Florida / HCA Florida Oak Hill Hospital

CMS certification 100264 · Brooksville, FL · 4 entries in CMS's price-transparency list

HCA Florida Oak Hill Hospital: charges and Medicare payments

HCA Florida Oak Hill Hospital reported 3,226 Medicare inpatient stays across 90 DRGs in 2024. Across them it charged 11.98 times what it was paid — among the higher ratios in Florida, number 15 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: 355 stays at an average charge of $181,578, 101% above the national average. It also billed 1,279 outpatient services, charging 24.84 times what Medicare paid.

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  1. 1Medicare inpatient stays 3,226
  2. 2Charge ÷ paid, inpatient 11.98×
  3. 3Rank in FL (highest ratio = 1) 15 of 159
  4. 4CMS price-transparency actions 4
DRG 871$181,578DRG 291$119,777DRG 392$99,728DRG 193$137,788DRG 312$91,031DRG 177$144,166DRG 682$130,807DRG 853$516,106DRG 872$103,764DRG 690$88,810
Average charge per stay at HCA Florida Oak Hill Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 90 DRGs that can be compared with the national average, HCA Florida Oak Hill Hospital charged more than the national average in 90 (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 MCC355$181,578+101%$16,563
291 Heart Failure and Shock with MCC146$119,777+112%$11,072
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...116$99,728+148%$7,294
193 Simple Pneumonia and Pleurisy with MCC84$137,788+131%$11,824
312 Syncope and Collapse80$91,031+100%$7,821
177 Respiratory Infections and Inflammations with MCC78$144,166+104%$14,202
682 Renal Failure with MCC78$130,807+98%$13,122
853 Infectious and Parasitic Diseases with O.R. Procedures with...75$516,106+125%$39,678
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC72$103,764+112%$9,541
690 Kidney and Urinary Tract Infections without MCC71$88,810+135%$7,340
280 Acute Myocardial Infarction, Discharged Alive with MCC66$159,178+110%$14,419
305 Hypertension without MCC59$79,731+99%$6,745
309 Cardiac Arrhythmia and Conduction Disorders with CC58$79,784+121%$7,817
069 Transient Ischemia without Thrombolytic56$101,245+101%$7,165
683 Renal Failure with CC54$90,792+123%$8,189
698 Other Kidney and Urinary Tract Diagnoses with MCC53$142,117+94%$13,911
689 Kidney and Urinary Tract Infections with MCC51$123,029+140%$10,350
552 Medical Back Problems without MCC46$96,067+97%$7,959
313 Chest Pain42$76,642+92%$6,988
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC40$69,195+141%$5,600
194 Simple Pneumonia and Pleurisy with CC39$98,380+156%$7,624
281 Acute Myocardial Infarction, Discharged Alive with CC39$128,300+154%$8,452
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...38$118,162+96%$11,448
189 Pulmonary Edema and Respiratory Failure37$106,495+85%$11,411
322 Percutaneous Cardiovascular Procedures with Intraluminal...37$266,856+133%$18,188
389 Gastrointestinal Obstruction with CC37$107,996+177%$7,535
481 Hip and Femur Procedures except Major Joint with CC37$223,569+122%$16,480
884 Organic Disturbances and Intellectual Disability34$88,394+42%$12,619
378 Gastrointestinal Hemorrhage with CC33$128,907+166%$9,106
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...33$78,260+111%$7,075
660 Kidney and Ureter Procedures for Non-Neoplasm with CC32$186,317+176%$11,752
064 Intracranial Hemorrhage or Cerebral Infarction with MCC31$198,138+98%$16,187
308 Cardiac Arrhythmia and Conduction Disorders with MCC30$123,790+119%$10,784
329 Major Small and Large Bowel Procedures with MCC30$712,421+231%$38,271
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...30$129,483+112%$11,420
149 Dysequilibrium29$94,104+112%$6,460
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...28$126,170+126%$8,912
274 Percutaneous and Other Intracardiac Procedures without MCC28$236,429+51%$26,595
286 Circulatory Disorders except AMI, with Cardiac...28$237,478+112%$18,734
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...28$87,442+105%$7,843
190 Chronic Obstructive Pulmonary Disease with MCC27$105,859+109%$9,972
287 Circulatory Disorders except AMI, with Cardiac...27$169,084+165%$9,677
603 Cellulitis without MCC27$75,472+102%$7,994
638 Diabetes with CC27$96,249+131%$9,155
699 Other Kidney and Urinary Tract Diagnoses with CC26$97,179+105%$9,464
202 Bronchitis and Asthma with CC/MCC25$92,411+100%$8,704
522 Hip Replacement with Principal Diagnosis of Hip Fracture...25$233,902+129%$16,159
811 Red Blood Cell Disorders with MCC25$132,945+95%$12,186
470 Major Hip and Knee Joint Replacement or Reattachment of...24$222,345+139%$16,968
057 Degenerative Nervous System Disorders without MCC23$107,868+90%$11,731
208 Respiratory System Diagnosis with Ventilator Support <=96...23$232,881+72%$22,460
377 Gastrointestinal Hemorrhage with MCC23$209,570+145%$15,640
394 Other Digestive System Diagnoses with CC23$112,027+138%$8,595
178 Respiratory Infections and Inflammations with CC22$116,280+157%$9,097
661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC22$143,452+153%$9,238
267 Endovascular Cardiac Valve Replacement and Supplement...21$350,839+59%$39,818
303 Atherosclerosis without MCC21$67,765+92%$6,096
321 Percutaneous Cardiovascular Procedures with Intraluminal...21$421,417+157%$25,442
191 Chronic Obstructive Pulmonary Disease with CC20$95,076+140%$7,800
074 Cranial and Peripheral Nerve Disorders without MCC19$90,407+69%$9,188

Showing the 60 most frequent of 90 DRGs.

Outpatient services

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Oak Hill Hospital charged $181,578 on average, 61% more than the Florida average of $112,838, and was paid $16,563 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Oak Hill Hospital charged $119,777 on average, 77% more than the Florida average of $67,659, and was paid $11,072 against a state average of $10,715. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), HCA Florida Oak Hill Hospital charged $99,728 on average, 87% more than the Florida average of $53,444, and was paid $7,294 against a state average of $7,095. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Oak Hill Hospital charged $137,788 on average, 76% more than the Florida average of $78,292, and was paid $11,824 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $60,469 was 113% above the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $190,480 was 78% above the state average of $106,979. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $19,052 was 31% above the state average of $14,597. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $104,313 was 149% above the state average of $41,880.

Price-transparency record

CMS's enforcement list records these actions for a hospital named HCA Florida Oak Hill Hospital in Brooksville, 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.