Florida / Gulf Breeze Hospital
CMS certification 100266 · Gulf Breeze, FL
Gulf Breeze Hospital: charges and Medicare payments
Gulf Breeze Hospital reported 665 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 4.35 times what it was paid — among the lower ratios in Florida, number 143 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: 110 stays at an average charge of $53,559, 41% below the national average. It also billed 1,772 outpatient services, charging 10.57 times what Medicare paid.
- 1Medicare inpatient stays 665
- 2Charge ÷ paid, inpatient 4.35×
- 3Rank in FL (highest ratio = 1) 143 of 159
- 4CMS price-transparency actions 0
Inpatient stays
For the 27 DRGs that can be compared with the national average, Gulf Breeze Hospital charged more than the national average in 4 (15%). 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 | 110 | $53,559 | -41% | $15,944 |
| 291 Heart Failure and Shock with MCC | 88 | $41,844 | -26% | $10,468 |
| 689 Kidney and Urinary Tract Infections with MCC | 28 | $43,284 | -16% | $9,889 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $38,898 | -32% | $10,683 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $44,604 | -25% | $11,144 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $44,391 | -9% | $8,247 |
| 177 Respiratory Infections and Inflammations with MCC | 25 | $51,367 | -27% | $14,369 |
| 682 Renal Failure with MCC | 23 | $42,120 | -36% | $11,715 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $39,676 | +10% | $6,226 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $25,253 | -32% | $6,768 |
| 683 Renal Failure with CC | 22 | $37,323 | -8% | $7,488 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $39,865 | -30% | $10,035 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 20 | $26,715 | -7% | $4,580 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $36,268 | -4% | $6,808 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $105,510 | +5% | $17,125 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $37,167 | -23% | $8,455 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $32,916 | -18% | $6,476 |
| 603 Cellulitis without MCC | 16 | $31,971 | -14% | $7,271 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $41,296 | -44% | $13,453 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $52,814 | -5% | $7,761 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $125,506 | +23% | $16,506 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 13 | $132,852 | -4% | $23,474 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $35,160 | -8% | $6,666 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $176,924 | -18% | $38,050 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $131,648 | -42% | $40,749 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $136,191 | +14% | $19,418 |
| 637 Diabetes with MCC | 11 | $58,117 | -13% | $12,244 |
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Gulf Breeze Hospital charged $53,559 on average, 53% less than the Florida average of $112,838, and was paid $15,944 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Gulf Breeze Hospital charged $41,844 on average, 38% less than the Florida average of $67,659, and was paid $10,468 against a state average of $10,715. For Kidney and Urinary Tract Infections with MCC (DRG 689), Gulf Breeze Hospital charged $43,284 on average, 31% less than the Florida average of $62,527, and was paid $9,889 against a state average of $9,734. For Pulmonary Edema and Respiratory Failure (DRG 189), Gulf Breeze Hospital charged $38,898 on average, 46% less than the Florida average of $72,382, and was paid $10,683 against a state average of $10,641. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $99,940 was 7% below the state average of $106,979. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $10,971 was 41% below the state average of $18,605. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,326 was 14% above the state average of $28,431. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $86,398 was 17% above the state average of $74,087.
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.