Florida / HCA Florida St Petersburg Hospital
CMS certification 100180 · Saint Petersburg, FL · 3 entries in CMS's price-transparency list
HCA Florida St Petersburg Hospital: charges and Medicare payments
HCA Florida St Petersburg Hospital reported 338 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 11.07 times what it was paid — among the higher ratios in Florida, number 27 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: 109 stays at an average charge of $206,045, 128% above the national average. It also billed 256 outpatient services, charging 25.24 times what Medicare paid.
- 1Medicare inpatient stays 338
- 2Charge ÷ paid, inpatient 11.07×
- 3Rank in FL (highest ratio = 1) 27 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 13 DRGs that can be compared with the national average, HCA Florida St Petersburg Hospital charged more than the national average in 13 (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 | 109 | $206,045 | +128% | $17,714 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $160,052 | +168% | $13,310 |
| 291 Heart Failure and Shock with MCC | 29 | $177,913 | +216% | $12,849 |
| 682 Renal Failure with MCC | 23 | $138,557 | +110% | $14,161 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $102,020 | +154% | $8,655 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $94,915 | +57% | $12,689 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $121,831 | +137% | $11,979 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $117,317 | +104% | $12,318 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $334,688 | +46% | $40,635 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $206,244 | +192% | $15,115 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $100,364 | +171% | $8,833 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 12 | $154,666 | +215% | $10,937 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $94,206 | +149% | $9,050 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 54 | $60,794 | $2,443 |
| Level 4 Urology and Related Services | 21 | $95,802 | $3,158 |
| Level 4 Gynecologic Procedures | 21 | $88,149 | $2,832 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 20 | $183,223 | $5,907 |
| Level 3 Urology and Related Services | 20 | $98,918 | $1,845 |
| Level 4 Neurostimulator and Related Procedures | 18 | $139,571 | $19,767 |
| Level 6 Urology and Related Services | 17 | $151,466 | $8,343 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 16 | $38,411 | $1,395 |
| Level 2 Laparoscopy and Related Services | 16 | $236,418 | $9,319 |
| Level 5 Urology and Related Services | 14 | $107,134 | $4,421 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 13 | $110,321 | $3,453 |
| Level 5 Musculoskeletal Procedures | 13 | $224,654 | $11,906 |
| Level 1 Laparoscopy and Related Services | 13 | $129,585 | $5,227 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida St Petersburg Hospital charged $206,045 on average, 83% more than the Florida average of $112,838, and was paid $17,714 against a state average of $15,663. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida St Petersburg Hospital charged $160,052 on average, 104% more than the Florida average of $78,292, and was paid $13,310 against a state average of $10,939. For Heart Failure and Shock with MCC (DRG 291), HCA Florida St Petersburg Hospital charged $177,913 on average, 163% more than the Florida average of $67,659, and was paid $12,849 against a state average of $10,715. For Renal Failure with MCC (DRG 682), HCA Florida St Petersburg Hospital charged $138,557 on average, 66% more than the Florida average of $83,694, and was paid $14,161 against a state average of $11,992. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $60,794 was 114% above the state average of $28,431. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $95,802 was 161% above the state average of $36,684. For Level 4 Gynecologic Procedures (outpatient APC 5414), its average charge of $88,149 was 152% above the state average of $35,040. For Level 2 Breast/Lymphatic Surgery and Related Procedures (outpatient APC 5092), its average charge of $183,223 was 169% above the state average of $68,066.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida St Petersburg 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:
- Warning Notice — 2023-06-27 (CMS case 200)
- Closure Notice — 2023-10-02 (CMS case 200)
- Met Requirements — 2025-05-05 (CMS case 4283)
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.