Florida / HCA Florida South Shore Hospital
CMS certification 100259 · Sun City Center, FL · 4 entries in CMS's price-transparency list
HCA Florida South Shore Hospital: charges and Medicare payments
HCA Florida South Shore Hospital reported 1,474 Medicare inpatient stays across 50 DRGs in 2024. Across them it charged 15.35 times what it was paid — among the higher ratios in Florida, number 1 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: 199 stays at an average charge of $200,982, 123% above the national average. It also billed 483 outpatient services, charging 18.81 times what Medicare paid.
- 1Medicare inpatient stays 1,474
- 2Charge ÷ paid, inpatient 15.35×
- 3Rank in FL (highest ratio = 1) 1 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 50 DRGs that can be compared with the national average, HCA Florida South Shore Hospital charged more than the national average in 50 (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 | 199 | $200,982 | +123% | $12,539 |
| 291 Heart Failure and Shock with MCC | 80 | $110,943 | +97% | $8,417 |
| 177 Respiratory Infections and Inflammations with MCC | 66 | $146,990 | +108% | $10,937 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 62 | $91,097 | +127% | $5,390 |
| 193 Simple Pneumonia and Pleurisy with MCC | 59 | $150,065 | +151% | $9,068 |
| 312 Syncope and Collapse | 48 | $113,610 | +149% | $5,834 |
| 690 Kidney and Urinary Tract Infections without MCC | 43 | $109,925 | +191% | $5,566 |
| 682 Renal Failure with MCC | 42 | $143,655 | +118% | $10,242 |
| 481 Hip and Femur Procedures except Major Joint with CC | 41 | $200,124 | +99% | $13,742 |
| 683 Renal Failure with CC | 35 | $94,436 | +132% | $6,523 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $131,691 | +157% | $7,649 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $113,812 | +132% | $6,796 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 31 | $71,545 | +98% | $5,033 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $112,515 | +87% | $8,499 |
| 305 Hypertension without MCC | 28 | $85,144 | +112% | $5,072 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $140,936 | +145% | $8,254 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $165,612 | +118% | $10,409 |
| 377 Gastrointestinal Hemorrhage with MCC | 27 | $200,159 | +134% | $12,074 |
| 811 Red Blood Cell Disorders with MCC | 27 | $149,911 | +120% | $9,391 |
| 378 Gastrointestinal Hemorrhage with CC | 25 | $110,591 | +128% | $6,869 |
| 069 Transient Ischemia without Thrombolytic | 24 | $131,291 | +160% | $5,627 |
| 149 Dysequilibrium | 22 | $113,539 | +156% | $5,076 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 22 | $70,849 | +147% | $3,779 |
| 552 Medical Back Problems without MCC | 22 | $105,035 | +115% | $6,402 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $170,760 | +133% | $11,225 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $164,906 | +196% | $6,827 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $131,048 | +115% | $9,175 |
| 313 Chest Pain | 19 | $75,847 | +90% | $5,111 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 19 | $181,555 | +95% | $12,599 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 19 | $146,065 | +87% | $10,562 |
| 603 Cellulitis without MCC | 19 | $78,721 | +111% | $5,913 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $338,977 | +48% | $30,162 |
| 884 Organic Disturbances and Intellectual Disability | 19 | $109,176 | +75% | $11,544 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 18 | $250,372 | +84% | $18,194 |
| 637 Diabetes with MCC | 18 | $156,586 | +135% | $9,596 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $120,564 | +113% | $8,153 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $88,168 | +138% | $5,692 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 17 | $87,665 | +85% | $6,666 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $102,918 | +168% | $5,544 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $248,442 | +79% | $18,512 |
| 394 Other Digestive System Diagnoses with CC | 14 | $110,230 | +134% | $6,309 |
| 602 Cellulitis with MCC | 14 | $140,661 | +134% | $9,687 |
| 812 Red Blood Cell Disorders without MCC | 14 | $75,438 | +70% | $6,050 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $155,006 | +55% | $11,920 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $130,219 | +158% | $6,123 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $88,069 | +107% | $5,853 |
| 945 Rehabilitation with CC/MCC | 13 | $132,334 | +138% | $9,722 |
| 388 Gastrointestinal Obstruction with MCC | 12 | $193,817 | +183% | $9,531 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $100,251 | +98% | $7,426 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 11 | $216,216 | +93% | $17,077 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 88 | $53,855 | $2,412 |
| Level 5 Musculoskeletal Procedures | 55 | $129,260 | $11,906 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 41 | $24,786 | $1,469 |
| Level 3 Musculoskeletal Procedures | 35 | $51,780 | $2,932 |
| Level 3 Vascular Procedures | 34 | $55,333 | $2,887 |
| Level 5 Urology and Related Services | 34 | $60,747 | $4,687 |
| Level 1 Laparoscopy and Related Services | 23 | $115,352 | $5,227 |
| Level 4 Urology and Related Services | 22 | $56,242 | $3,043 |
| Level 6 Urology and Related Services | 22 | $114,010 | $7,812 |
| Level 3 Urology and Related Services | 19 | $62,972 | $1,845 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $39,332 | $2,574 |
| Level 2 Upper GI Procedures | 16 | $38,599 | $1,724 |
| Level 4 Musculoskeletal Procedures | 15 | $94,462 | $6,481 |
| Level 2 Vascular Procedures | 15 | $18,889 | $1,451 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $73,284 | $3,134 |
| Level 1 Nerve Procedures | 12 | $46,038 | $1,749 |
| Level 2 Endovascular Procedures | 11 | $84,162 | $5,177 |
| Level 3 Pacemaker and Similar Procedures | 11 | $54,988 | $9,666 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida South Shore Hospital charged $200,982 on average, 78% more than the Florida average of $112,838, and was paid $12,539 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida South Shore Hospital charged $110,943 on average, 64% more than the Florida average of $67,659, and was paid $8,417 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), HCA Florida South Shore Hospital charged $146,990 on average, 72% more than the Florida average of $85,454, and was paid $10,937 against a state average of $13,200. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), HCA Florida South Shore Hospital charged $91,097 on average, 70% more than the Florida average of $53,444, and was paid $5,390 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $53,855 was 89% above the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $129,260 was 21% above the state average of $106,979. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $24,786 was 70% above the state average of $14,597. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $51,780 was 19% above the state average of $43,452.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida South Shore Hospital in Sun City Center, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-09-29 (CMS case 507)
- CAP Request — 2022-11-04 (CMS case 507)
- Closure Notice — 2023-07-20 (CMS case 507)
- Met Requirements — 2025-05-02 (CMS case 4237)
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.