Florida / HCA Florida Putnam Hospital
CMS certification 100232 · Palatka, FL · 4 entries in CMS's price-transparency list
HCA Florida Putnam Hospital: charges and Medicare payments
HCA Florida Putnam Hospital reported 712 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 7.15 times what it was paid — mid-range in Florida, number 78 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 101 stays at an average charge of $47,522, 16% below the national average. It also billed 492 outpatient services, charging 15.46 times what Medicare paid.
- 1Medicare inpatient stays 712
- 2Charge ÷ paid, inpatient 7.15×
- 3Rank in FL (highest ratio = 1) 78 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 30 DRGs that can be compared with the national average, HCA Florida Putnam Hospital charged more than the national average in 22 (73%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 101 | $47,522 | -16% | $9,578 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 89 | $98,841 | +9% | $14,114 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $70,436 | +18% | $9,804 |
| 683 Renal Failure with CC | 31 | $48,896 | +20% | $6,767 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $83,875 | +19% | $12,233 |
| 690 Kidney and Urinary Tract Infections without MCC | 28 | $59,445 | +57% | $6,436 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $49,690 | +34% | $6,438 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $54,614 | +36% | $6,229 |
| 189 Pulmonary Edema and Respiratory Failure | 23 | $64,119 | +11% | $9,383 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 21 | $94,471 | +25% | $11,262 |
| 312 Syncope and Collapse | 20 | $64,076 | +41% | $6,818 |
| 682 Renal Failure with MCC | 20 | $62,789 | -5% | $10,949 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 19 | $88,058 | -26% | $17,207 |
| 884 Organic Disturbances and Intellectual Disability | 19 | $66,472 | +7% | $11,970 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $55,240 | -8% | $9,626 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $58,772 | +20% | $7,904 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $105,010 | +4% | $14,704 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $28,400 | -1% | $4,730 |
| 313 Chest Pain | 14 | $41,416 | +4% | $5,759 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $213,054 | +86% | $14,232 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $97,068 | -5% | $15,304 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 13 | $160,227 | +43% | $15,357 |
| 305 Hypertension without MCC | 13 | $37,209 | -7% | $5,996 |
| 603 Cellulitis without MCC | 13 | $42,231 | +13% | $6,884 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $45,928 | +1% | $7,476 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $61,520 | +22% | $8,527 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $50,020 | +26% | $6,693 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $75,020 | +46% | $9,650 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $238,895 | +46% | $20,398 |
| 637 Diabetes with MCC | 11 | $57,978 | -13% | $10,139 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 220 | $13,853 | $2,105 |
| Comprehensive Observation Services | 111 | $32,096 | $2,479 |
| Level 1 Endovascular Procedures | 52 | $61,618 | $2,875 |
| Level 3 Vascular Procedures | 37 | $41,053 | $2,887 |
| Level 3 Endovascular Procedures | 25 | $168,724 | $9,957 |
| Level 4 Urology and Related Services | 13 | $30,990 | $2,964 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 12 | $16,654 | $1,469 |
| Level 3 Musculoskeletal Procedures | 11 | $26,170 | $2,932 |
| Level 1 Laparoscopy and Related Services | 11 | $52,621 | $5,227 |
Against the Florida average
For Heart Failure and Shock with MCC (DRG 291), HCA Florida Putnam Hospital charged $47,522 on average, 30% less than the Florida average of $67,659, and was paid $9,578 against a state average of $10,715. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Putnam Hospital charged $98,841 on average, 12% less than the Florida average of $112,838, and was paid $14,114 against a state average of $15,663. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Putnam Hospital charged $70,436 on average, 10% less than the Florida average of $78,292, and was paid $9,804 against a state average of $10,939. For Renal Failure with CC (DRG 683), HCA Florida Putnam Hospital charged $48,896 on average, 8% less than the Florida average of $52,973, and was paid $6,767 against a state average of $7,882. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,853 was 42% below the state average of $23,896. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,096 was 13% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $61,618 was 47% above the state average of $41,880. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $41,053 was 40% above the state average of $29,367.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Putnam Hospital in Palatka, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-22 (CMS case 643)
- Closure Notice — 2023-11-15 (CMS case 643)
- Met Requirements — 2025-03-31 (CMS case 3493)
- Met Requirements — 2025-05-05 (CMS case 4300)
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.