Florida / Flagler Hospital
CMS certification 100090 · Saint Augustine, FL · 5 entries in CMS's price-transparency list
Flagler Hospital: charges and Medicare payments
Flagler Hospital reported 2,858 Medicare inpatient stays across 83 DRGs in 2024. Across them it charged 4.9 times what it was paid — among the lower ratios in Florida, number 128 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: 329 stays at an average charge of $84,078, 7% below the national average. It also billed 3,833 outpatient services, charging 6.59 times what Medicare paid.
- 1Medicare inpatient stays 2,858
- 2Charge ÷ paid, inpatient 4.9×
- 3Rank in FL (highest ratio = 1) 128 of 159
- 4CMS price-transparency actions 5
Inpatient stays
For the 83 DRGs that can be compared with the national average, Flagler Hospital charged more than the national average in 10 (12%). 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 | 329 | $84,078 | -7% | $16,320 |
| 291 Heart Failure and Shock with MCC | 217 | $49,572 | -12% | $10,808 |
| 177 Respiratory Infections and Inflammations with MCC | 114 | $58,165 | -18% | $13,604 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 97 | $103,508 | -34% | $25,852 |
| 189 Pulmonary Edema and Respiratory Failure | 82 | $55,697 | -3% | $10,053 |
| 193 Simple Pneumonia and Pleurisy with MCC | 75 | $58,744 | -2% | $10,758 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 64 | $36,562 | -9% | $6,313 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 63 | $57,171 | -22% | $13,353 |
| 689 Kidney and Urinary Tract Infections with MCC | 55 | $40,131 | -22% | $9,416 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 55 | $43,847 | -11% | $8,329 |
| 885 Psychoses | 55 | $41,841 | -5% | $11,580 |
| 690 Kidney and Urinary Tract Infections without MCC | 54 | $33,824 | -11% | $6,564 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 53 | $79,173 | +4% | $13,323 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 50 | $201,918 | -12% | $44,871 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 49 | $26,424 | -8% | $4,750 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 42 | $29,257 | -21% | $6,262 |
| 312 Syncope and Collapse | 41 | $33,641 | -26% | $6,938 |
| 683 Renal Failure with CC | 41 | $31,635 | -22% | $7,207 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 40 | $38,815 | +7% | $6,164 |
| 194 Simple Pneumonia and Pleurisy with CC | 38 | $35,403 | -8% | $6,622 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 38 | $52,480 | -7% | $9,746 |
| 378 Gastrointestinal Hemorrhage with CC | 38 | $45,446 | -6% | $7,913 |
| 481 Hip and Femur Procedures except Major Joint with CC | 38 | $80,625 | -20% | $18,705 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 38 | $68,726 | -33% | $17,117 |
| 603 Cellulitis without MCC | 38 | $35,821 | -4% | $7,105 |
| 682 Renal Failure with MCC | 35 | $73,726 | +12% | $12,905 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 34 | $53,306 | -17% | $8,885 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 34 | $117,646 | +3% | $14,851 |
| 377 Gastrointestinal Hemorrhage with MCC | 33 | $68,098 | -20% | $14,632 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $49,250 | -18% | $10,612 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 31 | $78,109 | -30% | $17,437 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 29 | $46,185 | -17% | $8,498 |
| 812 Red Blood Cell Disorders without MCC | 27 | $37,214 | -16% | $7,428 |
| 178 Respiratory Infections and Inflammations with CC | 25 | $41,620 | -8% | $7,939 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 25 | $257,144 | -20% | $60,794 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $53,621 | +6% | $7,349 |
| 460 Spinal Fusion except Cervical without MCC | 24 | $142,148 | -17% | $29,235 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 24 | $33,500 | -29% | $8,172 |
| 305 Hypertension without MCC | 23 | $30,324 | -24% | $6,062 |
| 638 Diabetes with CC | 23 | $33,893 | -19% | $7,243 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $178,379 | +9% | $25,107 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $78,919 | -21% | $16,004 |
| 330 Major Small and Large Bowel Procedures with CC | 20 | $105,320 | -12% | $20,034 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $39,292 | -22% | $8,927 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 19 | $55,938 | -40% | $15,083 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 19 | $107,948 | -22% | $23,563 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 18 | $108,551 | -20% | $22,473 |
| 389 Gastrointestinal Obstruction with CC | 18 | $34,719 | -11% | $6,434 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $43,083 | -29% | $10,255 |
| 472 Cervical Spinal Fusion with CC | 18 | $76,647 | -46% | $23,606 |
| 270 Other Major Cardiovascular Procedures with MCC | 17 | $297,586 | +15% | $53,747 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 17 | $34,896 | -18% | $7,201 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 16 | $107,239 | -3% | $18,248 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 16 | $205,791 | -28% | $49,315 |
| 314 Other Circulatory System Diagnoses with MCC | 16 | $88,343 | -7% | $17,467 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 16 | $79,564 | -7% | $13,711 |
| 811 Red Blood Cell Disorders with MCC | 16 | $51,404 | -25% | $11,270 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 15 | $67,561 | -13% | $12,784 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 15 | $39,453 | -30% | $8,594 |
| 071 Other Cerebrovascular Disorders with CC | 14 | $42,716 | -15% | $8,486 |
Showing the 60 most frequent of 83 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Flagler Hospital charged $84,078 on average, 25% less than the Florida average of $112,838, and was paid $16,320 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Flagler Hospital charged $49,572 on average, 27% less than the Florida average of $67,659, and was paid $10,808 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Flagler Hospital charged $58,165 on average, 32% less than the Florida average of $85,454, and was paid $13,604 against a state average of $13,200. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Flagler Hospital charged $103,508 on average, 44% less than the Florida average of $185,126, and was paid $25,852 against a state average of $24,802. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,506 was 31% below the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $49,099 was 54% below the state average of $106,979. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $27,338 was 63% below the state average of $74,087. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $20,470 was 51% below the state average of $41,880.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Flagler Hospital in Saint Augustine, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-01-11 (CMS case 195)
- CAP Request — 2023-04-19 (CMS case 195)
- Closure Notice — 2023-06-06 (CMS case 195)
- CAP Request — 2025-09-11 (CMS case 6586)
- Closure Notice — 2025-11-14 (CMS case 6586)
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.