Florida / HCA Florida Citrus Hospital
CMS certification 100023 · Inverness, FL · 4 entries in CMS's price-transparency list
HCA Florida Citrus Hospital: charges and Medicare payments
HCA Florida Citrus Hospital reported 2,458 Medicare inpatient stays across 68 DRGs in 2024. Across them it charged 10.86 times what it was paid — among the higher ratios in Florida, number 32 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: 399 stays at an average charge of $166,888, 85% above the national average. It also billed 1,492 outpatient services, charging 20.77 times what Medicare paid.
- 1Medicare inpatient stays 2,458
- 2Charge ÷ paid, inpatient 10.86×
- 3Rank in FL (highest ratio = 1) 32 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 68 DRGs that can be compared with the national average, HCA Florida Citrus Hospital charged more than the national average in 68 (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 | 399 | $166,888 | +85% | $15,897 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 158 | $130,438 | +72% | $13,233 |
| 291 Heart Failure and Shock with MCC | 123 | $100,487 | +78% | $10,954 |
| 069 Transient Ischemia without Thrombolytic | 65 | $121,952 | +142% | $7,107 |
| 884 Organic Disturbances and Intellectual Disability | 62 | $104,411 | +67% | $13,241 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 57 | $169,771 | +70% | $16,088 |
| 189 Pulmonary Edema and Respiratory Failure | 57 | $96,580 | +68% | $10,583 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 57 | $231,815 | +48% | $25,823 |
| 682 Renal Failure with MCC | 55 | $115,287 | +75% | $12,144 |
| 177 Respiratory Infections and Inflammations with MCC | 52 | $129,498 | +83% | $14,093 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 50 | $152,208 | +138% | $9,717 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 49 | $404,442 | +77% | $37,685 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 46 | $320,385 | +45% | $40,714 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 46 | $347,774 | +112% | $23,992 |
| 683 Renal Failure with CC | 43 | $85,711 | +111% | $7,781 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 40 | $145,368 | +98% | $13,627 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 40 | $98,945 | +102% | $8,784 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 38 | $266,600 | +133% | $15,125 |
| 193 Simple Pneumonia and Pleurisy with MCC | 37 | $104,765 | +75% | $11,399 |
| 312 Syncope and Collapse | 37 | $96,490 | +112% | $7,615 |
| 481 Hip and Femur Procedures except Major Joint with CC | 37 | $212,393 | +111% | $18,794 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 36 | $119,000 | +136% | $8,623 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $93,785 | +133% | $6,837 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 33 | $59,860 | +66% | $6,679 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 32 | $465,730 | +121% | $32,773 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $84,932 | +41% | $10,210 |
| 377 Gastrointestinal Hemorrhage with MCC | 30 | $163,506 | +91% | $14,661 |
| 305 Hypertension without MCC | 27 | $70,273 | +75% | $6,614 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $103,359 | +113% | $7,997 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 27 | $196,550 | +111% | $16,335 |
| 689 Kidney and Urinary Tract Infections with MCC | 27 | $103,078 | +101% | $9,153 |
| 690 Kidney and Urinary Tract Infections without MCC | 27 | $91,146 | +141% | $7,181 |
| 552 Medical Back Problems without MCC | 26 | $115,783 | +137% | $8,311 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $88,558 | +45% | $10,894 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $213,329 | +108% | $17,890 |
| 811 Red Blood Cell Disorders with MCC | 22 | $127,806 | +87% | $11,656 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $147,649 | +165% | $8,844 |
| 180 Respiratory Neoplasms with MCC | 21 | $134,386 | +53% | $15,980 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 20 | $95,686 | +121% | $7,934 |
| 389 Gastrointestinal Obstruction with CC | 20 | $88,769 | +128% | $7,140 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $91,103 | +146% | $7,023 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 18 | $778,606 | +102% | $61,190 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 18 | $91,324 | +61% | $10,338 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 17 | $368,642 | +72% | $32,128 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 17 | $192,248 | +71% | $18,170 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 17 | $111,386 | +161% | $7,801 |
| 812 Red Blood Cell Disorders without MCC | 17 | $81,720 | +84% | $7,706 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $238,763 | +76% | $22,409 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 16 | $597,357 | +122% | $49,875 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $45,605 | +59% | $4,940 |
| 637 Diabetes with MCC | 16 | $99,646 | +50% | $12,569 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $94,083 | +98% | $8,720 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 15 | $434,589 | +34% | $46,820 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 14 | $221,956 | +100% | $18,762 |
| 253 Other Vascular Procedures with CC | 14 | $367,415 | +179% | $21,265 |
| 808 Major Hematological and Immunological Diagnoses except... | 14 | $155,912 | +43% | $19,197 |
| 945 Rehabilitation with CC/MCC | 14 | $118,029 | +113% | $9,985 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 13 | $261,367 | +63% | $27,134 |
| 638 Diabetes with CC | 13 | $67,258 | +61% | $7,418 |
| 057 Degenerative Nervous System Disorders without MCC | 12 | $99,439 | +76% | $11,346 |
Showing the 60 most frequent of 68 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Citrus Hospital charged $166,888 on average, 48% more than the Florida average of $112,838, and was paid $15,897 against a state average of $15,663. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), HCA Florida Citrus Hospital charged $130,438 on average, 40% more than the Florida average of $93,403, and was paid $13,233 against a state average of $12,779. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Citrus Hospital charged $100,487 on average, 49% more than the Florida average of $67,659, and was paid $10,954 against a state average of $10,715. For Transient Ischemia without Thrombolytic (DRG 069), HCA Florida Citrus Hospital charged $121,952 on average, 72% more than the Florida average of $70,779, and was paid $7,107 against a state average of $6,970. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $91,139 was 118% above the state average of $41,880. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $55,354 was 95% above the state average of $28,431. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $174,381 was 70% above the state average of $102,708. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $237,400 was 22% above the state average of $195,231.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Citrus Hospital in Inverness, 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 614)
- Closure Notice — 2023-09-19 (CMS case 614)
- Met Requirements — 2024-11-01 (CMS case 2877)
- Met Requirements — 2025-05-01 (CMS case 4242)
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.