Florida / Halifax Health Medical Center

CMS certification 100017 · Daytona Beach, FL

Halifax Health Medical Center: charges and Medicare payments

Halifax Health Medical Center reported 3,079 Medicare inpatient stays across 103 DRGs in 2024. Across them it charged 4.67 times what it was paid — among the lower ratios in Florida, number 139 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: 371 stays at an average charge of $75,643, 16% below the national average. It also billed 2,595 outpatient services, charging 8.97 times what Medicare paid.

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  1. 1Medicare inpatient stays 3,079
  2. 2Charge ÷ paid, inpatient 4.67×
  3. 3Rank in FL (highest ratio = 1) 139 of 159
  4. 4CMS price-transparency actions 0
DRG 871$75,643DRG 885$31,380DRG 291$46,805DRG 872$40,701DRG 193$45,943DRG 481$87,646DRG 064$92,159DRG 312$42,857DRG 683$31,238DRG 392$38,178
Average charge per stay at Halifax Health Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 103 DRGs that can be compared with the national average, Halifax Health Medical Center charged more than the national average in 14 (14%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC371$75,643-16%$16,477
885 Psychoses109$31,380-29%$11,875
291 Heart Failure and Shock with MCC95$46,805-17%$10,861
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC83$40,701-17%$9,429
193 Simple Pneumonia and Pleurisy with MCC67$45,943-23%$11,058
481 Hip and Femur Procedures except Major Joint with CC67$87,646-13%$17,088
064 Intracranial Hemorrhage or Cerebral Infarction with MCC61$92,159-8%$15,680
312 Syncope and Collapse60$42,857-6%$8,250
683 Renal Failure with CC57$31,238-23%$8,738
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...56$38,178-5%$8,635
552 Medical Back Problems without MCC56$42,630-13%$8,941
690 Kidney and Urinary Tract Infections without MCC53$27,735-27%$7,670
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...49$34,479-7%$7,626
689 Kidney and Urinary Tract Infections with MCC48$41,441-19%$10,185
853 Infectious and Parasitic Diseases with O.R. Procedures with...48$217,410-5%$45,137
177 Respiratory Infections and Inflammations with MCC43$59,722-15%$13,471
189 Pulmonary Edema and Respiratory Failure41$44,721-22%$10,992
378 Gastrointestinal Hemorrhage with CC41$52,119+7%$9,913
948 Signs and Symptoms without MCC39$32,435-15%$7,632
057 Degenerative Nervous System Disorders without MCC38$36,776-35%$11,575
190 Chronic Obstructive Pulmonary Disease with MCC37$36,205-28%$10,102
522 Hip Replacement with Principal Diagnosis of Hip Fracture...37$88,102-14%$18,161
603 Cellulitis without MCC37$32,532-13%$8,495
870 Septicemia or Severe Sepsis with MV >96 Hours37$187,219-42%$48,770
682 Renal Failure with MCC35$44,307-33%$12,264
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...32$59,589+7%$9,349
322 Percutaneous Cardiovascular Procedures with Intraluminal...32$104,621-9%$15,097
377 Gastrointestinal Hemorrhage with MCC32$91,575+7%$13,319
698 Other Kidney and Urinary Tract Diagnoses with MCC32$50,823-31%$13,081
069 Transient Ischemia without Thrombolytic31$54,306+8%$7,789
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...31$37,789-37%$10,866
280 Acute Myocardial Infarction, Discharged Alive with MCC29$56,660-25%$13,742
309 Cardiac Arrhythmia and Conduction Disorders with CC27$24,442-32%$7,322
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...26$39,224-8%$8,528
101 Seizures without MCC24$44,277-9%$8,478
699 Other Kidney and Urinary Tract Diagnoses with CC24$37,540-21%$9,104
881 Depressive Neuroses24$27,786-13%$8,410
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...24$28,585-23%$7,901
194 Simple Pneumonia and Pleurisy with CC23$34,327-11%$7,880
300 Peripheral Vascular Disorders with CC23$43,696-12%$9,545
321 Percutaneous Cardiovascular Procedures with Intraluminal...23$135,250-17%$22,797
812 Red Blood Cell Disorders without MCC23$38,198-14%$8,472
884 Organic Disturbances and Intellectual Disability23$30,382-51%$13,599
305 Hypertension without MCC22$30,955-23%$7,082
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...22$78,496+29%$10,851
071 Other Cerebrovascular Disorders with CC21$50,7110%$9,570
092 Other Disorders of Nervous System with CC21$43,288-16%$9,258
100 Seizures with MCC21$82,768-12%$16,422
208 Respiratory System Diagnosis with Ventilator Support <=96...21$99,138-27%$21,796
266 Endovascular Cardiac Valve Replacement and Supplement...21$229,103-20%$46,026
313 Chest Pain21$32,210-19%$8,443
082 Traumatic Stupor and Coma >1 Hour with MCC20$62,814-46%$18,996
207 Respiratory System Diagnosis with Ventilator Support >96...20$166,583-43%$44,579
308 Cardiac Arrhythmia and Conduction Disorders with MCC20$50,017-12%$10,832
472 Cervical Spinal Fusion with CC20$185,843+30%$28,100
637 Diabetes with MCC20$58,731-12%$12,656
917 Poisoning and Toxic Effects of Drugs with MCC20$43,057-42%$12,684
178 Respiratory Infections and Inflammations with CC19$31,209-31%$8,779
470 Major Hip and Knee Joint Replacement or Reattachment of...19$113,692+22%$15,853
083 Traumatic Stupor and Coma >1 Hour with CC18$55,907-24%$18,756

Showing the 60 most frequent of 103 DRGs.

Outpatient services

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Halifax Health Medical Center charged $75,643 on average, 33% less than the Florida average of $112,838, and was paid $16,477 against a state average of $15,663. For Psychoses (DRG 885), Halifax Health Medical Center charged $31,380 on average, 33% less than the Florida average of $46,705, and was paid $11,875 against a state average of $13,805. For Heart Failure and Shock with MCC (DRG 291), Halifax Health Medical Center charged $46,805 on average, 31% less than the Florida average of $67,659, and was paid $10,861 against a state average of $10,715. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Halifax Health Medical Center charged $40,701 on average, 35% less than the Florida average of $62,885, and was paid $9,429 against a state average of $8,998. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,703 was 6% below the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $83,614 was 22% below the state average of $106,979. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,452 was 55% below the state average of $18,605. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,737 was 15% above the state average of $14,597.

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.