Florida / HCA Florida Englewood Hospital
CMS certification 100267 · Englewood, FL · 3 entries in CMS's price-transparency list
HCA Florida Englewood Hospital: charges and Medicare payments
HCA Florida Englewood Hospital reported 1,083 Medicare inpatient stays across 43 DRGs in 2024. Across them it charged 12.07 times what it was paid — among the higher ratios in Florida, number 12 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: 145 stays at an average charge of $121,838, 35% above the national average. It also billed 977 outpatient services, charging 22.95 times what Medicare paid.
- 1Medicare inpatient stays 1,083
- 2Charge ÷ paid, inpatient 12.07×
- 3Rank in FL (highest ratio = 1) 12 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 43 DRGs that can be compared with the national average, HCA Florida Englewood Hospital charged more than the national average in 43 (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 | 145 | $121,838 | +35% | $12,746 |
| 291 Heart Failure and Shock with MCC | 73 | $90,079 | +60% | $8,206 |
| 193 Simple Pneumonia and Pleurisy with MCC | 58 | $93,698 | +57% | $8,433 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 48 | $119,213 | +57% | $10,010 |
| 177 Respiratory Infections and Inflammations with MCC | 37 | $96,945 | +37% | $10,553 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $89,366 | +55% | $8,725 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $79,064 | +97% | $5,297 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 26 | $128,151 | +101% | $7,179 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 25 | $122,570 | +143% | $6,047 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $100,638 | +78% | $8,124 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 25 | $69,846 | +93% | $4,945 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $175,241 | +53% | $12,200 |
| 683 Renal Failure with CC | 25 | $71,289 | +75% | $5,927 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 24 | $60,360 | +110% | $3,714 |
| 378 Gastrointestinal Hemorrhage with CC | 24 | $82,197 | +69% | $6,621 |
| 682 Renal Failure with MCC | 24 | $108,567 | +65% | $9,319 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $81,519 | +66% | $6,732 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $72,892 | +93% | $5,159 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $244,000 | +142% | $13,176 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $98,697 | +34% | $9,550 |
| 811 Red Blood Cell Disorders with MCC | 21 | $104,231 | +53% | $9,317 |
| 603 Cellulitis without MCC | 20 | $60,442 | +62% | $5,815 |
| 312 Syncope and Collapse | 19 | $90,120 | +98% | $5,780 |
| 389 Gastrointestinal Obstruction with CC | 18 | $64,793 | +66% | $5,312 |
| 638 Diabetes with CC | 18 | $59,642 | +43% | $6,004 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $215,522 | +111% | $13,790 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $68,028 | +13% | $8,718 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $72,793 | +96% | $5,022 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 15 | $119,120 | +175% | $4,867 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $106,845 | +25% | $11,013 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $104,492 | +71% | $8,583 |
| 552 Medical Back Problems without MCC | 15 | $93,573 | +92% | $6,324 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $80,230 | +56% | $7,713 |
| 812 Red Blood Cell Disorders without MCC | 14 | $100,208 | +126% | $6,142 |
| 069 Transient Ischemia without Thrombolytic | 13 | $109,293 | +117% | $5,453 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $72,200 | +88% | $6,047 |
| 813 Coagulation Disorders | 13 | $85,924 | +7% | $10,322 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $191,377 | +105% | $12,678 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $89,228 | +88% | $6,816 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $239,428 | +5% | $25,952 |
| 394 Other Digestive System Diagnoses with CC | 11 | $96,667 | +105% | $6,301 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $71,275 | +89% | $5,265 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 11 | $153,759 | +128% | $9,033 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 163 | $55,177 | $2,479 |
| Level 5 Urology and Related Services | 127 | $117,410 | $4,599 |
| Level 1 Endovascular Procedures | 118 | $84,310 | $2,956 |
| Level 4 Urology and Related Services | 93 | $93,402 | $3,131 |
| Level 5 Musculoskeletal Procedures | 76 | $196,115 | $11,906 |
| Level 2 Pacemaker and Similar Procedures | 72 | $42,954 | $7,696 |
| Level 1 Laparoscopy and Related Services | 55 | $183,344 | $5,227 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 47 | $42,828 | $1,469 |
| Level 3 Urology and Related Services | 47 | $73,971 | $1,845 |
| Level 3 Vascular Procedures | 31 | $64,239 | $2,887 |
| Level 3 Endovascular Procedures | 30 | $117,366 | $9,957 |
| Level 3 Pacemaker and Similar Procedures | 26 | $76,641 | $9,666 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 22 | $86,482 | $2,481 |
| Level 4 Musculoskeletal Procedures | 21 | $167,910 | $6,481 |
| Level 4 Pacemaker and Similar Procedures | 13 | $152,925 | $17,611 |
| Level 4 Gynecologic Procedures | 13 | $76,380 | $2,832 |
| Level 2 Upper GI Procedures | 12 | $32,969 | $1,724 |
| Level 2 ICD and Similar Procedures | 11 | $116,615 | $29,712 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Englewood Hospital charged $121,838 on average, 8% more than the Florida average of $112,838, and was paid $12,746 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Englewood Hospital charged $90,079 on average, 33% more than the Florida average of $67,659, and was paid $8,206 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Englewood Hospital charged $93,698 on average, 20% more than the Florida average of $78,292, and was paid $8,433 against a state average of $10,939. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), HCA Florida Englewood Hospital charged $119,213 on average, 28% more than the Florida average of $93,403, and was paid $10,010 against a state average of $12,779. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $55,177 was 94% above the state average of $28,431. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $117,410 was 129% above the state average of $51,337. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $84,310 was 101% above the state average of $41,880. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $93,402 was 155% above the state average of $36,684.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Englewood Hospital in Englewood, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-21 (CMS case 615)
- Closure Notice — 2023-10-05 (CMS case 615)
- Met Requirements — 2025-05-05 (CMS case 4310)
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.