Florida / HCA Florida St Lucie Hospital
CMS certification 100260 · Port Saint Lucie, FL · 2 entries in CMS's price-transparency list
HCA Florida St Lucie Hospital: charges and Medicare payments
HCA Florida St Lucie Hospital reported 2,409 Medicare inpatient stays across 71 DRGs in 2024. Across them it charged 11.34 times what it was paid — among the higher ratios in Florida, number 24 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: 241 stays at an average charge of $161,361, 79% above the national average. It also billed 1,251 outpatient services, charging 25.1 times what Medicare paid.
- 1Medicare inpatient stays 2,409
- 2Charge ÷ paid, inpatient 11.34×
- 3Rank in FL (highest ratio = 1) 24 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 71 DRGs that can be compared with the national average, HCA Florida St Lucie Hospital charged more than the national average in 69 (97%). 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 | 241 | $161,361 | +79% | $15,286 |
| 291 Heart Failure and Shock with MCC | 149 | $96,835 | +72% | $10,591 |
| 193 Simple Pneumonia and Pleurisy with MCC | 95 | $102,612 | +72% | $11,142 |
| 690 Kidney and Urinary Tract Infections without MCC | 82 | $76,306 | +102% | $6,772 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 78 | $81,199 | +102% | $6,488 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 68 | $250,512 | +169% | $14,871 |
| 682 Renal Failure with MCC | 61 | $105,818 | +60% | $11,387 |
| 683 Renal Failure with CC | 61 | $94,702 | +133% | $7,557 |
| 689 Kidney and Urinary Tract Infections with MCC | 60 | $98,653 | +92% | $9,502 |
| 177 Respiratory Infections and Inflammations with MCC | 59 | $138,273 | +96% | $12,468 |
| 312 Syncope and Collapse | 57 | $79,465 | +75% | $6,940 |
| 552 Medical Back Problems without MCC | 50 | $78,289 | +60% | $7,791 |
| 313 Chest Pain | 47 | $57,886 | +45% | $6,515 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 46 | $106,702 | +118% | $9,070 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 43 | $84,486 | +40% | $10,674 |
| 884 Organic Disturbances and Intellectual Disability | 42 | $111,442 | +79% | $12,375 |
| 194 Simple Pneumonia and Pleurisy with CC | 40 | $87,436 | +128% | $7,741 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 39 | $156,023 | +106% | $11,887 |
| 603 Cellulitis without MCC | 37 | $76,299 | +105% | $7,729 |
| 305 Hypertension without MCC | 36 | $68,944 | +72% | $6,299 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 34 | $148,233 | +132% | $9,694 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 33 | $73,915 | +105% | $7,166 |
| 812 Red Blood Cell Disorders without MCC | 33 | $71,087 | +60% | $7,330 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $98,104 | +70% | $10,477 |
| 467 Revision of Hip or Knee Replacement with CC | 31 | $332,660 | +111% | $23,908 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $73,501 | +98% | $6,812 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 29 | $88,434 | +86% | $8,091 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 28 | $262,715 | +157% | $16,981 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 26 | $78,833 | +99% | $7,757 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $127,389 | +109% | $14,469 |
| 481 Hip and Femur Procedures except Major Joint with CC | 26 | $245,113 | +143% | $16,556 |
| 057 Degenerative Nervous System Disorders without MCC | 24 | $82,965 | +47% | $9,930 |
| 638 Diabetes with CC | 24 | $79,123 | +90% | $8,865 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 24 | $121,400 | +65% | $13,098 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 24 | $391,044 | +71% | $36,876 |
| 389 Gastrointestinal Obstruction with CC | 23 | $92,659 | +138% | $7,639 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $95,097 | +71% | $10,602 |
| 070 Other Cerebrovascular Disorders with MCC | 21 | $122,219 | +61% | $13,263 |
| 149 Dysequilibrium | 21 | $70,693 | +59% | $6,150 |
| 300 Peripheral Vascular Disorders with CC | 21 | $83,682 | +69% | $8,311 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 20 | $200,188 | +78% | $16,561 |
| 637 Diabetes with MCC | 20 | $99,585 | +50% | $10,509 |
| 069 Transient Ischemia without Thrombolytic | 19 | $88,634 | +76% | $6,586 |
| 330 Major Small and Large Bowel Procedures with CC | 19 | $481,631 | +305% | $25,570 |
| 896 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 19 | $113,949 | +46% | $13,767 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 18 | $57,318 | +100% | $4,754 |
| 394 Other Digestive System Diagnoses with CC | 18 | $96,253 | +105% | $7,419 |
| 556 Signs and Symptoms of Musculoskeletal System and Connective... | 18 | $65,193 | +62% | $6,447 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 18 | $84,343 | +127% | $6,884 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $79,980 | +58% | $9,921 |
| 315 Other Circulatory System Diagnoses with CC | 17 | $84,172 | +76% | $8,649 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $367,415 | +124% | $21,654 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $294,708 | +157% | $15,934 |
| 536 Fractures of Hip and Pelvis without MCC | 17 | $95,733 | +154% | $6,491 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 17 | $89,846 | +111% | $6,548 |
| 811 Red Blood Cell Disorders with MCC | 16 | $175,302 | +157% | $10,616 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 15 | $112,875 | +124% | $7,453 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $79,730 | +41% | $9,291 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $393,195 | +183% | $22,742 |
| 554 Bone Diseases and Arthropathies without MCC | 15 | $70,277 | +85% | $6,798 |
Showing the 60 most frequent of 71 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida St Lucie Hospital charged $161,361 on average, 43% more than the Florida average of $112,838, and was paid $15,286 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida St Lucie Hospital charged $96,835 on average, 43% more than the Florida average of $67,659, and was paid $10,591 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida St Lucie Hospital charged $102,612 on average, 31% more than the Florida average of $78,292, and was paid $11,142 against a state average of $10,939. For Kidney and Urinary Tract Infections without MCC (DRG 690), HCA Florida St Lucie Hospital charged $76,306 on average, 58% more than the Florida average of $48,190, and was paid $6,772 against a state average of $7,285. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $215,126 was 101% above the state average of $106,979. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $41,628 was 46% above the state average of $28,431. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $193,120 was 183% above the state average of $68,202. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $125,296 was 144% above the state average of $51,337.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida St Lucie Hospital in Port Saint Lucie, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-07 (CMS case 648)
- Met Requirements — 2025-05-06 (CMS case 4347)
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.