Florida / HCA Florida Orange Park Hospital

CMS certification 100226 · Orange Park, FL · 3 entries in CMS's price-transparency list

HCA Florida Orange Park Hospital: charges and Medicare payments

HCA Florida Orange Park Hospital reported 2,628 Medicare inpatient stays across 89 DRGs in 2024. Across them it charged 12.96 times what it was paid — among the higher ratios in Florida, number 9 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: 327 stays at an average charge of $261,498, 190% above the national average. It also billed 1,153 outpatient services, charging 22.63 times what Medicare paid.

1Medicare inpatient stays 2,628
2Charge ÷ paid, inpatient 12.96×
3Rank in FL (highest ratio = 1) 9 of 159
4CMS price-transparency actions 3

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

Inpatient stays

For the 89 DRGs that can be compared with the national average, HCA Florida Orange Park Hospital charged more than the national average in 89 (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	327	$261,498	+190%	$18,076
291 Heart Failure and Shock with MCC	143	$159,924	+184%	$12,709
682 Renal Failure with MCC	75	$152,188	+131%	$13,729
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	71	$261,187	+162%	$17,474
274 Percutaneous and Other Intracardiac Procedures without MCC	70	$239,272	+53%	$28,644
193 Simple Pneumonia and Pleurisy with MCC	62	$181,473	+204%	$12,604
481 Hip and Femur Procedures except Major Joint with CC	61	$232,342	+131%	$18,153
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	61	$128,182	+113%	$12,813
177 Respiratory Infections and Inflammations with MCC	53	$213,333	+202%	$16,792
689 Kidney and Urinary Tract Infections with MCC	52	$156,045	+204%	$11,333
853 Infectious and Parasitic Diseases with O.R. Procedures with...	50	$644,540	+182%	$42,288
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	46	$110,427	+175%	$8,864
690 Kidney and Urinary Tract Infections without MCC	42	$116,329	+208%	$8,731
377 Gastrointestinal Hemorrhage with MCC	40	$194,188	+127%	$16,479
683 Renal Failure with CC	40	$112,967	+178%	$9,174
208 Respiratory System Diagnosis with Ventilator Support <=96...	38	$307,334	+126%	$24,781
312 Syncope and Collapse	38	$130,784	+187%	$8,694
552 Medical Back Problems without MCC	38	$106,507	+118%	$9,259
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	37	$205,590	+269%	$10,803
280 Acute Myocardial Infarction, Discharged Alive with MCC	37	$218,526	+188%	$15,847
811 Red Blood Cell Disorders with MCC	36	$155,711	+128%	$12,869
603 Cellulitis without MCC	35	$117,366	+215%	$8,898
698 Other Kidney and Urinary Tract Diagnoses with MCC	35	$181,673	+147%	$15,901
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	35	$164,336	+235%	$11,496
091 Other Disorders of Nervous System with MCC	32	$206,180	+149%	$18,997
100 Seizures with MCC	32	$225,630	+139%	$17,917
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	31	$267,765	+162%	$22,484
309 Cardiac Arrhythmia and Conduction Disorders with CC	30	$102,059	+183%	$8,501
069 Transient Ischemia without Thrombolytic	29	$157,837	+213%	$8,261
086 Traumatic Stupor and Coma <1 Hour with CC	29	$164,660	+141%	$12,600
189 Pulmonary Edema and Respiratory Failure	29	$163,431	+184%	$13,277
378 Gastrointestinal Hemorrhage with CC	27	$135,079	+178%	$11,166
884 Organic Disturbances and Intellectual Disability	25	$145,172	+133%	$15,098
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	24	$129,959	+205%	$9,428
281 Acute Myocardial Infarction, Discharged Alive with CC	22	$163,343	+223%	$11,401
638 Diabetes with CC	21	$129,548	+211%	$9,478
087 Traumatic Stupor and Coma <1 Hour without CC/MCC	20	$112,048	+117%	$8,930
308 Cardiac Arrhythmia and Conduction Disorders with MCC	20	$188,528	+233%	$12,089
536 Fractures of Hip and Pelvis without MCC	20	$85,859	+128%	$8,138
286 Circulatory Disorders except AMI, with Cardiac...	19	$283,692	+153%	$20,235
393 Other Digestive System Diagnoses with MCC	19	$175,515	+129%	$15,173
637 Diabetes with MCC	19	$177,153	+166%	$14,082
812 Red Blood Cell Disorders without MCC	19	$120,199	+171%	$9,595
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$138,171	+126%	$12,577
394 Other Digestive System Diagnoses with CC	18	$140,331	+198%	$9,386
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	18	$92,752	+150%	$8,270
025 Craniotomy and Endovascular Intracranial Procedures with MCC	17	$584,609	+153%	$38,357
092 Other Disorders of Nervous System with CC	17	$151,028	+193%	$10,502
267 Endovascular Cardiac Valve Replacement and Supplement...	17	$387,008	+75%	$42,437
305 Hypertension without MCC	17	$100,814	+151%	$7,933
322 Percutaneous Cardiovascular Procedures with Intraluminal...	17	$261,312	+128%	$17,765
478 Biopsies of Musculoskeletal System and Connective Tissue...	17	$263,793	+123%	$22,278
885 Psychoses	17	$132,340	+200%	$13,799
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	16	$186,106	+186%	$13,232
314 Other Circulatory System Diagnoses with MCC	16	$163,241	+72%	$18,118
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	16	$314,257	+164%	$21,889
057 Degenerative Nervous System Disorders without MCC	15	$114,797	+103%	$12,831
083 Traumatic Stupor and Coma >1 Hour with CC	15	$132,508	+81%	$13,086
432 Cirrhosis and Alcoholic Hepatitis with MCC	15	$244,088	+155%	$18,471
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	15	$206,380	+206%	$15,501

Showing the 60 most frequent of 89 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	235	$67,043	$2,437
Level 1 Endovascular Procedures	115	$84,011	$2,938
Level 2 Upper GI Procedures	88	$43,110	$1,677
Level 3 Electrophysiologic Procedures	72	$360,601	$21,459
Level 2 Excision/ Biopsy/ Incision and Drainage	52	$35,657	$1,469
Level 3 Vascular Procedures	51	$69,515	$2,887
Level 4 Urology and Related Services	49	$81,889	$3,158
Level 5 Urology and Related Services	47	$107,649	$4,687
Level 4 Musculoskeletal Procedures	40	$154,608	$6,480
Level 3 Endovascular Procedures	34	$194,107	$9,712
Level 3 Excision/ Biopsy/ Incision and Drainage	29	$47,029	$2,574
Level 3 Pacemaker and Similar Procedures	29	$100,740	$9,666
Level 1 Laparoscopy and Related Services	25	$160,009	$5,227
Level 3 Musculoskeletal Procedures	23	$117,487	$2,932
Level 6 Musculoskeletal Procedures	23	$212,906	$16,184
Level 5 Musculoskeletal Procedures	22	$191,192	$11,439
Level 3 Airway Endoscopy	22	$59,258	$1,537
Level 3 Upper GI Procedures	22	$45,167	$3,469
Level 2 Musculoskeletal Procedures	16	$29,973	$1,338
Level 4 Vascular Procedures	16	$152,023	$4,978
Level 4 Endovascular Procedures	15	$220,855	$15,852
Level 4 Pacemaker and Similar Procedures	15	$183,693	$17,611
Level 3 Urology and Related Services	15	$77,307	$1,845
Level 2 Vascular Procedures	14	$26,972	$1,451
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	14	$51,419	$2,955

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Orange Park Hospital charged $261,498 on average, 132% more than the Florida average of $112,838, and was paid $18,076 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Orange Park Hospital charged $159,924 on average, 136% more than the Florida average of $67,659, and was paid $12,709 against a state average of $10,715. For Renal Failure with MCC (DRG 682), HCA Florida Orange Park Hospital charged $152,188 on average, 82% more than the Florida average of $83,694, and was paid $13,729 against a state average of $11,992. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), HCA Florida Orange Park Hospital charged $261,187 on average, 112% more than the Florida average of $123,098, and was paid $17,474 against a state average of $15,779. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $67,043 was 136% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $84,011 was 101% above the state average of $41,880. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $43,110 was 128% above the state average of $18,929. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $360,601 was 85% above the state average of $195,231.

Price-transparency record

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

Warning Notice — 2023-06-21 (CMS case 638)
Closure Notice — 2023-10-04 (CMS case 638)
Met Requirements — 2025-05-02 (CMS case 4247)

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.