Florida / Cleveland Clinic Hospital

CMS certification 100289 · Weston, FL · 2 entries in CMS's price-transparency list

Cleveland Clinic Hospital: charges and Medicare payments

Cleveland Clinic Hospital reported 2,535 Medicare inpatient stays across 86 DRGs in 2024. Across them it charged 3.84 times what it was paid — among the lower ratios in Florida, number 150 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: 302 stays at an average charge of $60,794, 33% below the national average. It also billed 4,651 outpatient services, charging 5.56 times what Medicare paid.

1Medicare inpatient stays 2,535
2Charge ÷ paid, inpatient 3.84×
3Rank in FL (highest ratio = 1) 150 of 159
4CMS price-transparency actions 2

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

Inpatient stays

For the 86 DRGs that can be compared with the national average, Cleveland Clinic Hospital charged more than the national average in 3 (3%). 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	302	$60,794	-33%	$16,480
291 Heart Failure and Shock with MCC	119	$29,773	-47%	$10,595
330 Major Small and Large Bowel Procedures with CC	91	$80,970	-32%	$20,516
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	76	$33,238	-32%	$9,334
329 Major Small and Large Bowel Procedures with MCC	66	$149,347	-31%	$37,658
698 Other Kidney and Urinary Tract Diagnoses with MCC	64	$49,956	-32%	$15,008
699 Other Kidney and Urinary Tract Diagnoses with CC	55	$59,948	+26%	$10,491
286 Circulatory Disorders except AMI, with Cardiac...	54	$83,380	-26%	$21,252
267 Endovascular Cardiac Valve Replacement and Supplement...	50	$108,623	-51%	$36,121
683 Renal Failure with CC	48	$23,947	-41%	$8,018
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	46	$24,411	-39%	$7,179
853 Infectious and Parasitic Diseases with O.R. Procedures with...	44	$167,321	-27%	$46,367
690 Kidney and Urinary Tract Infections without MCC	43	$22,301	-41%	$6,666
467 Revision of Hip or Knee Replacement with CC	42	$107,121	-32%	$27,760
193 Simple Pneumonia and Pleurisy with MCC	38	$36,876	-38%	$11,415
378 Gastrointestinal Hemorrhage with CC	38	$28,416	-41%	$8,467
177 Respiratory Infections and Inflammations with MCC	37	$37,067	-47%	$12,975
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	36	$195,631	-51%	$61,229
314 Other Circulatory System Diagnoses with MCC	36	$55,901	-41%	$16,517
682 Renal Failure with MCC	36	$47,020	-29%	$12,482
274 Percutaneous and Other Intracardiac Procedures without MCC	34	$91,504	-42%	$24,473
650 Kidney Transplant with Hemodialysis with MCC	33	$282,714	-33%	$39,057
432 Cirrhosis and Alcoholic Hepatitis with MCC	30	$93,347	-2%	$21,644
287 Circulatory Disorders except AMI, with Cardiac...	29	$43,369	-32%	$9,430
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	29	$40,301	-33%	$11,788
689 Kidney and Urinary Tract Infections with MCC	29	$27,675	-46%	$9,376
101 Seizures without MCC	28	$61,199	+26%	$8,485
389 Gastrointestinal Obstruction with CC	28	$28,716	-26%	$7,496
468 Revision of Hip or Knee Replacement without CC/MCC	28	$82,993	-33%	$21,761
001 Heart Transplant or Implant of Heart Assist System with MCC	27	$809,220	-45%	$235,039
025 Craniotomy and Endovascular Intracranial Procedures with MCC	27	$110,727	-52%	$28,063
919 Complications of Treatment with MCC	26	$47,866	-46%	$15,978
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	25	$37,725	-38%	$12,083
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	25	$31,822	-14%	$7,321
266 Endovascular Cardiac Valve Replacement and Supplement...	23	$199,349	-30%	$51,683
394 Other Digestive System Diagnoses with CC	23	$27,731	-41%	$9,054
194 Simple Pneumonia and Pleurisy with CC	22	$28,899	-25%	$7,151
312 Syncope and Collapse	22	$25,018	-45%	$6,949
393 Other Digestive System Diagnoses with MCC	22	$47,089	-39%	$14,672
652 Kidney Transplant	21	$230,266	-32%	$23,569
243 Permanent Cardiac Pacemaker Implant with CC	20	$57,044	-49%	$17,793
309 Cardiac Arrhythmia and Conduction Disorders with CC	20	$20,337	-44%	$6,581
315 Other Circulatory System Diagnoses with CC	20	$39,771	-17%	$9,249
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	19	$42,065	-25%	$8,528
322 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$54,881	-52%	$15,203
326 Stomach, Esophageal and Duodenal Procedures with MCC	19	$121,693	-49%	$42,262
377 Gastrointestinal Hemorrhage with MCC	19	$67,581	-21%	$18,049
470 Major Hip and Knee Joint Replacement or Reattachment of...	19	$64,071	-31%	$14,854
603 Cellulitis without MCC	19	$17,786	-52%	$6,733
331 Major Small and Large Bowel Procedures without CC/MCC	18	$55,150	-36%	$16,047
862 Postoperative and Post-Traumatic Infections with MCC	18	$59,644	-28%	$16,271
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	17	$73,925	-26%	$15,852
235 Coronary Bypass without Cardiac Catheterization with MCC	17	$192,112	-34%	$43,212
178 Respiratory Infections and Inflammations with CC	16	$30,851	-32%	$8,368
472 Cervical Spinal Fusion with CC	16	$123,511	-14%	$26,720
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	16	$50,772	-25%	$11,863
026 Craniotomy and Endovascular Intracranial Procedures with CC	15	$89,536	-46%	$24,300
390 Gastrointestinal Obstruction without CC/MCC	15	$16,473	-41%	$4,963
481 Hip and Femur Procedures except Major Joint with CC	15	$72,631	-28%	$17,230
552 Medical Back Problems without MCC	15	$22,280	-54%	$8,294

Showing the 60 most frequent of 86 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	833	$13,283	$2,429
Level 2 Urology and Related Services	697	$2,445	$617
Level 1 Endovascular Procedures	292	$14,918	$2,956
Level 2 Upper GI Procedures	282	$9,585	$1,709
Level 3 Urology and Related Services	230	$9,188	$1,828
Level 2 Excision/ Biopsy/ Incision and Drainage	217	$7,785	$1,444
Level 5 Musculoskeletal Procedures	197	$48,489	$11,660
Level 3 Vascular Procedures	181	$10,640	$2,850
Level 3 Excision/ Biopsy/ Incision and Drainage	125	$10,318	$2,525
Level 1 Laparoscopy and Related Services	116	$34,138	$5,227
Level 1 Nerve Procedures	113	$11,694	$1,749
Level 4 Urology and Related Services	100	$20,894	$3,158
Level 5 Urology and Related Services	86	$31,768	$4,559
Level 3 Lower GI Procedures	85	$14,474	$2,495
Level 3 Electrophysiologic Procedures	80	$87,661	$21,211
Level 2 Laparoscopy and Related Services	76	$52,437	$9,218
Level 4 Airway Endoscopy	66	$22,706	$3,392
Level 4 Musculoskeletal Procedures	64	$42,279	$6,319
Level 3 Endovascular Procedures	60	$40,275	$9,818
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	60	$22,848	$3,134
Level 3 Pacemaker and Similar Procedures	51	$32,069	$9,666
Level 2 Vascular Procedures	49	$7,407	$1,427
Level 2 Endovascular Procedures	49	$23,827	$5,177
Level 3 Airway Endoscopy	48	$8,450	$1,537
Level 1 Breast/Lymphatic Surgery and Related Procedures	44	$23,269	$3,390

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cleveland Clinic Hospital charged $60,794 on average, 46% less than the Florida average of $112,838, and was paid $16,480 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Cleveland Clinic Hospital charged $29,773 on average, 56% less than the Florida average of $67,659, and was paid $10,595 against a state average of $10,715. For Major Small and Large Bowel Procedures with CC (DRG 330), Cleveland Clinic Hospital charged $80,970 on average, 54% less than the Florida average of $177,863, and was paid $20,516 against a state average of $20,254. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Cleveland Clinic Hospital charged $33,238 on average, 47% less than the Florida average of $62,885, and was paid $9,334 against a state average of $8,998. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,283 was 53% below the state average of $28,431. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,445 was 37% below the state average of $3,903. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,918 was 64% below the state average of $41,880. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,585 was 49% below the state average of $18,929.

Price-transparency record

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

Warning Notice — 2025-04-02 (CMS case 3520)
Closure Notice — 2025-06-16 (CMS case 3520)

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.