | -34% | $7,295 |
| 305 Hypertension without MCC | 31 | $29,878 | -25% | $6,142 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 31 | $30,153 | -29% | $6,821 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 30 | $27,905 | -23% | $5,880 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 30 | $88,899 | -5% | $12,465 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 30 | $128,438 | -7% | $21,378 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 28 | $72,260 | -28% | $13,481 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 28 | $91,780 | -10% | $14,428 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $57,931 | +4% | $8,013 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 26 | $42,892 | -15% | $8,036 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 26 | $43,505 | -11% | $7,873 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $46,298 | -18% | $9,759 |
| 536 Fractures of Hip and Pelvis without MCC | 25 | $28,118 | -25% | $6,118 |
| 638 Diabetes with CC | 25 | $32,223 | -23% | $7,409 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 25 | $77,679 | +37% | $8,787 |
| 300 Peripheral Vascular Disorders with CC | 24 | $34,413 | -30% | $7,947 |
| 202 Bronchitis and Asthma with CC/MCC | 23 | $40,388 | -12% | $8,280 |
| 813 Coagulation Disorders | 23 | $40,263 | -50% | $11,774 |
| 329 Major Small and Large Bowel Procedures with MCC | 22 | $261,502 | +22% | $34,579 |
| 330 Major Small and Large Bowel Procedures with CC | 22 | $161,190 | +35% | $17,988 |
| 178 Respiratory Infections and Inflammations with CC | 21 | $55,349 | +22% | $7,540 |
| 519 Back and Neck Procedures except Spinal Fusion with CC | 21 | $112,306 | +7% | $16,296 |
| 884 Organic Disturbances and Intellectual Disability | 21 | $35,443 | -43% | $11,697 |
| 069 Transient Ischemia without Thrombolytic | 20 | $39,929 | -21% | $6,268 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 20 | $58,113 | -11% | $11,151 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 20 | $26,075 | -9% | $5,219 |
| 390 Gastrointestinal Obstruction without CC/MCC | 20 | $24,470 | -12% | $4,839 |
| 812 Red Blood Cell Disorders without MCC | 20 | $31,279 | -30% | $7,092 |
| 460 Spinal Fusion except Cervical without MCC | 19 | $172,561 | +1% | $29,276 |
| 419 Laparoscopic Cholecystectomy without C.D.E. without CC/MCC | 18 | $83,699 | +7% | $9,807 |
Showing the 60 most frequent of 99 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cape Coral Hospital charged $85,235 on average, 24% less than the Florida average of $112,838, and was paid $14,765 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Cape Coral Hospital charged $48,123 on average, 29% less than the Florida average of $67,659, and was paid $9,376 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Cape Coral Hospital charged $64,576 on average, 24% less than the Florida average of $85,454, and was paid $12,017 against a state average of $13,200. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Cape Coral Hospital charged $48,430 on average, 38% less than the Florida average of $78,292, and was paid $9,613 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,646 was 20% below the state average of $28,431. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $52,054 was 30% below the state average of $74,087. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $93,507 was 13% below the state average of $106,979. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $63,147 was 7% below the state average of $68,202.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Cape Coral Hospital in Cape Coral, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-11 (CMS case 5017)
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.