Florida / HCA Florida Pasadena Hospital

CMS certification 100126 · Saint Petersburg, FL · 3 entries in CMS's price-transparency list

HCA Florida Pasadena Hospital: charges and Medicare payments

HCA Florida Pasadena Hospital reported 536 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 14.12 times what it was paid — among the higher ratios in Florida, number 4 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: 105 stays at an average charge of $188,438, 109% above the national average. It also billed 344 outpatient services, charging 28.01 times what Medicare paid.

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  1. 1Medicare inpatient stays 536
  2. 2Charge ÷ paid, inpatient 14.12×
  3. 3Rank in FL (highest ratio = 1) 4 of 159
  4. 4CMS price-transparency actions 3
DRG 871$188,438DRG 193$135,644DRG 291$144,253DRG 682$134,541DRG 189$95,398DRG 683$100,088DRG 470$254,499DRG 853$355,553DRG 392$103,998DRG 640$126,575
Average charge per stay at HCA Florida Pasadena Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 24 DRGs that can be compared with the national average, HCA Florida Pasadena Hospital charged more than the national average in 24 (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 MCC105$188,438+109%$13,421
193 Simple Pneumonia and Pleurisy with MCC50$135,644+127%$9,097
291 Heart Failure and Shock with MCC41$144,253+156%$8,959
682 Renal Failure with MCC33$134,541+104%$9,794
189 Pulmonary Edema and Respiratory Failure23$95,398+66%$8,772
683 Renal Failure with CC21$100,088+146%$6,403
470 Major Hip and Knee Joint Replacement or Reattachment of...20$254,499+173%$15,983
853 Infectious and Parasitic Diseases with O.R. Procedures with...19$355,553+55%$31,724
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...18$103,998+159%$6,370
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$126,575+110%$9,041
177 Respiratory Infections and Inflammations with MCC16$135,547+92%$11,143
552 Medical Back Problems without MCC16$101,084+107%$7,333
309 Cardiac Arrhythmia and Conduction Disorders with CC15$91,647+154%$5,504
378 Gastrointestinal Hemorrhage with CC15$115,424+138%$6,808
689 Kidney and Urinary Tract Infections with MCC15$128,587+151%$8,128
394 Other Digestive System Diagnoses with CC14$105,328+124%$6,793
690 Kidney and Urinary Tract Infections without MCC14$93,713+148%$5,804
481 Hip and Femur Procedures except Major Joint with CC13$264,703+163%$18,250
698 Other Kidney and Urinary Tract Diagnoses with MCC13$127,554+74%$10,335
208 Respiratory System Diagnosis with Ventilator Support <=96...12$221,718+63%$17,690
280 Acute Myocardial Infarction, Discharged Alive with MCC12$179,679+137%$10,303
312 Syncope and Collapse12$101,518+123%$6,311
308 Cardiac Arrhythmia and Conduction Disorders with MCC11$123,333+118%$8,566
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...11$72,214+69%$6,337

Outpatient services

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Pasadena Hospital charged $188,438 on average, 67% more than the Florida average of $112,838, and was paid $13,421 against a state average of $15,663. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Pasadena Hospital charged $135,644 on average, 73% more than the Florida average of $78,292, and was paid $9,097 against a state average of $10,939. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Pasadena Hospital charged $144,253 on average, 113% more than the Florida average of $67,659, and was paid $8,959 against a state average of $10,715. For Renal Failure with MCC (DRG 682), HCA Florida Pasadena Hospital charged $134,541 on average, 61% more than the Florida average of $83,694, and was paid $9,794 against a state average of $11,992. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $64,858 was 128% above the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $227,511 was 113% above the state average of $106,979. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $42,689 was 126% above the state average of $18,929. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $167,640 was 146% above the state average of $68,202.

Price-transparency record

CMS's enforcement list records these actions for a hospital named HCA Florida Pasadena Hospital in Saint Petersburg, 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.