Florida / HCA Florida Palms West Hospital
CMS certification 100269 · Loxahatchee, FL · 4 entries in CMS's price-transparency list
HCA Florida Palms West Hospital: charges and Medicare payments
HCA Florida Palms West Hospital reported 1,029 Medicare inpatient stays across 37 DRGs in 2024. Across them it charged 9.82 times what it was paid — among the higher ratios in Florida, number 39 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: 159 stays at an average charge of $158,624, 76% above the national average. It also billed 476 outpatient services, charging 24.12 times what Medicare paid.
- 1Medicare inpatient stays 1,029
- 2Charge ÷ paid, inpatient 9.82×
- 3Rank in FL (highest ratio = 1) 39 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 37 DRGs that can be compared with the national average, HCA Florida Palms West Hospital charged more than the national average in 37 (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 | 159 | $158,624 | +76% | $15,526 |
| 291 Heart Failure and Shock with MCC | 65 | $108,914 | +93% | $10,953 |
| 682 Renal Failure with MCC | 57 | $132,031 | +100% | $12,082 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 56 | $83,548 | +108% | $7,901 |
| 193 Simple Pneumonia and Pleurisy with MCC | 54 | $124,713 | +109% | $12,404 |
| 690 Kidney and Urinary Tract Infections without MCC | 38 | $75,580 | +100% | $7,207 |
| 177 Respiratory Infections and Inflammations with MCC | 37 | $119,685 | +70% | $12,994 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 37 | $93,175 | +27% | $13,324 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $118,494 | +56% | $12,449 |
| 252 Other Vascular Procedures with MCC | 30 | $179,202 | +5% | $26,020 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $125,037 | +107% | $10,780 |
| 377 Gastrointestinal Hemorrhage with MCC | 26 | $167,311 | +96% | $14,618 |
| 689 Kidney and Urinary Tract Infections with MCC | 26 | $145,757 | +184% | $11,027 |
| 811 Red Blood Cell Disorders with MCC | 26 | $94,242 | +38% | $12,224 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $98,905 | +102% | $9,650 |
| 189 Pulmonary Edema and Respiratory Failure | 25 | $115,558 | +101% | $10,759 |
| 683 Renal Failure with CC | 23 | $70,988 | +74% | $8,312 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $119,611 | +96% | $10,655 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 18 | $254,923 | +84% | $21,748 |
| 312 Syncope and Collapse | 17 | $75,013 | +65% | $7,862 |
| 394 Other Digestive System Diagnoses with CC | 17 | $109,575 | +133% | $8,543 |
| 314 Other Circulatory System Diagnoses with MCC | 16 | $104,399 | +10% | $16,576 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $391,993 | +71% | $39,847 |
| 305 Hypertension without MCC | 15 | $64,703 | +61% | $6,786 |
| 638 Diabetes with CC | 15 | $51,443 | +23% | $9,051 |
| 101 Seizures without MCC | 14 | $77,374 | +59% | $8,227 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $63,398 | +76% | $6,892 |
| 552 Medical Back Problems without MCC | 14 | $92,365 | +89% | $8,439 |
| 812 Red Blood Cell Disorders without MCC | 14 | $67,866 | +53% | $8,267 |
| 100 Seizures with MCC | 13 | $112,697 | +19% | $15,689 |
| 389 Gastrointestinal Obstruction with CC | 13 | $93,645 | +141% | $7,313 |
| 313 Chest Pain | 12 | $46,243 | +16% | $6,756 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $195,152 | +94% | $16,861 |
| 884 Organic Disturbances and Intellectual Disability | 12 | $82,106 | +32% | $12,602 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $103,262 | +85% | $9,048 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 11 | $249,694 | +122% | $17,602 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $45,092 | +57% | $5,760 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 228 | $49,142 | $2,436 |
| Level 1 Endovascular Procedures | 58 | $88,574 | $2,920 |
| Level 1 Laparoscopy and Related Services | 31 | $82,786 | $5,227 |
| Level 2 Upper GI Procedures | 27 | $30,815 | $1,723 |
| Level 3 Vascular Procedures | 24 | $53,088 | $2,827 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 23 | $22,892 | $1,469 |
| Level 2 Endovascular Procedures | 22 | $80,889 | $5,178 |
| Level 2 Laparoscopy and Related Services | 22 | $125,631 | $8,970 |
| Level 5 Urology and Related Services | 15 | $60,906 | $4,687 |
| Level 4 Gynecologic Procedures | 15 | $53,279 | $2,832 |
| Level 4 Urology and Related Services | 11 | $54,647 | $3,158 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Palms West Hospital charged $158,624 on average, 41% more than the Florida average of $112,838, and was paid $15,526 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Palms West Hospital charged $108,914 on average, 61% more than the Florida average of $67,659, and was paid $10,953 against a state average of $10,715. For Renal Failure with MCC (DRG 682), HCA Florida Palms West Hospital charged $132,031 on average, 58% more than the Florida average of $83,694, and was paid $12,082 against a state average of $11,992. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), HCA Florida Palms West Hospital charged $83,548 on average, 56% more than the Florida average of $53,444, and was paid $7,901 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $49,142 was 73% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $88,574 was 111% above the state average of $41,880. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $82,786 was 21% above the state average of $68,202. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $30,815 was 63% above the state average of $18,929.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Palms West Hospital in Loxahatchee, 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 641)
- Closure Notice — 2023-09-29 (CMS case 641)
- Warning Notice — 2025-05-08 (CMS case 4380)
- Closure Notice — 2025-07-09 (CMS case 4380)
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.