Florida / HCA Florida Osceola Hospital
CMS certification 100110 · Kissimmee, FL · 4 entries in CMS's price-transparency list
HCA Florida Osceola Hospital: charges and Medicare payments
HCA Florida Osceola Hospital reported 1,640 Medicare inpatient stays across 67 DRGs in 2024. Across them it charged 10.54 times what it was paid — among the higher ratios in Florida, number 34 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: 232 stays at an average charge of $193,826, 115% above the national average. It also billed 486 outpatient services, charging 23.04 times what Medicare paid.
- 1Medicare inpatient stays 1,640
- 2Charge ÷ paid, inpatient 10.54×
- 3Rank in FL (highest ratio = 1) 34 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 67 DRGs that can be compared with the national average, HCA Florida Osceola Hospital charged more than the national average in 67 (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 | 232 | $193,826 | +115% | $18,530 |
| 291 Heart Failure and Shock with MCC | 71 | $107,146 | +90% | $12,527 |
| 312 Syncope and Collapse | 51 | $113,330 | +149% | $9,520 |
| 252 Other Vascular Procedures with MCC | 50 | $278,206 | +63% | $31,137 |
| 552 Medical Back Problems without MCC | 50 | $144,168 | +195% | $10,561 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 47 | $292,291 | +193% | $17,875 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 46 | $167,089 | +120% | $15,643 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 40 | $468,945 | +105% | $43,919 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 38 | $86,915 | +116% | $9,127 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $126,046 | +111% | $14,153 |
| 481 Hip and Femur Procedures except Major Joint with CC | 33 | $277,395 | +175% | $19,887 |
| 057 Degenerative Nervous System Disorders without MCC | 30 | $139,113 | +146% | $13,347 |
| 056 Degenerative Nervous System Disorders with MCC | 27 | $197,771 | +106% | $22,665 |
| 689 Kidney and Urinary Tract Infections with MCC | 26 | $158,816 | +209% | $12,231 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $134,725 | +83% | $15,237 |
| 100 Seizures with MCC | 25 | $188,684 | +100% | $17,489 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 25 | $238,407 | +52% | $29,157 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $85,270 | +125% | $9,218 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 24 | $202,205 | +263% | $11,849 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 24 | $102,218 | +183% | $8,077 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $144,607 | +69% | $17,765 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $121,877 | +102% | $12,789 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $106,608 | +188% | $8,209 |
| 682 Renal Failure with MCC | 24 | $142,982 | +117% | $14,630 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 22 | $270,404 | +164% | $19,975 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 20 | $124,125 | +146% | $9,588 |
| 313 Chest Pain | 20 | $91,398 | +129% | $7,303 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $137,250 | +138% | $12,420 |
| 378 Gastrointestinal Hemorrhage with CC | 19 | $98,592 | +103% | $10,073 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 18 | $112,256 | +136% | $11,157 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $282,595 | +108% | $27,260 |
| 314 Other Circulatory System Diagnoses with MCC | 17 | $114,590 | +21% | $17,827 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $118,061 | +141% | $11,197 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $176,882 | +151% | $17,516 |
| 270 Other Major Cardiovascular Procedures with MCC | 16 | $398,642 | +54% | $45,457 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $76,839 | +167% | $7,118 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $373,364 | +169% | $25,345 |
| 638 Diabetes with CC | 16 | $108,854 | +161% | $9,495 |
| 683 Renal Failure with CC | 16 | $99,428 | +144% | $9,928 |
| 092 Other Disorders of Nervous System with CC | 15 | $177,291 | +244% | $10,522 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 14 | $1,193,901 | +13% | $158,194 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 14 | $225,670 | +108% | $19,892 |
| 091 Other Disorders of Nervous System with MCC | 14 | $219,937 | +166% | $16,382 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 14 | $836,331 | +117% | $63,520 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 14 | $438,005 | +54% | $53,695 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $296,462 | +81% | $27,691 |
| 394 Other Digestive System Diagnoses with CC | 14 | $74,904 | +59% | $10,337 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 14 | $152,324 | +258% | $10,013 |
| 811 Red Blood Cell Disorders with MCC | 14 | $126,448 | +86% | $14,239 |
| 069 Transient Ischemia without Thrombolytic | 13 | $154,854 | +207% | $9,034 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 13 | $199,075 | +191% | $13,492 |
| 101 Seizures without MCC | 13 | $153,504 | +215% | $11,189 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $92,772 | +142% | $9,241 |
| 253 Other Vascular Procedures with CC | 12 | $269,878 | +105% | $24,379 |
| 305 Hypertension without MCC | 12 | $106,781 | +166% | $8,559 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $112,882 | +99% | $12,457 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $276,807 | +142% | $19,284 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 12 | $357,184 | +200% | $26,826 |
| 551 Medical Back Problems with MCC | 12 | $209,231 | +166% | $15,814 |
| 603 Cellulitis without MCC | 12 | $93,206 | +150% | $9,628 |
Showing the 60 most frequent of 67 DRGs.
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 164 | $77,272 | $2,467 |
| Level 1 Endovascular Procedures | 98 | $78,784 | $2,956 |
| Level 3 Electrophysiologic Procedures | 38 | $285,761 | $21,459 |
| Level 3 Vascular Procedures | 30 | $80,704 | $2,811 |
| Level 3 Endovascular Procedures | 30 | $183,381 | $9,680 |
| Level 3 Pacemaker and Similar Procedures | 26 | $91,172 | $9,666 |
| Level 2 Upper GI Procedures | 21 | $41,696 | $1,724 |
| Level 4 Endovascular Procedures | 18 | $244,076 | $15,852 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 17 | $27,529 | $1,469 |
| Level 3 Urology and Related Services | 16 | $49,520 | $1,845 |
| Level 5 Urology and Related Services | 15 | $109,780 | $4,438 |
| Level 4 Vascular Procedures | 13 | $123,600 | $4,673 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Osceola Hospital charged $193,826 on average, 72% more than the Florida average of $112,838, and was paid $18,530 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Osceola Hospital charged $107,146 on average, 58% more than the Florida average of $67,659, and was paid $12,527 against a state average of $10,715. For Syncope and Collapse (DRG 312), HCA Florida Osceola Hospital charged $113,330 on average, 99% more than the Florida average of $56,923, and was paid $9,520 against a state average of $7,544. For Other Vascular Procedures with MCC (DRG 252), HCA Florida Osceola Hospital charged $278,206 on average, 34% more than the Florida average of $207,776, and was paid $31,137 against a state average of $27,981. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $77,272 was 172% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $78,784 was 88% above the state average of $41,880. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $285,761 was 46% above the state average of $195,231. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $80,704 was 175% above the state average of $29,367.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Osceola Hospital in Kissimmee, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 786)
- CAP Request — 2022-11-02 (CMS case 786)
- Closure Notice — 2023-07-17 (CMS case 786)
- Met Requirements — 2025-05-05 (CMS case 4287)
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.