Cleveland Clinic Indian River Hospital: charges and Medicare payments

Cleveland Clinic Indian River Hospital reported 4,412 Medicare inpatient stays across 119 DRGs in 2024. Across them it charged 3.93 times what it was paid — among the lower ratios in Florida, number 149 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: 592 stays at an average charge of $52,450, 42% below the national average. It also billed 5,779 outpatient services, charging 6.76 times what Medicare paid.

1Medicare inpatient stays 4,412
2Charge ÷ paid, inpatient 3.93×
3Rank in FL (highest ratio = 1) 149 of 159
4CMS price-transparency actions 0

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

Inpatient stays

For the 119 DRGs that can be compared with the national average, Cleveland Clinic Indian River Hospital charged more than the national average in 0 (0%). 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	592	$52,450	-42%	$13,459
291 Heart Failure and Shock with MCC	202	$31,596	-44%	$9,152
280 Acute Myocardial Infarction, Discharged Alive with MCC	192	$41,575	-45%	$11,381
177 Respiratory Infections and Inflammations with MCC	114	$41,817	-41%	$11,448
193 Simple Pneumonia and Pleurisy with MCC	111	$40,681	-32%	$9,410
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	102	$32,078	-35%	$7,550
274 Percutaneous and Other Intracardiac Procedures without MCC	95	$57,276	-63%	$22,597
378 Gastrointestinal Hemorrhage with CC	91	$32,408	-33%	$7,230
698 Other Kidney and Urinary Tract Diagnoses with MCC	85	$42,127	-43%	$11,021
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	79	$51,948	-48%	$13,056
689 Kidney and Urinary Tract Infections with MCC	77	$29,000	-43%	$8,266
190 Chronic Obstructive Pulmonary Disease with MCC	75	$35,656	-30%	$7,955
481 Hip and Femur Procedures except Major Joint with CC	72	$60,803	-40%	$13,762
853 Infectious and Parasitic Diseases with O.R. Procedures with...	66	$129,231	-44%	$36,127
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	58	$31,075	-44%	$7,292
377 Gastrointestinal Hemorrhage with MCC	57	$47,965	-44%	$12,561
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	57	$21,721	-46%	$5,991
309 Cardiac Arrhythmia and Conduction Disorders with CC	56	$24,798	-31%	$5,625
603 Cellulitis without MCC	54	$22,170	-41%	$6,472
682 Renal Failure with MCC	54	$33,535	-49%	$10,197
281 Acute Myocardial Infarction, Discharged Alive with CC	51	$27,382	-46%	$6,712
322 Percutaneous Cardiovascular Procedures with Intraluminal...	50	$85,541	-25%	$13,008
690 Kidney and Urinary Tract Infections without MCC	49	$23,414	-38%	$5,966
389 Gastrointestinal Obstruction with CC	45	$19,922	-49%	$6,070
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	45	$30,147	-50%	$9,097
330 Major Small and Large Bowel Procedures with CC	43	$73,296	-38%	$17,184
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	40	$60,085	-41%	$14,366
329 Major Small and Large Bowel Procedures with MCC	39	$110,395	-49%	$29,674
552 Medical Back Problems without MCC	38	$28,452	-42%	$7,084
267 Endovascular Cardiac Valve Replacement and Supplement...	36	$184,352	-17%	$33,715
243 Permanent Cardiac Pacemaker Implant with CC	35	$79,742	-28%	$16,508
308 Cardiac Arrhythmia and Conduction Disorders with MCC	35	$32,591	-42%	$8,853
480 Hip and Femur Procedures except Major Joint with MCC	34	$72,037	-48%	$19,278
885 Psychoses	34	$20,565	-53%	$9,896
039 Extracranial Procedures without CC/MCC	33	$47,248	-26%	$8,299
683 Renal Failure with CC	33	$27,398	-33%	$6,702
266 Endovascular Cardiac Valve Replacement and Supplement...	32	$188,736	-34%	$43,164
069 Transient Ischemia without Thrombolytic	31	$39,313	-22%	$6,212
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	31	$36,004	-45%	$9,717
189 Pulmonary Edema and Respiratory Failure	30	$41,018	-29%	$8,959
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	30	$24,184	-35%	$5,818
038 Extracranial Procedures with CC	29	$46,250	-47%	$11,596
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	29	$33,026	-46%	$9,332
812 Red Blood Cell Disorders without MCC	27	$24,988	-44%	$6,962
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	26	$42,285	-37%	$9,561
699 Other Kidney and Urinary Tract Diagnoses with CC	26	$30,552	-36%	$7,314
025 Craniotomy and Endovascular Intracranial Procedures with MCC	25	$134,666	-42%	$31,356
242 Permanent Cardiac Pacemaker Implant with MCC	25	$87,303	-46%	$22,530
287 Circulatory Disorders except AMI, with Cardiac...	25	$45,521	-29%	$8,174
394 Other Digestive System Diagnoses with CC	25	$26,420	-44%	$6,974
194 Simple Pneumonia and Pleurisy with CC	24	$25,461	-34%	$6,123
388 Gastrointestinal Obstruction with MCC	24	$27,137	-60%	$10,114
811 Red Blood Cell Disorders with MCC	24	$30,803	-55%	$10,160
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	23	$20,643	-28%	$4,393
321 Percutaneous Cardiovascular Procedures with Intraluminal...	23	$101,242	-38%	$21,500
418 Laparoscopic Cholecystectomy without C.D.E. with CC	23	$64,225	-31%	$12,173
602 Cellulitis with MCC	22	$38,540	-36%	$11,601
854 Infectious and Parasitic Diseases with O.R. Procedures with...	22	$71,518	-27%	$14,506
163 Major Chest Procedures with MCC	21	$104,500	-50%	$31,936
312 Syncope and Collapse	21	$25,278	-44%	$6,440

Showing the 60 most frequent of 119 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,178	$12,630	$2,466
Level 2 Urology and Related Services	700	$2,881	$618
Level 2 Excision/ Biopsy/ Incision and Drainage	482	$6,019	$1,459
Level 1 Endovascular Procedures	377	$22,439	$2,940
Level 5 Musculoskeletal Procedures	280	$57,857	$11,838
Level 3 Urology and Related Services	271	$9,252	$1,840
Level 2 Upper GI Procedures	247	$9,694	$1,719
Level 3 Vascular Procedures	167	$17,717	$2,887
Level 5 Urology and Related Services	155	$27,395	$4,687
Level 4 Urology and Related Services	145	$20,247	$3,158
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	136	$21,168	$3,122
Level 1 Laparoscopy and Related Services	119	$30,670	$5,227
Level 3 Endovascular Procedures	111	$66,994	$9,882
Level 2 Vascular Procedures	89	$8,631	$1,451
Level 5 Airway Endoscopy	88	$39,918	$6,149
Level 3 Airway Endoscopy	87	$13,190	$1,520
Level 3 Pacemaker and Similar Procedures	87	$44,338	$9,666
Level 3 Excision/ Biopsy/ Incision and Drainage	85	$16,544	$2,573
Level 2 Endovascular Procedures	83	$34,327	$5,177
Level 3 Electrophysiologic Procedures	83	$129,981	$21,459
Level 4 Musculoskeletal Procedures	80	$48,943	$6,419
Level 1 Breast/Lymphatic Surgery and Related Procedures	73	$23,249	$3,453
Level 6 Musculoskeletal Procedures	69	$56,722	$16,845
Level 2 Breast/Lymphatic Surgery and Related Procedures	64	$37,356	$5,907
Level 6 Urology and Related Services	60	$42,559	$8,153

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cleveland Clinic Indian River Hospital charged $52,450 on average, 54% less than the Florida average of $112,838, and was paid $13,459 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Cleveland Clinic Indian River Hospital charged $31,596 on average, 53% less than the Florida average of $67,659, and was paid $9,152 against a state average of $10,715. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Cleveland Clinic Indian River Hospital charged $41,575 on average, 55% less than the Florida average of $93,403, and was paid $11,381 against a state average of $12,779. For Respiratory Infections and Inflammations with MCC (DRG 177), Cleveland Clinic Indian River Hospital charged $41,817 on average, 51% less than the Florida average of $85,454, and was paid $11,448 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,630 was 56% below the state average of $28,431. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,881 was 26% below the state average of $3,903. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,019 was 59% below the state average of $14,597. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,439 was 46% below the state average of $41,880.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.