Florida / HCA Florida North Florida Hospital
CMS certification 100204 · Gainesville, FL · 2 entries in CMS's price-transparency list
HCA Florida North Florida Hospital: charges and Medicare payments
HCA Florida North Florida Hospital reported 6,951 Medicare inpatient stays across 179 DRGs in 2024. Across them it charged 11.01 times what it was paid — among the higher ratios in Florida, number 29 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: 511 stays at an average charge of $189,801, 110% above the national average. It also billed 2,775 outpatient services, charging 21.5 times what Medicare paid.
- 1Medicare inpatient stays 6,951
- 2Charge ÷ paid, inpatient 11.01×
- 3Rank in FL (highest ratio = 1) 29 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 179 DRGs that can be compared with the national average, HCA Florida North Florida Hospital charged more than the national average in 177 (99%). 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 | 511 | $189,801 | +110% | $16,744 |
| 291 Heart Failure and Shock with MCC | 312 | $110,004 | +95% | $11,565 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 166 | $90,788 | +126% | $7,293 |
| 193 Simple Pneumonia and Pleurisy with MCC | 143 | $131,251 | +120% | $11,842 |
| 682 Renal Failure with MCC | 128 | $139,666 | +112% | $12,914 |
| 177 Respiratory Infections and Inflammations with MCC | 117 | $139,197 | +97% | $13,993 |
| 690 Kidney and Urinary Tract Infections without MCC | 116 | $85,257 | +125% | $7,412 |
| 552 Medical Back Problems without MCC | 114 | $90,471 | +85% | $8,682 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 103 | $287,496 | +1% | $49,908 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 103 | $125,470 | +108% | $11,398 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 99 | $182,640 | +141% | $14,146 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 98 | $225,600 | +142% | $17,483 |
| 312 Syncope and Collapse | 91 | $93,301 | +105% | $8,166 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 88 | $213,928 | +114% | $16,943 |
| 683 Renal Failure with CC | 88 | $90,913 | +123% | $8,297 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 87 | $80,856 | +124% | $7,073 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 86 | $107,913 | +120% | $10,123 |
| 377 Gastrointestinal Hemorrhage with MCC | 85 | $148,603 | +74% | $16,313 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 85 | $82,690 | +123% | $7,406 |
| 378 Gastrointestinal Hemorrhage with CC | 82 | $94,225 | +94% | $9,093 |
| 481 Hip and Femur Procedures except Major Joint with CC | 76 | $219,546 | +118% | $18,086 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 75 | $144,468 | +159% | $9,772 |
| 313 Chest Pain | 67 | $81,179 | +103% | $6,488 |
| 689 Kidney and Urinary Tract Infections with MCC | 67 | $109,803 | +114% | $10,269 |
| 811 Red Blood Cell Disorders with MCC | 64 | $123,894 | +82% | $12,169 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 63 | $187,527 | +194% | $9,944 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 63 | $151,010 | +106% | $13,947 |
| 884 Organic Disturbances and Intellectual Disability | 62 | $93,946 | +51% | $14,053 |
| 189 Pulmonary Edema and Respiratory Failure | 61 | $117,375 | +104% | $11,067 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 61 | $235,074 | +130% | $17,721 |
| 812 Red Blood Cell Disorders without MCC | 60 | $85,352 | +92% | $8,314 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 58 | $241,039 | +78% | $21,980 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 57 | $61,834 | +115% | $5,636 |
| 394 Other Digestive System Diagnoses with CC | 57 | $98,081 | +108% | $8,847 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 57 | $478,528 | +109% | $40,797 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 55 | $326,097 | +185% | $15,864 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 54 | $139,784 | +177% | $8,652 |
| 194 Simple Pneumonia and Pleurisy with CC | 53 | $94,745 | +147% | $10,267 |
| 305 Hypertension without MCC | 52 | $85,884 | +114% | $6,940 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 52 | $207,539 | +104% | $17,573 |
| 069 Transient Ischemia without Thrombolytic | 51 | $111,309 | +121% | $7,357 |
| 057 Degenerative Nervous System Disorders without MCC | 48 | $101,839 | +80% | $11,556 |
| 603 Cellulitis without MCC | 48 | $85,182 | +128% | $8,608 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 47 | $319,273 | +184% | $20,006 |
| 460 Spinal Fusion except Cervical without MCC | 46 | $290,297 | +70% | $28,654 |
| 314 Other Circulatory System Diagnoses with MCC | 45 | $144,321 | +52% | $17,672 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 44 | $113,387 | +86% | $11,486 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 41 | $91,011 | +114% | $8,227 |
| 330 Major Small and Large Bowel Procedures with CC | 40 | $329,077 | +176% | $23,269 |
| 389 Gastrointestinal Obstruction with CC | 39 | $95,095 | +144% | $7,354 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 38 | $87,611 | +73% | $9,986 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 38 | $100,900 | +113% | $8,970 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 37 | $404,568 | +147% | $23,842 |
| 393 Other Digestive System Diagnoses with MCC | 37 | $111,348 | +45% | $14,492 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 36 | $95,173 | +68% | $10,984 |
| 100 Seizures with MCC | 35 | $152,626 | +62% | $16,801 |
| 638 Diabetes with CC | 35 | $94,700 | +127% | $8,214 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 35 | $85,265 | +130% | $7,628 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 34 | $240,645 | +158% | $14,827 |
| 885 Psychoses | 33 | $43,913 | 0% | $12,197 |
Showing the 60 most frequent of 179 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida North Florida Hospital charged $189,801 on average, 68% more than the Florida average of $112,838, and was paid $16,744 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida North Florida Hospital charged $110,004 on average, 63% more than the Florida average of $67,659, and was paid $11,565 against a state average of $10,715. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), HCA Florida North Florida Hospital charged $90,788 on average, 70% more than the Florida average of $53,444, and was paid $7,293 against a state average of $7,095. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida North Florida Hospital charged $131,251 on average, 68% more than the Florida average of $78,292, and was paid $11,842 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $61,510 was 116% above the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $188,019 was 76% above the state average of $106,979. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $110,226 was 62% above the state average of $68,202. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $63,133 was 115% above the state average of $29,367.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida North Florida Hospital in Gainesville, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-03-06 (CMS case 633)
- Met Requirements — 2025-05-07 (CMS case 4375)
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.