Florida / HCA Florida Aventura Hospital
CMS certification 100131 · Aventura, FL · 3 entries in CMS's price-transparency list
HCA Florida Aventura Hospital: charges and Medicare payments
HCA Florida Aventura Hospital reported 2,484 Medicare inpatient stays across 76 DRGs in 2024. Across them it charged 9.45 times what it was paid — among the higher ratios in Florida, number 45 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: 390 stays at an average charge of $179,934, 99% above the national average. It also billed 836 outpatient services, charging 15.99 times what Medicare paid.
- 1Medicare inpatient stays 2,484
- 2Charge ÷ paid, inpatient 9.45×
- 3Rank in FL (highest ratio = 1) 45 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 76 DRGs that can be compared with the national average, HCA Florida Aventura Hospital charged more than the national average in 76 (100%). 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 | 390 | $179,934 | +99% | $18,322 |
| 291 Heart Failure and Shock with MCC | 126 | $115,417 | +105% | $12,995 |
| 193 Simple Pneumonia and Pleurisy with MCC | 99 | $129,352 | +116% | $13,444 |
| 177 Respiratory Infections and Inflammations with MCC | 82 | $142,523 | +102% | $16,377 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 80 | $150,070 | +104% | $15,915 |
| 682 Renal Failure with MCC | 66 | $119,659 | +81% | $14,441 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 54 | $487,050 | +113% | $48,180 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 51 | $126,827 | +67% | $15,485 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 49 | $89,375 | +48% | $12,594 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 47 | $207,718 | +108% | $18,202 |
| 689 Kidney and Urinary Tract Infections with MCC | 46 | $89,234 | +74% | $11,366 |
| 312 Syncope and Collapse | 43 | $70,026 | +54% | $8,971 |
| 552 Medical Back Problems without MCC | 43 | $92,383 | +89% | $9,857 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 43 | $88,061 | +80% | $10,887 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 41 | $71,345 | +78% | $8,944 |
| 481 Hip and Femur Procedures except Major Joint with CC | 40 | $213,074 | +111% | $18,861 |
| 690 Kidney and Urinary Tract Infections without MCC | 37 | $71,082 | +88% | $8,692 |
| 811 Red Blood Cell Disorders with MCC | 36 | $120,566 | +77% | $14,125 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 35 | $121,870 | +141% | $12,014 |
| 377 Gastrointestinal Hemorrhage with MCC | 35 | $144,205 | +69% | $16,667 |
| 683 Renal Failure with CC | 34 | $76,650 | +88% | $11,500 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $64,109 | +73% | $8,481 |
| 194 Simple Pneumonia and Pleurisy with CC | 32 | $86,561 | +126% | $8,869 |
| 884 Organic Disturbances and Intellectual Disability | 31 | $86,016 | +38% | $16,175 |
| 178 Respiratory Infections and Inflammations with CC | 30 | $108,055 | +138% | $10,496 |
| 305 Hypertension without MCC | 29 | $54,833 | +37% | $8,067 |
| 394 Other Digestive System Diagnoses with CC | 29 | $78,963 | +68% | $9,879 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $105,550 | +83% | $11,825 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $107,325 | +121% | $9,899 |
| 069 Transient Ischemia without Thrombolytic | 26 | $101,745 | +102% | $8,535 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 26 | $88,498 | +123% | $8,968 |
| 202 Bronchitis and Asthma with CC/MCC | 25 | $82,014 | +78% | $10,222 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $197,989 | +93% | $19,780 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 24 | $97,016 | +71% | $12,575 |
| 393 Other Digestive System Diagnoses with MCC | 24 | $175,158 | +128% | $15,915 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 24 | $741,681 | +129% | $60,675 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $57,483 | +59% | $8,489 |
| 100 Seizures with MCC | 21 | $145,961 | +55% | $17,703 |
| 101 Seizures without MCC | 20 | $79,062 | +62% | $9,298 |
| 252 Other Vascular Procedures with MCC | 20 | $320,572 | +88% | $31,527 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $292,348 | +155% | $17,333 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $376,944 | +130% | $28,530 |
| 603 Cellulitis without MCC | 19 | $69,152 | +85% | $10,047 |
| 812 Red Blood Cell Disorders without MCC | 19 | $92,548 | +109% | $10,977 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 18 | $279,092 | +106% | $23,844 |
| 389 Gastrointestinal Obstruction with CC | 18 | $85,979 | +121% | $8,671 |
| 299 Peripheral Vascular Disorders with MCC | 17 | $185,153 | +146% | $16,211 |
| 896 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 17 | $93,551 | +20% | $15,018 |
| 056 Degenerative Nervous System Disorders with MCC | 16 | $106,650 | +11% | $19,920 |
| 637 Diabetes with MCC | 16 | $107,193 | +61% | $13,863 |
| 638 Diabetes with CC | 16 | $71,569 | +72% | $9,488 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 16 | $58,949 | +59% | $9,062 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $381,503 | +77% | $42,862 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $97,610 | +106% | $10,050 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 14 | $201,089 | +85% | $20,028 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $42,100 | +47% | $6,332 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 14 | $214,630 | +80% | $22,465 |
| 885 Psychoses | 14 | $71,238 | +62% | $14,102 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 13 | $1,282,662 | +22% | $117,135 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 13 | $923,282 | +50% | $99,228 |
Showing the 60 most frequent of 76 DRGs.
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 450 | $39,002 | $2,466 |
| Level 1 Endovascular Procedures | 41 | $68,302 | $2,907 |
| Level 4 Musculoskeletal Procedures | 35 | $91,790 | $6,480 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 29 | $23,281 | $1,469 |
| Level 5 Musculoskeletal Procedures | 27 | $142,900 | $11,532 |
| Level 5 Urology and Related Services | 25 | $64,041 | $4,687 |
| Level 1 Laparoscopy and Related Services | 24 | $120,645 | $5,227 |
| Level 2 Upper GI Procedures | 23 | $31,123 | $1,724 |
| Level 3 Urology and Related Services | 23 | $53,134 | $1,781 |
| Level 5 Neurostimulator and Related Procedures | 23 | $103,017 | $28,046 |
| Level 4 Urology and Related Services | 22 | $72,158 | $3,158 |
| Level 2 Musculoskeletal Procedures | 20 | $31,061 | $1,456 |
| Level 3 Vascular Procedures | 19 | $41,321 | $2,887 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 18 | $52,772 | $2,574 |
| Level 3 Musculoskeletal Procedures | 17 | $59,891 | $2,932 |
| Level 3 Endovascular Procedures | 14 | $178,997 | $9,958 |
| Level 3 Pacemaker and Similar Procedures | 14 | $66,270 | $9,666 |
| Level 3 Electrophysiologic Procedures | 12 | $194,120 | $21,459 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Aventura Hospital charged $179,934 on average, 59% more than the Florida average of $112,838, and was paid $18,322 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Aventura Hospital charged $115,417 on average, 71% more than the Florida average of $67,659, and was paid $12,995 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Aventura Hospital charged $129,352 on average, 65% more than the Florida average of $78,292, and was paid $13,444 against a state average of $10,939. For Respiratory Infections and Inflammations with MCC (DRG 177), HCA Florida Aventura Hospital charged $142,523 on average, 67% more than the Florida average of $85,454, and was paid $16,377 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $39,002 was 37% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $68,302 was 63% above the state average of $41,880. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $91,790 was 24% above the state average of $74,087. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $23,281 was 59% above the state average of $14,597.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Aventura Hospital in Aventura, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-05-31 (CMS case 612)
- Closure Notice — 2023-09-26 (CMS case 612)
- Met Requirements — 2025-05-05 (CMS case 4311)
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.