Florida / HCA Florida Largo Hospital
CMS certification 100248 · Largo, FL · 3 entries in CMS's price-transparency list
HCA Florida Largo Hospital: charges and Medicare payments
HCA Florida Largo Hospital reported 1,532 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 9.49 times what it was paid — among the higher ratios in Florida, number 44 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: 280 stays at an average charge of $142,937, 58% above the national average. It also billed 803 outpatient services, charging 21.56 times what Medicare paid.
- 1Medicare inpatient stays 1,532
- 2Charge ÷ paid, inpatient 9.49×
- 3Rank in FL (highest ratio = 1) 44 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 60 DRGs that can be compared with the national average, HCA Florida Largo Hospital charged more than the national average in 60 (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 | 280 | $142,937 | +58% | $17,993 |
| 291 Heart Failure and Shock with MCC | 83 | $109,153 | +94% | $12,743 |
| 689 Kidney and Urinary Tract Infections with MCC | 46 | $79,861 | +56% | $11,331 |
| 177 Respiratory Infections and Inflammations with MCC | 42 | $134,355 | +90% | $16,182 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 42 | $87,094 | +117% | $8,455 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 39 | $135,946 | +85% | $16,210 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $81,003 | +34% | $12,430 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 38 | $518,797 | +127% | $44,133 |
| 682 Renal Failure with MCC | 37 | $112,920 | +71% | $13,625 |
| 193 Simple Pneumonia and Pleurisy with MCC | 32 | $97,530 | +63% | $13,073 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 30 | $432,379 | +52% | $53,541 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $93,549 | +62% | $12,079 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $125,922 | +66% | $15,811 |
| 683 Renal Failure with CC | 25 | $78,287 | +92% | $8,775 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $96,282 | +96% | $10,796 |
| 312 Syncope and Collapse | 24 | $68,749 | +51% | $8,765 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $381,268 | +133% | $27,240 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 23 | $146,534 | +47% | $16,539 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 23 | $356,794 | +128% | $28,539 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $84,928 | +135% | $8,108 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $184,294 | +116% | $17,645 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $211,468 | +110% | $19,005 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $67,208 | +78% | $7,713 |
| 885 Psychoses | 21 | $49,611 | +13% | $13,471 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 20 | $1,898,730 | +80% | $196,657 |
| 393 Other Digestive System Diagnoses with MCC | 20 | $134,314 | +75% | $15,663 |
| 652 Kidney Transplant | 20 | $490,702 | +46% | $33,547 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 19 | $881,450 | +201% | $50,959 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 19 | $179,268 | +60% | $20,017 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 18 | $1,047,627 | +163% | $73,983 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 18 | $126,916 | +99% | $11,536 |
| 884 Organic Disturbances and Intellectual Disability | 18 | $83,463 | +34% | $15,556 |
| 100 Seizures with MCC | 17 | $125,084 | +33% | $18,171 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 17 | $95,425 | +101% | $10,254 |
| 552 Medical Back Problems without MCC | 16 | $73,181 | +50% | $9,623 |
| 001 Heart Transplant or Implant of Heart Assist System with MCC | 15 | $2,374,491 | +62% | $295,597 |
| 057 Degenerative Nervous System Disorders without MCC | 15 | $66,227 | +17% | $12,199 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $264,218 | +131% | $17,874 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $90,165 | +48% | $12,511 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $117,245 | +110% | $11,460 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 14 | $344,699 | +56% | $41,884 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $124,477 | +147% | $9,427 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $178,094 | +31% | $26,265 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $116,991 | +141% | $10,289 |
| 394 Other Digestive System Diagnoses with CC | 13 | $95,870 | +104% | $9,660 |
| 445 Disorders of The Biliary Tract with CC | 13 | $142,847 | +146% | $11,220 |
| 069 Transient Ischemia without Thrombolytic | 12 | $89,679 | +78% | $8,184 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 12 | $111,487 | +63% | $13,087 |
| 271 Other Major Cardiovascular Procedures with CC | 12 | $375,987 | +116% | $31,768 |
| 299 Peripheral Vascular Disorders with MCC | 12 | $90,466 | +20% | $14,502 |
| 313 Chest Pain | 12 | $69,702 | +75% | $7,719 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $67,213 | +58% | $8,801 |
| 638 Diabetes with CC | 12 | $52,778 | +27% | $8,470 |
| 811 Red Blood Cell Disorders with MCC | 12 | $123,396 | +81% | $13,774 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $247,742 | +152% | $19,860 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 11 | $518,146 | +142% | $36,434 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $87,600 | +55% | $12,010 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 11 | $139,714 | +46% | $18,329 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $70,691 | +91% | $8,497 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 11 | $514,600 | +59% | $54,972 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 255 | $47,704 | $2,456 |
| Level 1 Endovascular Procedures | 118 | $55,838 | $2,886 |
| Level 3 Endovascular Procedures | 72 | $189,569 | $9,842 |
| Level 3 Electrophysiologic Procedures | 64 | $361,748 | $21,153 |
| Level 2 Upper GI Procedures | 64 | $50,938 | $1,724 |
| Level 3 Vascular Procedures | 37 | $55,546 | $2,887 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 25 | $47,513 | $1,469 |
| Level 5 Musculoskeletal Procedures | 25 | $179,250 | $11,906 |
| Level 4 Endovascular Procedures | 23 | $252,289 | $15,852 |
| Level 4 Urology and Related Services | 21 | $63,296 | $3,158 |
| Level 1 Laparoscopy and Related Services | 20 | $105,533 | $4,815 |
| Level 3 Pacemaker and Similar Procedures | 18 | $82,030 | $9,666 |
| Level 2 Endovascular Procedures | 13 | $151,778 | $5,178 |
| Level 3 Upper GI Procedures | 13 | $81,074 | $3,469 |
| Level 2 Pacemaker and Similar Procedures | 12 | $57,134 | $7,696 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $107,011 | $3,134 |
| Level 4 Vascular Procedures | 11 | $112,523 | $4,978 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Largo Hospital charged $142,937 on average, 27% more than the Florida average of $112,838, and was paid $17,993 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Largo Hospital charged $109,153 on average, 61% more than the Florida average of $67,659, and was paid $12,743 against a state average of $10,715. For Kidney and Urinary Tract Infections with MCC (DRG 689), HCA Florida Largo Hospital charged $79,861 on average, 28% more than the Florida average of $62,527, and was paid $11,331 against a state average of $9,734. For Respiratory Infections and Inflammations with MCC (DRG 177), HCA Florida Largo Hospital charged $134,355 on average, 57% more than the Florida average of $85,454, and was paid $16,182 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $47,704 was 68% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $55,838 was 33% above the state average of $41,880. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $189,569 was 85% above the state average of $102,708. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $361,748 was 85% above the state average of $195,231.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Largo Hospital in Largo, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-15 (CMS case 627)
- Closure Notice — 2023-09-29 (CMS case 627)
- Met Requirements — 2025-05-02 (CMS case 4262)
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.