Gulf Coast Medical Center: charges and Medicare payments

Gulf Coast Medical Center reported 8,768 Medicare inpatient stays across 213 DRGs in 2024. Across them it charged 6.39 times what it was paid — mid-range in Florida, number 89 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: 621 stays at an average charge of $93,214, 3% above the national average. It also billed 3,292 outpatient services, charging 11.63 times what Medicare paid.

1Medicare inpatient stays 8,768
2Charge ÷ paid, inpatient 6.39×
3Rank in FL (highest ratio = 1) 89 of 159
4CMS price-transparency actions 0

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

Inpatient stays

For the 213 DRGs that can be compared with the national average, Gulf Coast Medical Center charged more than the national average in 84 (39%). 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	621	$93,214	+3%	$14,530
291 Heart Failure and Shock with MCC	462	$56,358	0%	$9,530
177 Respiratory Infections and Inflammations with MCC	227	$70,574	0%	$11,834
481 Hip and Femur Procedures except Major Joint with CC	155	$105,182	+4%	$14,779
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	152	$36,548	-9%	$5,944
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	150	$61,240	+10%	$7,592
193 Simple Pneumonia and Pleurisy with MCC	147	$56,307	-6%	$9,850
690 Kidney and Urinary Tract Infections without MCC	142	$35,082	-7%	$6,051
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	126	$94,343	-6%	$13,829
683 Renal Failure with CC	121	$39,404	-3%	$6,514
552 Medical Back Problems without MCC	109	$47,848	-2%	$7,240
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	109	$35,183	-5%	$6,311
378 Gastrointestinal Hemorrhage with CC	106	$45,533	-6%	$7,483
689 Kidney and Urinary Tract Infections with MCC	103	$44,606	-13%	$8,179
312 Syncope and Collapse	101	$39,545	-13%	$6,648
853 Infectious and Parasitic Diseases with O.R. Procedures with...	101	$255,480	+12%	$40,201
309 Cardiac Arrhythmia and Conduction Disorders with CC	94	$34,895	-3%	$5,786
682 Renal Failure with MCC	93	$54,128	-18%	$10,319
069 Transient Ischemia without Thrombolytic	89	$56,097	+11%	$6,084
189 Pulmonary Edema and Respiratory Failure	87	$64,742	+12%	$9,151
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	81	$45,789	-7%	$8,035
330 Major Small and Large Bowel Procedures with CC	80	$141,849	+19%	$16,326
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	78	$110,427	-7%	$17,493
308 Cardiac Arrhythmia and Conduction Disorders with MCC	77	$61,092	+8%	$10,238
322 Percutaneous Cardiovascular Procedures with Intraluminal...	77	$106,841	-7%	$14,308
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	76	$126,450	+24%	$14,795
698 Other Kidney and Urinary Tract Diagnoses with MCC	75	$74,461	+1%	$11,326
280 Acute Myocardial Infarction, Discharged Alive with MCC	74	$68,287	-10%	$11,006
480 Hip and Femur Procedures except Major Joint with MCC	72	$128,466	-7%	$19,724
287 Circulatory Disorders except AMI, with Cardiac...	71	$57,102	-11%	$8,562
321 Percutaneous Cardiovascular Procedures with Intraluminal...	69	$163,535	0%	$21,174
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	69	$47,688	-21%	$9,505
699 Other Kidney and Urinary Tract Diagnoses with CC	69	$38,129	-20%	$7,235
603 Cellulitis without MCC	66	$30,233	-19%	$6,288
057 Degenerative Nervous System Disorders without MCC	63	$49,220	-13%	$9,313
377 Gastrointestinal Hemorrhage with MCC	61	$64,519	-24%	$13,294
543 Pathological Fractures and Musculoskeletal and Connective...	60	$51,634	+5%	$7,817
025 Craniotomy and Endovascular Intracranial Procedures with MCC	59	$249,663	+8%	$35,513
286 Circulatory Disorders except AMI, with Cardiac...	58	$77,581	-31%	$16,949
870 Septicemia or Severe Sepsis with MV >96 Hours	57	$263,616	-18%	$58,974
023 Craniotomy with Major Device Implant or Acute Complex Cns...	55	$272,100	-3%	$37,817
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	53	$47,794	-22%	$9,438
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	52	$28,098	-2%	$4,263
536 Fractures of Hip and Pelvis without MCC	49	$35,498	-6%	$6,154
372 Major Gastrointestinal Disorders and Peritoneal Infections...	48	$36,565	-23%	$7,778
178 Respiratory Infections and Inflammations with CC	47	$45,954	+1%	$6,975
194 Simple Pneumonia and Pleurisy with CC	47	$36,210	-6%	$6,243
300 Peripheral Vascular Disorders with CC	47	$41,559	-16%	$7,780
329 Major Small and Large Bowel Procedures with MCC	45	$247,566	+15%	$34,351
092 Other Disorders of Nervous System with CC	44	$50,274	-2%	$7,654
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	44	$70,391	+8%	$10,031
389 Gastrointestinal Obstruction with CC	44	$41,335	+6%	$6,054
083 Traumatic Stupor and Coma >1 Hour with CC	43	$64,811	-12%	$9,804
190 Chronic Obstructive Pulmonary Disease with MCC	43	$42,857	-15%	$8,246
281 Acute Myocardial Infarction, Discharged Alive with CC	42	$51,620	+2%	$6,654
305 Hypertension without MCC	42	$36,273	-10%	$5,704
314 Other Circulatory System Diagnoses with MCC	41	$61,868	-35%	$13,991
252 Other Vascular Procedures with MCC	40	$174,996	+2%	$24,166
551 Medical Back Problems with MCC	40	$81,331	+3%	$11,495
082 Traumatic Stupor and Coma >1 Hour with MCC	39	$124,920	+8%	$17,425

Showing the 60 most frequent of 213 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	765	$25,641	$2,456
Level 2 Excision/ Biopsy/ Incision and Drainage	219	$13,298	$1,435
Level 1 Laparoscopy and Related Services	210	$59,702	$5,227
Level 3 Vascular Procedures	186	$26,450	$2,887
Level 1 Endovascular Procedures	176	$30,494	$2,944
Level 2 Upper GI Procedures	136	$16,366	$1,724
Level 2 Laparoscopy and Related Services	128	$61,896	$9,224
Level 4 Vascular Procedures	119	$54,103	$3,639
Level 3 Urology and Related Services	105	$18,892	$1,845
Level 4 Urology and Related Services	103	$33,896	$3,158
Level 3 Endovascular Procedures	102	$85,955	$9,957
Level 5 Urology and Related Services	99	$61,545	$4,687
Level 4 Musculoskeletal Procedures	79	$58,265	$6,480
Level 4 Airway Endoscopy	74	$35,536	$3,392
Level 5 Airway Endoscopy	73	$58,753	$6,200
Level 3 Excision/ Biopsy/ Incision and Drainage	72	$26,047	$2,574
Level 4 Gynecologic Procedures	65	$23,060	$2,797
Level 2 Vascular Procedures	53	$9,260	$1,389
Level 3 Lower GI Procedures	48	$26,961	$2,420
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	48	$43,386	$3,134
Level 5 Musculoskeletal Procedures	41	$89,048	$11,906
Level 5 ENT Procedures	37	$67,323	$5,196
Level 4 Endovascular Procedures	37	$123,233	$15,852
Level 1 Breast/Lymphatic Surgery and Related Procedures	34	$40,662	$3,453
Level 2 Musculoskeletal Procedures	31	$11,651	$1,456

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Gulf Coast Medical Center charged $93,214 on average, 17% less than the Florida average of $112,838, and was paid $14,530 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Gulf Coast Medical Center charged $56,358 on average, 17% less than the Florida average of $67,659, and was paid $9,530 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Gulf Coast Medical Center charged $70,574 on average, 17% less than the Florida average of $85,454, and was paid $11,834 against a state average of $13,200. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Gulf Coast Medical Center charged $105,182 on average, 27% less than the Florida average of $144,271, and was paid $14,779 against a state average of $16,375. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,641 was 10% below the state average of $28,431. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,298 was 9% below the state average of $14,597. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $59,702 was 12% below the state average of $68,202. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $26,450 was 10% below the state average of $29,367.

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.