Florida / HCA Florida Gulf Coast Hospital
CMS certification 100242 · Panama City, FL · 3 entries in CMS's price-transparency list
HCA Florida Gulf Coast Hospital: charges and Medicare payments
HCA Florida Gulf Coast Hospital reported 2,770 Medicare inpatient stays across 87 DRGs in 2024. Across them it charged 11.08 times what it was paid — among the higher ratios in Florida, number 26 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: 439 stays at an average charge of $141,425, 57% above the national average. It also billed 1,732 outpatient services, charging 16.71 times what Medicare paid.
- 1Medicare inpatient stays 2,770
- 2Charge ÷ paid, inpatient 11.08×
- 3Rank in FL (highest ratio = 1) 26 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 87 DRGs that can be compared with the national average, HCA Florida Gulf Coast Hospital charged more than the national average in 87 (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 | 439 | $141,425 | +57% | $14,763 |
| 291 Heart Failure and Shock with MCC | 139 | $91,030 | +61% | $9,903 |
| 193 Simple Pneumonia and Pleurisy with MCC | 93 | $125,088 | +109% | $10,356 |
| 177 Respiratory Infections and Inflammations with MCC | 77 | $116,227 | +65% | $12,288 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 73 | $82,873 | +69% | $8,833 |
| 682 Renal Failure with MCC | 70 | $113,110 | +72% | $11,201 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 69 | $363,504 | +59% | $33,735 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 60 | $89,450 | +123% | $6,325 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 55 | $136,452 | +80% | $12,651 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 53 | $91,169 | +51% | $9,696 |
| 690 Kidney and Urinary Tract Infections without MCC | 51 | $82,194 | +117% | $6,627 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 47 | $200,348 | +48% | $24,961 |
| 377 Gastrointestinal Hemorrhage with MCC | 46 | $138,198 | +62% | $12,600 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $96,804 | +89% | $8,856 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 42 | $243,666 | +176% | $13,566 |
| 189 Pulmonary Edema and Respiratory Failure | 41 | $98,947 | +72% | $9,777 |
| 378 Gastrointestinal Hemorrhage with CC | 38 | $102,747 | +112% | $7,625 |
| 683 Renal Failure with CC | 38 | $75,461 | +85% | $7,001 |
| 069 Transient Ischemia without Thrombolytic | 37 | $87,988 | +74% | $6,426 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 35 | $89,507 | +61% | $7,954 |
| 811 Red Blood Cell Disorders with MCC | 35 | $119,693 | +76% | $10,680 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 34 | $68,218 | +89% | $6,813 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 34 | $214,270 | +130% | $14,128 |
| 481 Hip and Femur Procedures except Major Joint with CC | 32 | $227,700 | +126% | $14,684 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $98,280 | +34% | $12,091 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 31 | $144,854 | +45% | $14,837 |
| 313 Chest Pain | 30 | $65,505 | +64% | $5,882 |
| 312 Syncope and Collapse | 28 | $85,604 | +88% | $6,895 |
| 305 Hypertension without MCC | 27 | $61,722 | +54% | $7,146 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 27 | $249,810 | +144% | $15,229 |
| 552 Medical Back Problems without MCC | 27 | $91,102 | +86% | $7,770 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $240,120 | +110% | $15,162 |
| 394 Other Digestive System Diagnoses with CC | 24 | $91,030 | +93% | $7,423 |
| 638 Diabetes with CC | 24 | $70,621 | +69% | $6,887 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 23 | $99,776 | +98% | $9,079 |
| 070 Other Cerebrovascular Disorders with MCC | 22 | $142,174 | +87% | $11,635 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 22 | $139,262 | +114% | $11,244 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 20 | $136,648 | +114% | $8,393 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $86,678 | +53% | $9,217 |
| 393 Other Digestive System Diagnoses with MCC | 20 | $129,695 | +69% | $12,744 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 20 | $124,450 | +30% | $14,486 |
| 603 Cellulitis without MCC | 20 | $71,458 | +92% | $7,530 |
| 389 Gastrointestinal Obstruction with CC | 19 | $83,193 | +114% | $6,865 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 19 | $367,109 | +14% | $45,388 |
| 100 Seizures with MCC | 18 | $143,382 | +52% | $13,877 |
| 417 Laparoscopic Cholecystectomy without C.D.E. with MCC | 18 | $314,860 | +152% | $18,041 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $68,557 | +85% | $6,183 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $164,063 | +67% | $14,860 |
| 101 Seizures without MCC | 17 | $74,261 | +52% | $7,188 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 17 | $242,189 | +51% | $24,978 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $108,627 | +78% | $10,510 |
| 812 Red Blood Cell Disorders without MCC | 17 | $92,434 | +108% | $7,130 |
| 884 Organic Disturbances and Intellectual Disability | 17 | $100,360 | +61% | $12,293 |
| 252 Other Vascular Procedures with MCC | 16 | $294,819 | +73% | $24,478 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 16 | $182,313 | +62% | $16,228 |
| 299 Peripheral Vascular Disorders with MCC | 16 | $100,330 | +34% | $11,616 |
| 329 Major Small and Large Bowel Procedures with MCC | 16 | $328,258 | +53% | $30,998 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $359,218 | +202% | $17,632 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $81,285 | +71% | $7,899 |
| 176 Pulmonary Embolism without MCC | 15 | $70,789 | +71% | $6,455 |
Showing the 60 most frequent of 87 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Gulf Coast Hospital charged $141,425 on average, 25% more than the Florida average of $112,838, and was paid $14,763 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Gulf Coast Hospital charged $91,030 on average, 35% more than the Florida average of $67,659, and was paid $9,903 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Gulf Coast Hospital charged $125,088 on average, 60% more than the Florida average of $78,292, and was paid $10,356 against a state average of $10,939. For Respiratory Infections and Inflammations with MCC (DRG 177), HCA Florida Gulf Coast Hospital charged $116,227 on average, 36% more than the Florida average of $85,454, and was paid $12,288 against a state average of $13,200. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $27,310 was 44% above the state average of $18,929. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $171,172 was 60% above the state average of $106,979. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $69,444 was 66% above the state average of $41,880. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $49,207 was 73% above the state average of $28,431.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Gulf Coast Hospital in Panama City, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-29 (CMS case 620)
- Closure Notice — 2023-10-03 (CMS case 620)
- Met Requirements — 2025-05-05 (CMS case 4308)
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.