Florida / HCA Florida Capital Hospital
CMS certification 100254 · Tallahassee, FL · 3 entries in CMS's price-transparency list
HCA Florida Capital Hospital: charges and Medicare payments
HCA Florida Capital Hospital reported 1,617 Medicare inpatient stays across 61 DRGs in 2024. Across them it charged 8.55 times what it was paid — mid-range in Florida, number 57 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: 212 stays at an average charge of $137,091, 52% above the national average. It also billed 635 outpatient services, charging 16.23 times what Medicare paid.
- 1Medicare inpatient stays 1,617
- 2Charge ÷ paid, inpatient 8.55×
- 3Rank in FL (highest ratio = 1) 57 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 61 DRGs that can be compared with the national average, HCA Florida Capital Hospital charged more than the national average in 58 (95%). 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 | 212 | $137,091 | +52% | $15,319 |
| 291 Heart Failure and Shock with MCC | 93 | $74,184 | +32% | $10,088 |
| 885 Psychoses | 70 | $40,998 | -7% | $11,086 |
| 193 Simple Pneumonia and Pleurisy with MCC | 61 | $92,657 | +55% | $10,405 |
| 683 Renal Failure with CC | 48 | $62,816 | +54% | $8,014 |
| 682 Renal Failure with MCC | 46 | $95,540 | +45% | $12,765 |
| 690 Kidney and Urinary Tract Infections without MCC | 43 | $71,648 | +89% | $7,249 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 40 | $62,492 | +56% | $7,683 |
| 177 Respiratory Infections and Inflammations with MCC | 37 | $115,367 | +63% | $12,609 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 36 | $99,053 | +102% | $10,470 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $68,674 | +14% | $10,625 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $111,424 | +47% | $14,169 |
| 312 Syncope and Collapse | 32 | $71,520 | +57% | $7,950 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $80,363 | +57% | $10,049 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 28 | $138,201 | +116% | $10,185 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 27 | $165,714 | +78% | $19,671 |
| 189 Pulmonary Edema and Respiratory Failure | 25 | $93,222 | +62% | $11,026 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 25 | $201,234 | +48% | $20,090 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 25 | $94,234 | +28% | $12,606 |
| 812 Red Blood Cell Disorders without MCC | 24 | $51,027 | +15% | $7,691 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $113,370 | +195% | $8,309 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $69,691 | +88% | $6,898 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $353,050 | +54% | $35,034 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $194,829 | +70% | $13,974 |
| 638 Diabetes with CC | 22 | $52,656 | +26% | $7,606 |
| 603 Cellulitis without MCC | 21 | $77,766 | +109% | $7,462 |
| 882 Neuroses except Depressive | 21 | $37,266 | -5% | $7,999 |
| 394 Other Digestive System Diagnoses with CC | 20 | $78,583 | +67% | $8,313 |
| 305 Hypertension without MCC | 19 | $61,448 | +53% | $7,379 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 19 | $225,777 | +11% | $37,010 |
| 313 Chest Pain | 18 | $50,449 | +26% | $7,610 |
| 472 Cervical Spinal Fusion with CC | 18 | $174,597 | +22% | $26,413 |
| 811 Red Blood Cell Disorders with MCC | 18 | $88,868 | +30% | $11,441 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $100,212 | +77% | $10,150 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $52,224 | +45% | $8,430 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $307,961 | +88% | $21,441 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $74,026 | +52% | $8,188 |
| 552 Medical Back Problems without MCC | 17 | $80,390 | +65% | $8,730 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $149,586 | +75% | $14,068 |
| 884 Organic Disturbances and Intellectual Disability | 16 | $76,584 | +23% | $12,907 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $78,741 | +41% | $9,631 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $125,477 | +93% | $11,113 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $164,686 | +63% | $15,861 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $79,283 | +67% | $8,428 |
| 069 Transient Ischemia without Thrombolytic | 14 | $52,934 | +5% | $6,902 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $38,523 | +34% | $6,632 |
| 070 Other Cerebrovascular Disorders with MCC | 13 | $157,860 | +108% | $14,040 |
| 101 Seizures without MCC | 13 | $58,869 | +21% | $7,587 |
| 393 Other Digestive System Diagnoses with MCC | 13 | $121,389 | +58% | $12,980 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 13 | $259,733 | -7% | $45,640 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 13 | $63,590 | +71% | $7,369 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $113,647 | +14% | $15,518 |
| 149 Dysequilibrium | 12 | $61,974 | +40% | $6,542 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 12 | $164,747 | +77% | $15,825 |
| 637 Diabetes with MCC | 12 | $95,403 | +43% | $11,244 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $62,330 | +10% | $10,652 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $104,706 | +107% | $9,937 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 11 | $162,373 | +45% | $18,447 |
| 300 Peripheral Vascular Disorders with CC | 11 | $71,404 | +45% | $8,753 |
| 315 Other Circulatory System Diagnoses with CC | 11 | $117,247 | +145% | $9,162 |
Showing the 60 most frequent of 61 DRGs.
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 116 | $133,081 | $11,817 |
| Comprehensive Observation Services | 100 | $38,857 | $2,381 |
| Level 4 Musculoskeletal Procedures | 89 | $96,661 | $6,422 |
| Level 1 Intraocular Procedures | 60 | $43,420 | $2,058 |
| Level 1 Endovascular Procedures | 59 | $73,142 | $2,888 |
| Level 6 Musculoskeletal Procedures | 44 | $183,337 | $16,845 |
| Level 3 Musculoskeletal Procedures | 33 | $65,805 | $2,932 |
| Level 1 Laparoscopy and Related Services | 33 | $90,866 | $5,100 |
| Level 3 Endovascular Procedures | 20 | $124,595 | $9,541 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $62,177 | $2,574 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 15 | $24,263 | $1,469 |
| Level 3 Pacemaker and Similar Procedures | 15 | $73,637 | $9,666 |
| Level 4 Endovascular Procedures | 12 | $167,035 | $15,852 |
| Level 5 Gynecologic Procedures | 12 | $83,655 | $4,506 |
| Level 2 Laparoscopy and Related Services | 11 | $138,965 | $9,319 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Capital Hospital charged $137,091 on average, 21% more than the Florida average of $112,838, and was paid $15,319 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Capital Hospital charged $74,184 on average, 10% more than the Florida average of $67,659, and was paid $10,088 against a state average of $10,715. For Psychoses (DRG 885), HCA Florida Capital Hospital charged $40,998 on average, 12% less than the Florida average of $46,705, and was paid $11,086 against a state average of $13,805. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Capital Hospital charged $92,657 on average, 18% more than the Florida average of $78,292, and was paid $10,405 against a state average of $10,939. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $133,081 was 24% above the state average of $106,979. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $38,857 was 37% above the state average of $28,431. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $96,661 was 30% above the state average of $74,087. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $43,420 was 82% above the state average of $23,896.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Capital Hospital in Tallahassee, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-08 (CMS case 613)
- Closure Notice — 2023-09-19 (CMS case 613)
- Met Requirements — 2025-05-02 (CMS case 4281)
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.