Florida / Delray Medical Center

CMS certification 100258 · Delray Beach, FL · 4 entries in CMS's price-transparency list

Delray Medical Center: charges and Medicare payments

Delray Medical Center reported 6,127 Medicare inpatient stays across 158 DRGs in 2024. Across them it charged 15.09 times what it was paid — among the higher ratios in Florida, number 2 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: 406 stays at an average charge of $184,560, 104% above the national average. It also billed 2,659 outpatient services, charging 22.23 times what Medicare paid.

1Medicare inpatient stays 6,127
2Charge ÷ paid, inpatient 15.09×
3Rank in FL (highest ratio = 1) 2 of 159
4CMS price-transparency actions 4

Average charge per stay at Delray Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 158 DRGs that can be compared with the national average, Delray Medical Center charged more than the national average in 158 (100%). 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	406	$184,560	+104%	$11,886
177 Respiratory Infections and Inflammations with MCC	243	$142,327	+102%	$10,350
291 Heart Failure and Shock with MCC	225	$106,755	+89%	$8,118
193 Simple Pneumonia and Pleurisy with MCC	190	$136,479	+128%	$8,202
481 Hip and Femur Procedures except Major Joint with CC	134	$207,960	+106%	$13,451
312 Syncope and Collapse	131	$95,466	+110%	$5,739
690 Kidney and Urinary Tract Infections without MCC	127	$84,412	+123%	$5,338
274 Percutaneous and Other Intracardiac Procedures without MCC	111	$256,773	+64%	$20,217
689 Kidney and Urinary Tract Infections with MCC	107	$100,817	+96%	$7,754
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	105	$74,161	+85%	$4,891
280 Acute Myocardial Infarction, Discharged Alive with MCC	97	$121,308	+60%	$9,147
552 Medical Back Problems without MCC	97	$103,579	+112%	$6,534
853 Infectious and Parasitic Diseases with O.R. Procedures with...	79	$551,638	+141%	$33,222
682 Renal Failure with MCC	77	$129,238	+96%	$10,105
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	76	$213,563	+109%	$13,392
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	75	$181,480	+82%	$11,705
683 Renal Failure with CC	73	$89,804	+121%	$5,874
309 Cardiac Arrhythmia and Conduction Disorders with CC	72	$69,722	+93%	$4,853
603 Cellulitis without MCC	67	$96,342	+158%	$5,932
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	65	$76,338	+106%	$5,227
378 Gastrointestinal Hemorrhage with CC	63	$110,915	+128%	$6,609
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	60	$125,814	+126%	$6,116
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	59	$82,567	+94%	$5,768
698 Other Kidney and Urinary Tract Diagnoses with MCC	59	$121,915	+66%	$10,441
069 Transient Ischemia without Thrombolytic	58	$118,576	+135%	$5,221
083 Traumatic Stupor and Coma >1 Hour with CC	58	$143,059	+95%	$8,798
194 Simple Pneumonia and Pleurisy with CC	58	$90,612	+136%	$5,403
189 Pulmonary Edema and Respiratory Failure	54	$108,375	+88%	$8,074
454 Combined Anterior and Posterior Spinal Fusion with CC	54	$426,168	+52%	$42,375
025 Craniotomy and Endovascular Intracranial Procedures with MCC	52	$414,716	+79%	$27,571
605 Trauma To The Skin, Subcutaneous Tissue and Breast without...	52	$103,754	+124%	$5,916
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	52	$119,537	+144%	$6,930
812 Red Blood Cell Disorders without MCC	47	$74,215	+67%	$6,261
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	47	$468,896	+117%	$28,841
308 Cardiac Arrhythmia and Conduction Disorders with MCC	45	$109,795	+94%	$8,012
389 Gastrointestinal Obstruction with CC	45	$79,504	+104%	$5,210
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	45	$97,125	+61%	$8,204
266 Endovascular Cardiac Valve Replacement and Supplement...	44	$570,753	+100%	$37,847
270 Other Major Cardiovascular Procedures with MCC	43	$524,912	+103%	$31,080
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	43	$283,963	+139%	$15,221
699 Other Kidney and Urinary Tract Diagnoses with CC	43	$80,951	+70%	$6,795
460 Spinal Fusion except Cervical without MCC	42	$382,960	+125%	$18,840
536 Fractures of Hip and Pelvis without MCC	42	$96,212	+155%	$9,489
281 Acute Myocardial Infarction, Discharged Alive with CC	41	$97,675	+93%	$5,558
377 Gastrointestinal Hemorrhage with MCC	41	$175,811	+106%	$11,221
086 Traumatic Stupor and Coma <1 Hour with CC	40	$130,609	+91%	$9,277
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	39	$59,332	+107%	$3,725
322 Percutaneous Cardiovascular Procedures with Intraluminal...	39	$256,361	+124%	$13,905
243 Permanent Cardiac Pacemaker Implant with CC	38	$320,450	+189%	$14,479
480 Hip and Femur Procedures except Major Joint with MCC	38	$277,011	+100%	$18,719
057 Degenerative Nervous System Disorders without MCC	37	$90,522	+60%	$8,194
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	37	$133,629	+119%	$8,743
101 Seizures without MCC	36	$109,555	+125%	$6,253
314 Other Circulatory System Diagnoses with MCC	36	$192,547	+103%	$14,485
394 Other Digestive System Diagnoses with CC	36	$84,419	+79%	$6,899
305 Hypertension without MCC	35	$82,765	+106%	$4,897
321 Percutaneous Cardiovascular Procedures with Intraluminal...	35	$385,045	+135%	$19,055
242 Permanent Cardiac Pacemaker Implant with MCC	34	$387,478	+141%	$20,745
884 Organic Disturbances and Intellectual Disability	33	$118,498	+90%	$10,604
082 Traumatic Stupor and Coma >1 Hour with MCC	32	$190,677	+65%	$18,091

Showing the 60 most frequent of 158 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	636	$51,977	$2,240
Level 1 Endovascular Procedures	246	$67,518	$2,689
Level 1 Laparoscopy and Related Services	198	$81,954	$4,786
Level 3 Electrophysiologic Procedures	169	$276,954	$18,995
Level 5 Urology and Related Services	132	$74,197	$4,376
Level 3 Urology and Related Services	119	$55,665	$1,698
Level 4 Urology and Related Services	118	$59,979	$2,945
Level 3 Endovascular Procedures	107	$193,499	$8,464
Level 3 Pacemaker and Similar Procedures	101	$195,665	$8,393
Level 2 Excision/ Biopsy/ Incision and Drainage	76	$22,170	$1,302
Level 4 Endovascular Procedures	57	$183,334	$12,380
Level 2 Pacemaker and Similar Procedures	54	$119,480	$6,674
Level 5 Musculoskeletal Procedures	52	$173,397	$11,708
Level 5 Airway Endoscopy	52	$95,818	$5,345
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	51	$66,322	$2,938
Level 3 Vascular Procedures	46	$76,819	$2,637
Level 4 Musculoskeletal Procedures	43	$122,324	$5,880
Level 4 Airway Endoscopy	42	$76,076	$2,942
Level 4 Pacemaker and Similar Procedures	32	$292,771	$14,116
Level 3 Lower GI Procedures	32	$57,000	$2,417
Level 6 Urology and Related Services	30	$132,433	$7,233
Level 4 Neurostimulator and Related Procedures	29	$282,916	$18,517
Level 2 Laparoscopy and Related Services	25	$120,311	$9,012
Level 3 Neurostimulator and Related Procedures	25	$84,558	$11,894
Level 2 Endovascular Procedures	23	$98,460	$4,500

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Delray Medical Center charged $184,560 on average, 64% more than the Florida average of $112,838, and was paid $11,886 against a state average of $15,663. For Respiratory Infections and Inflammations with MCC (DRG 177), Delray Medical Center charged $142,327 on average, 67% more than the Florida average of $85,454, and was paid $10,350 against a state average of $13,200. For Heart Failure and Shock with MCC (DRG 291), Delray Medical Center charged $106,755 on average, 58% more than the Florida average of $67,659, and was paid $8,118 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Delray Medical Center charged $136,479 on average, 74% more than the Florida average of $78,292, and was paid $8,202 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $51,977 was 83% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $67,518 was 61% above the state average of $41,880. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $81,954 was 20% above the state average of $68,202. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $276,954 was 42% above the state average of $195,231.

Price-transparency record

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

Warning Notice — 2023-05-16 (CMS case 827)
Closure Notice — 2023-08-22 (CMS case 827)
Warning Notice — 2025-03-06 (CMS case 3219)
Closure Notice — 2025-03-27 (CMS case 3219)

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.