Florida / HCA Florida Memorial Hospital

CMS certification 100179 · Jacksonville, FL · 3 entries in CMS's price-transparency list

HCA Florida Memorial Hospital: charges and Medicare payments

HCA Florida Memorial Hospital reported 2,411 Medicare inpatient stays across 87 DRGs in 2024. Across them it charged 11.84 times what it was paid — among the higher ratios in Florida, number 17 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: 217 stays at an average charge of $191,365, 112% above the national average. It also billed 1,071 outpatient services, charging 17.95 times what Medicare paid.

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  1. 1Medicare inpatient stays 2,411
  2. 2Charge ÷ paid, inpatient 11.84×
  3. 3Rank in FL (highest ratio = 1) 17 of 159
  4. 4CMS price-transparency actions 3
DRG 871$191,365DRG 291$115,562DRG 274$218,007DRG 392$76,098DRG 682$125,248DRG 640$117,512DRG 177$150,461DRG 280$160,641DRG 683$82,992DRG 193$137,840
Average charge per stay at HCA Florida Memorial Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 87 DRGs that can be compared with the national average, HCA Florida Memorial Hospital charged more than the national average in 87 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC217$191,365+112%$15,128
291 Heart Failure and Shock with MCC102$115,562+105%$10,238
274 Percutaneous and Other Intracardiac Procedures without MCC100$218,007+39%$24,221
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...73$76,098+89%$7,220
682 Renal Failure with MCC62$125,248+90%$11,607
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...55$117,512+95%$10,640
177 Respiratory Infections and Inflammations with MCC54$150,461+113%$13,160
280 Acute Myocardial Infarction, Discharged Alive with MCC52$160,641+112%$12,473
683 Renal Failure with CC52$82,992+104%$8,575
193 Simple Pneumonia and Pleurisy with MCC46$137,840+131%$10,786
690 Kidney and Urinary Tract Infections without MCC45$75,445+99%$7,557
064 Intracranial Hemorrhage or Cerebral Infarction with MCC44$223,086+123%$14,031
698 Other Kidney and Urinary Tract Diagnoses with MCC43$128,016+74%$13,600
208 Respiratory System Diagnosis with Ventilator Support <=96...40$231,146+70%$21,060
689 Kidney and Urinary Tract Infections with MCC39$111,765+118%$9,563
853 Infectious and Parasitic Diseases with O.R. Procedures with...39$461,917+102%$32,029
481 Hip and Femur Procedures except Major Joint with CC35$258,412+156%$15,086
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC32$102,147+108%$8,755
252 Other Vascular Procedures with MCC31$253,471+48%$24,756
267 Endovascular Cardiac Valve Replacement and Supplement...31$384,153+74%$38,465
286 Circulatory Disorders except AMI, with Cardiac...30$226,345+102%$17,044
305 Hypertension without MCC30$69,121+72%$6,827
552 Medical Back Problems without MCC30$129,431+165%$8,872
393 Other Digestive System Diagnoses with MCC29$120,044+56%$13,150
312 Syncope and Collapse28$107,064+135%$7,588
377 Gastrointestinal Hemorrhage with MCC28$144,583+69%$13,034
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...27$144,736+160%$9,714
189 Pulmonary Edema and Respiratory Failure26$96,326+67%$11,069
266 Endovascular Cardiac Valve Replacement and Supplement...26$395,932+39%$44,753
673 Other Kidney and Urinary Tract Procedures with MCC26$259,169+50%$28,435
811 Red Blood Cell Disorders with MCC26$121,989+79%$10,496
271 Other Major Cardiovascular Procedures with CC25$400,690+130%$28,782
309 Cardiac Arrhythmia and Conduction Disorders with CC25$97,824+171%$7,158
812 Red Blood Cell Disorders without MCC25$82,664+86%$8,325
070 Other Cerebrovascular Disorders with MCC24$176,024+132%$13,907
394 Other Digestive System Diagnoses with CC24$75,966+61%$9,525
100 Seizures with MCC23$153,033+62%$15,133
270 Other Major Cardiovascular Procedures with MCC23$415,798+60%$40,052
287 Circulatory Disorders except AMI, with Cardiac...23$143,556+125%$9,660
313 Chest Pain23$71,182+78%$7,091
389 Gastrointestinal Obstruction with CC22$84,912+118%$7,386
884 Organic Disturbances and Intellectual Disability22$115,785+86%$12,392
057 Degenerative Nervous System Disorders without MCC20$95,666+69%$10,843
101 Seizures without MCC20$100,242+106%$8,051
235 Coronary Bypass without Cardiac Catheterization with MCC20$972,393+232%$53,398
314 Other Circulatory System Diagnoses with MCC20$148,828+57%$14,772
322 Percutaneous Cardiovascular Procedures with Intraluminal...20$239,366+109%$16,140
330 Major Small and Large Bowel Procedures with CC20$310,771+161%$21,077
378 Gastrointestinal Hemorrhage with CC20$97,076+100%$9,011
603 Cellulitis without MCC19$90,997+144%$9,696
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...19$81,492+120%$7,059
321 Percutaneous Cardiovascular Procedures with Intraluminal...17$368,370+125%$23,185
092 Other Disorders of Nervous System with CC16$95,539+85%$8,314
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...16$129,055+203%$7,780
699 Other Kidney and Urinary Tract Diagnoses with CC16$72,259+52%$8,090
870 Septicemia or Severe Sepsis with MV >96 Hours16$560,839+73%$42,616
086 Traumatic Stupor and Coma <1 Hour with CC15$176,806+159%$10,883
233 Coronary Bypass with Cardiac Catheterization or Open...15$1,009,425+162%$73,276
331 Major Small and Large Bowel Procedures without CC/MCC15$208,045+142%$13,285
638 Diabetes with CC15$71,526+72%$7,602

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 Memorial Hospital charged $191,365 on average, 70% more than the Florida average of $112,838, and was paid $15,128 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Memorial Hospital charged $115,562 on average, 71% more than the Florida average of $67,659, and was paid $10,238 against a state average of $10,715. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), HCA Florida Memorial Hospital charged $218,007 on average, 18% more than the Florida average of $185,126, and was paid $24,221 against a state average of $24,802. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), HCA Florida Memorial Hospital charged $76,098 on average, 42% more than the Florida average of $53,444, and was paid $7,220 against a state average of $7,095. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $75,046 was 79% above the state average of $41,880. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $48,914 was 72% above the state average of $28,431. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $229,827 was 18% above the state average of $195,231. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $170,094 was 66% above the state average of $102,708.

Price-transparency record

CMS's enforcement list records these actions for a hospital named HCA Florida Memorial Hospital in Jacksonville, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.