Florida / HCA Florida Ocala Hospital

CMS certification 100212 · Ocala, FL · 3 entries in CMS's price-transparency list

HCA Florida Ocala Hospital: charges and Medicare payments

HCA Florida Ocala Hospital reported 8,084 Medicare inpatient stays across 196 DRGs in 2024. Across them it charged 9.79 times what it was paid — among the higher ratios in Florida, number 41 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: 605 stays at an average charge of $116,096, 29% above the national average. It also billed 3,599 outpatient services, charging 16.1 times what Medicare paid.

1Medicare inpatient stays 8,084
2Charge ÷ paid, inpatient 9.79×
3Rank in FL (highest ratio = 1) 41 of 159
4CMS price-transparency actions 3

Average charge per stay at HCA Florida Ocala Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 196 DRGs that can be compared with the national average, HCA Florida Ocala Hospital charged more than the national average in 194 (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	605	$116,096	+29%	$15,189
291 Heart Failure and Shock with MCC	400	$70,859	+26%	$10,521
193 Simple Pneumonia and Pleurisy with MCC	202	$75,245	+26%	$11,098
552 Medical Back Problems without MCC	168	$96,112	+97%	$9,679
690 Kidney and Urinary Tract Infections without MCC	153	$72,151	+91%	$6,985
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	140	$64,143	+60%	$6,767
481 Hip and Femur Procedures except Major Joint with CC	136	$218,795	+117%	$18,188
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	131	$175,985	+76%	$15,125
682 Renal Failure with MCC	120	$92,962	+41%	$12,229
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	111	$81,229	+66%	$9,049
189 Pulmonary Edema and Respiratory Failure	109	$58,620	+2%	$10,175
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	106	$114,711	+106%	$9,272
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	104	$59,192	+60%	$7,086
177 Respiratory Infections and Inflammations with MCC	102	$98,695	+40%	$13,435
280 Acute Myocardial Infarction, Discharged Alive with MCC	102	$102,245	+35%	$12,802
312 Syncope and Collapse	100	$71,724	+58%	$7,562
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	97	$81,183	+35%	$11,337
683 Renal Failure with CC	96	$62,495	+54%	$7,403
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	88	$44,641	+55%	$4,992
194 Simple Pneumonia and Pleurisy with CC	84	$63,122	+64%	$6,914
305 Hypertension without MCC	83	$61,701	+54%	$6,562
603 Cellulitis without MCC	83	$66,352	+78%	$7,696
274 Percutaneous and Other Intracardiac Procedures without MCC	80	$220,174	+40%	$25,599
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	80	$228,855	+124%	$16,912
069 Transient Ischemia without Thrombolytic	79	$100,385	+99%	$6,965
482 Hip and Femur Procedures except Major Joint without CC/MCC	76	$165,473	+112%	$13,363
309 Cardiac Arrhythmia and Conduction Disorders with CC	75	$52,686	+46%	$6,661
884 Organic Disturbances and Intellectual Disability	73	$65,581	+5%	$12,131
378 Gastrointestinal Hemorrhage with CC	68	$74,101	+53%	$8,475
057 Degenerative Nervous System Disorders without MCC	67	$76,772	+36%	$10,751
811 Red Blood Cell Disorders with MCC	66	$82,090	+20%	$11,616
470 Major Hip and Knee Joint Replacement or Reattachment of...	64	$172,242	+85%	$17,257
698 Other Kidney and Urinary Tract Diagnoses with MCC	64	$91,117	+24%	$13,090
689 Kidney and Urinary Tract Infections with MCC	63	$80,785	+57%	$9,738
086 Traumatic Stupor and Coma <1 Hour with CC	58	$142,132	+108%	$12,085
322 Percutaneous Cardiovascular Procedures with Intraluminal...	57	$216,153	+89%	$15,494
208 Respiratory System Diagnosis with Ventilator Support <=96...	56	$189,425	+40%	$20,567
313 Chest Pain	56	$54,024	+35%	$6,304
281 Acute Myocardial Infarction, Discharged Alive with CC	55	$84,079	+67%	$8,084
287 Circulatory Disorders except AMI, with Cardiac...	55	$121,231	+90%	$9,305
308 Cardiac Arrhythmia and Conduction Disorders with MCC	54	$81,125	+43%	$10,090
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	53	$76,920	+81%	$10,489
467 Revision of Hip or Knee Replacement with CC	52	$229,284	+45%	$25,331
536 Fractures of Hip and Pelvis without MCC	51	$71,835	+91%	$7,066
389 Gastrointestinal Obstruction with CC	49	$61,225	+57%	$6,634
394 Other Digestive System Diagnoses with CC	47	$73,730	+57%	$8,085
812 Red Blood Cell Disorders without MCC	47	$63,652	+43%	$7,861
853 Infectious and Parasitic Diseases with O.R. Procedures with...	47	$374,886	+64%	$40,178
638 Diabetes with CC	46	$67,577	+62%	$7,716
101 Seizures without MCC	45	$72,527	+49%	$7,641
377 Gastrointestinal Hemorrhage with MCC	45	$108,394	+27%	$13,604
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	45	$310,748	+53%	$38,754
390 Gastrointestinal Obstruction without CC/MCC	43	$50,890	+82%	$5,649
699 Other Kidney and Urinary Tract Diagnoses with CC	43	$77,942	+64%	$8,124
025 Craniotomy and Endovascular Intracranial Procedures with MCC	42	$611,485	+164%	$34,622
299 Peripheral Vascular Disorders with MCC	42	$94,610	+26%	$12,534
329 Major Small and Large Bowel Procedures with MCC	39	$458,409	+113%	$32,510
330 Major Small and Large Bowel Procedures with CC	39	$311,870	+162%	$20,262
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	39	$259,963	+118%	$18,605
083 Traumatic Stupor and Coma >1 Hour with CC	38	$177,003	+141%	$14,586

Showing the 60 most frequent of 196 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	933	$42,274	$2,464
Level 5 Musculoskeletal Procedures	849	$133,641	$11,870
Level 4 Musculoskeletal Procedures	197	$106,556	$6,402
Level 1 Endovascular Procedures	176	$81,750	$2,956
Level 6 Musculoskeletal Procedures	169	$186,140	$16,665
Level 1 Laparoscopy and Related Services	158	$108,425	$5,227
Level 3 Musculoskeletal Procedures	146	$67,387	$2,916
Level 3 Vascular Procedures	92	$43,195	$2,862
Level 3 Endovascular Procedures	66	$163,271	$9,957
Level 2 Excision/ Biopsy/ Incision and Drainage	55	$39,040	$1,469
Level 3 Electrophysiologic Procedures	55	$277,246	$21,459
Level 5 Neurostimulator and Related Procedures	54	$222,164	$28,046
Level 2 Musculoskeletal Procedures	53	$30,386	$1,434
Level 2 Upper GI Procedures	52	$34,928	$1,724
Level 3 Excision/ Biopsy/ Incision and Drainage	51	$59,055	$2,534
Level 2 Vascular Procedures	47	$19,776	$1,451
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	44	$85,935	$3,134
Level 2 Laparoscopy and Related Services	39	$166,815	$9,319
Level 4 Vascular Procedures	37	$108,842	$4,978
Level 3 Pacemaker and Similar Procedures	36	$119,689	$9,666
Level 4 Airway Endoscopy	35	$69,855	$3,392
Level 1 Nerve Procedures	31	$43,943	$1,749
Level 3 Lower GI Procedures	25	$67,958	$2,462
Level 1 Breast/Lymphatic Surgery and Related Procedures	24	$78,981	$3,453
Level 2 Breast/Lymphatic Surgery and Related Procedures	23	$113,550	$5,907

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Ocala Hospital charged $116,096 on average, 3% more than the Florida average of $112,838, and was paid $15,189 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Ocala Hospital charged $70,859 on average, 5% more than the Florida average of $67,659, and was paid $10,521 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Ocala Hospital charged $75,245 on average, 4% less than the Florida average of $78,292, and was paid $11,098 against a state average of $10,939. For Medical Back Problems without MCC (DRG 552), HCA Florida Ocala Hospital charged $96,112 on average, 50% more than the Florida average of $64,016, and was paid $9,679 against a state average of $8,297. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $42,274 was 49% above the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $133,641 was 25% above the state average of $106,979. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $106,556 was 44% above the state average of $74,087. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $81,750 was 95% above the state average of $41,880.

Price-transparency record

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

Warning Notice — 2023-06-13 (CMS case 637)
Closure Notice — 2023-10-02 (CMS case 637)
Met Requirements — 2025-05-02 (CMS case 4291)

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.