Florida / HCA Florida Northside Hospital
CMS certification 100238 · Saint Petersburg, FL · 3 entries in CMS's price-transparency list
HCA Florida Northside Hospital: charges and Medicare payments
HCA Florida Northside Hospital reported 1,577 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 11.5 times what it was paid — among the higher ratios in Florida, number 22 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: 269 stays at an average charge of $167,494, 85% above the national average. It also billed 779 outpatient services, charging 21.06 times what Medicare paid.
- 1Medicare inpatient stays 1,577
- 2Charge ÷ paid, inpatient 11.5×
- 3Rank in FL (highest ratio = 1) 22 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 52 DRGs that can be compared with the national average, HCA Florida Northside Hospital charged more than the national average in 52 (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 | 269 | $167,494 | +85% | $14,901 |
| 193 Simple Pneumonia and Pleurisy with MCC | 72 | $146,550 | +145% | $10,856 |
| 291 Heart Failure and Shock with MCC | 69 | $109,192 | +94% | $10,490 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 50 | $100,497 | +150% | $6,848 |
| 177 Respiratory Infections and Inflammations with MCC | 46 | $162,661 | +130% | $13,710 |
| 689 Kidney and Urinary Tract Infections with MCC | 43 | $119,976 | +134% | $9,922 |
| 682 Renal Failure with MCC | 42 | $127,465 | +93% | $11,505 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $104,514 | +73% | $10,495 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 37 | $211,593 | +112% | $14,678 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $109,059 | +89% | $10,331 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 36 | $412,713 | +80% | $37,547 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 34 | $103,386 | +104% | $9,048 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 30 | $253,300 | +62% | $24,008 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 30 | $133,756 | +76% | $13,211 |
| 312 Syncope and Collapse | 30 | $100,799 | +121% | $7,606 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $97,173 | +157% | $7,210 |
| 683 Renal Failure with CC | 29 | $97,894 | +140% | $7,867 |
| 313 Chest Pain | 26 | $68,985 | +73% | $6,338 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $96,590 | +97% | $8,514 |
| 101 Seizures without MCC | 25 | $93,327 | +91% | $7,763 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 25 | $87,464 | +142% | $7,445 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 25 | $144,464 | +97% | $12,612 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 24 | $137,852 | +147% | $9,429 |
| 100 Seizures with MCC | 24 | $141,648 | +50% | $15,723 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 24 | $191,689 | +41% | $20,923 |
| 069 Transient Ischemia without Thrombolytic | 23 | $106,946 | +112% | $6,950 |
| 305 Hypertension without MCC | 23 | $75,147 | +87% | $6,755 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $65,510 | +77% | $7,187 |
| 884 Organic Disturbances and Intellectual Disability | 23 | $89,448 | +43% | $11,749 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 22 | $73,432 | +85% | $7,865 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 22 | $232,265 | +107% | $17,257 |
| 552 Medical Back Problems without MCC | 22 | $96,903 | +98% | $8,355 |
| 638 Diabetes with CC | 20 | $79,523 | +91% | $7,957 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $270,707 | +169% | $16,512 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $87,491 | +128% | $7,244 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 18 | $117,745 | +108% | $10,250 |
| 394 Other Digestive System Diagnoses with CC | 18 | $91,584 | +95% | $8,138 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 18 | $106,104 | +123% | $9,298 |
| 812 Red Blood Cell Disorders without MCC | 17 | $71,593 | +61% | $7,984 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $57,978 | +102% | $6,128 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $380,038 | +132% | $22,678 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 15 | $374,482 | +16% | $42,715 |
| 149 Dysequilibrium | 14 | $98,410 | +122% | $7,247 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $201,222 | +116% | $17,624 |
| 811 Red Blood Cell Disorders with MCC | 14 | $188,990 | +177% | $13,106 |
| 389 Gastrointestinal Obstruction with CC | 13 | $105,586 | +171% | $6,416 |
| 091 Other Disorders of Nervous System with MCC | 12 | $121,380 | +47% | $14,518 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 12 | $139,956 | +46% | $13,781 |
| 603 Cellulitis without MCC | 12 | $67,899 | +82% | $8,099 |
| 637 Diabetes with MCC | 12 | $120,554 | +81% | $11,197 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $121,478 | +99% | $10,834 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 11 | $183,181 | +171% | $12,542 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 194 | $60,976 | $2,449 |
| Level 4 Urology and Related Services | 83 | $74,793 | $3,158 |
| Level 2 Intraocular Procedures | 83 | $92,902 | $3,683 |
| Level 3 Electrophysiologic Procedures | 70 | $286,741 | $21,179 |
| Level 1 Endovascular Procedures | 66 | $88,147 | $2,956 |
| Level 5 Urology and Related Services | 48 | $106,500 | $4,609 |
| Level 3 Airway Endoscopy | 44 | $31,996 | $1,537 |
| Level 2 Upper GI Procedures | 26 | $31,662 | $1,724 |
| Level 3 Vascular Procedures | 23 | $46,246 | $2,888 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 22 | $31,231 | $1,416 |
| Level 3 Pacemaker and Similar Procedures | 22 | $113,380 | $9,666 |
| Level 4 Musculoskeletal Procedures | 18 | $135,992 | $6,480 |
| Level 4 Endovascular Procedures | 18 | $250,109 | $15,852 |
| Level 3 Endovascular Procedures | 16 | $154,679 | $9,957 |
| Level 3 Urology and Related Services | 13 | $64,525 | $1,845 |
| Level 5 Musculoskeletal Procedures | 11 | $138,340 | $11,906 |
| Level 2 ICD and Similar Procedures | 11 | $360,932 | $29,712 |
| Level 3 Intraocular Procedures | 11 | $130,329 | $4,734 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Northside Hospital charged $167,494 on average, 48% more than the Florida average of $112,838, and was paid $14,901 against a state average of $15,663. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Northside Hospital charged $146,550 on average, 87% more than the Florida average of $78,292, and was paid $10,856 against a state average of $10,939. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Northside Hospital charged $109,192 on average, 61% more than the Florida average of $67,659, and was paid $10,490 against a state average of $10,715. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), HCA Florida Northside Hospital charged $100,497 on average, 88% more than the Florida average of $53,444, and was paid $6,848 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $60,976 was 114% above the state average of $28,431. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $74,793 was 104% above the state average of $36,684. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $92,902 was 157% above the state average of $36,194. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $286,741 was 47% above the state average of $195,231.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Northside Hospital in Saint Petersburg, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-16 (CMS case 634)
- Closure Notice — 2023-09-28 (CMS case 634)
- Met Requirements — 2025-05-06 (CMS case 4352)
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.