Doctors Hospital: charges and Medicare payments

Doctors Hospital reported 747 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 7.36 times what it was paid — mid-range in Florida, number 75 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: 111 stays at an average charge of $109,138, 21% above the national average. It also billed 1,022 outpatient services, charging 8.77 times what Medicare paid.

1Medicare inpatient stays 747
2Charge ÷ paid, inpatient 7.36×
3Rank in FL (highest ratio = 1) 75 of 159
4CMS price-transparency actions 0

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

Inpatient stays

For the 29 DRGs that can be compared with the national average, Doctors Hospital charged more than the national average in 26 (90%). 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	111	$109,138	+21%	$15,168
291 Heart Failure and Shock with MCC	65	$85,019	+51%	$9,962
193 Simple Pneumonia and Pleurisy with MCC	55	$89,002	+49%	$10,711
177 Respiratory Infections and Inflammations with MCC	53	$105,888	+50%	$13,010
689 Kidney and Urinary Tract Infections with MCC	36	$61,000	+19%	$8,625
690 Kidney and Urinary Tract Infections without MCC	32	$47,545	+26%	$6,458
481 Hip and Femur Procedures except Major Joint with CC	30	$134,904	+34%	$18,822
470 Major Hip and Knee Joint Replacement or Reattachment of...	26	$102,227	+10%	$14,406
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	24	$48,400	+21%	$6,724
468 Revision of Hip or Knee Replacement without CC/MCC	23	$151,530	+22%	$25,189
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	22	$115,928	+13%	$20,498
202 Bronchitis and Asthma with CC/MCC	21	$62,352	+35%	$7,979
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	19	$237,008	+99%	$27,972
603 Cellulitis without MCC	19	$41,587	+12%	$7,704
683 Renal Failure with CC	19	$50,066	+23%	$7,139
552 Medical Back Problems without MCC	18	$56,598	+16%	$7,987
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	18	$46,743	+26%	$6,551
682 Renal Failure with MCC	17	$92,801	+41%	$12,381
194 Simple Pneumonia and Pleurisy with CC	16	$55,980	+46%	$6,729
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	16	$60,303	+23%	$8,323
189 Pulmonary Edema and Respiratory Failure	14	$94,540	+64%	$10,719
190 Chronic Obstructive Pulmonary Disease with MCC	13	$60,460	+20%	$9,018
178 Respiratory Infections and Inflammations with CC	12	$84,305	+86%	$7,484
389 Gastrointestinal Obstruction with CC	12	$34,597	-11%	$6,770
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	12	$49,981	+17%	$7,208
378 Gastrointestinal Hemorrhage with CC	11	$48,384	0%	$7,146
467 Revision of Hip or Knee Replacement with CC	11	$206,697	+31%	$28,576
480 Hip and Femur Procedures except Major Joint with MCC	11	$138,895	0%	$17,842
494 Lower Extremity and Humerus Procedures except Hip, Foot and...	11	$134,258	+41%	$22,697

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	540	$77,317	$11,754
Comprehensive Observation Services	285	$23,920	$2,473
Level 4 Musculoskeletal Procedures	75	$78,764	$6,412
Level 6 Musculoskeletal Procedures	37	$128,586	$16,434
Level 3 Musculoskeletal Procedures	32	$47,203	$2,841
Level 2 Musculoskeletal Procedures	21	$28,768	$1,456
Level 1 Laparoscopy and Related Services	18	$64,722	$5,023
Level 3 Vascular Procedures	14	$13,368	$2,723

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Doctors Hospital charged $109,138 on average, 3% less than the Florida average of $112,838, and was paid $15,168 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Doctors Hospital charged $85,019 on average, 26% more than the Florida average of $67,659, and was paid $9,962 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Doctors Hospital charged $89,002 on average, 14% more than the Florida average of $78,292, and was paid $10,711 against a state average of $10,939. For Respiratory Infections and Inflammations with MCC (DRG 177), Doctors Hospital charged $105,888 on average, 24% more than the Florida average of $85,454, and was paid $13,010 against a state average of $13,200. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $77,317 was 28% below the state average of $106,979. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,920 was 16% below the state average of $28,431. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $78,764 was 6% above the state average of $74,087. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $128,586 was 8% below the state average of $140,120.

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.