Florida / HCA Florida Trinity Hospital
CMS certification 100191 · Trinity, FL · 4 entries in CMS's price-transparency list
HCA Florida Trinity Hospital: charges and Medicare payments
HCA Florida Trinity Hospital reported 1,686 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 12.01 times what it was paid — among the higher ratios in Florida, number 14 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: 282 stays at an average charge of $189,332, 110% above the national average. It also billed 1,183 outpatient services, charging 28.56 times what Medicare paid.
- 1Medicare inpatient stays 1,686
- 2Charge ÷ paid, inpatient 12.01×
- 3Rank in FL (highest ratio = 1) 14 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 60 DRGs that can be compared with the national average, HCA Florida Trinity Hospital charged more than the national average in 60 (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 | 282 | $189,332 | +110% | $16,347 |
| 291 Heart Failure and Shock with MCC | 62 | $132,881 | +136% | $12,985 |
| 193 Simple Pneumonia and Pleurisy with MCC | 61 | $130,538 | +118% | $11,949 |
| 690 Kidney and Urinary Tract Infections without MCC | 60 | $81,440 | +115% | $7,999 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 54 | $102,137 | +108% | $10,618 |
| 683 Renal Failure with CC | 52 | $93,038 | +129% | $8,573 |
| 689 Kidney and Urinary Tract Infections with MCC | 51 | $110,787 | +116% | $10,325 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 49 | $107,021 | +166% | $8,575 |
| 177 Respiratory Infections and Inflammations with MCC | 45 | $154,277 | +119% | $15,060 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 42 | $167,843 | +121% | $13,917 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 40 | $207,094 | +224% | $9,980 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $81,590 | +120% | $7,530 |
| 682 Renal Failure with MCC | 34 | $147,068 | +123% | $12,811 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 34 | $128,021 | +74% | $13,509 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 30 | $91,397 | +153% | $7,490 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 29 | $517,003 | +126% | $38,600 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $109,232 | +90% | $14,808 |
| 312 Syncope and Collapse | 26 | $119,823 | +163% | $8,341 |
| 313 Chest Pain | 24 | $102,900 | +158% | $7,105 |
| 552 Medical Back Problems without MCC | 23 | $113,093 | +131% | $9,245 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $142,966 | +137% | $11,956 |
| 884 Organic Disturbances and Intellectual Disability | 22 | $118,883 | +91% | $13,070 |
| 305 Hypertension without MCC | 21 | $95,003 | +137% | $7,437 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $292,451 | +155% | $16,233 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $246,304 | +144% | $16,960 |
| 638 Diabetes with CC | 21 | $86,067 | +107% | $8,805 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $141,488 | +154% | $9,095 |
| 378 Gastrointestinal Hemorrhage with CC | 19 | $157,722 | +225% | $9,428 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 19 | $464,268 | +66% | $53,771 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 18 | $105,048 | +165% | $8,227 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $134,269 | +166% | $8,493 |
| 389 Gastrointestinal Obstruction with CC | 18 | $103,815 | +167% | $8,027 |
| 811 Red Blood Cell Disorders with MCC | 18 | $163,464 | +140% | $12,423 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 17 | $229,839 | +130% | $17,506 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $136,498 | +124% | $11,386 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $241,032 | +159% | $17,528 |
| 603 Cellulitis without MCC | 17 | $84,789 | +127% | $8,229 |
| 164 Major Chest Procedures with CC | 16 | $298,979 | +135% | $24,784 |
| 329 Major Small and Large Bowel Procedures with MCC | 16 | $450,845 | +110% | $33,566 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $109,487 | +131% | $9,370 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 15 | $237,354 | +111% | $17,708 |
| 394 Other Digestive System Diagnoses with CC | 15 | $102,981 | +119% | $8,634 |
| 812 Red Blood Cell Disorders without MCC | 15 | $115,224 | +160% | $10,874 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $178,530 | +215% | $10,848 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $89,974 | +213% | $5,799 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $240,074 | +135% | $19,706 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 14 | $158,853 | +135% | $11,902 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $335,009 | +241% | $22,745 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $344,526 | +111% | $26,650 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $255,995 | +200% | $15,405 |
| 388 Gastrointestinal Obstruction with MCC | 13 | $149,158 | +118% | $13,036 |
| 445 Disorders of The Biliary Tract with CC | 12 | $140,753 | +142% | $10,110 |
| 069 Transient Ischemia without Thrombolytic | 11 | $127,488 | +153% | $7,785 |
| 300 Peripheral Vascular Disorders with CC | 11 | $80,369 | +63% | $9,722 |
| 460 Spinal Fusion except Cervical without MCC | 11 | $334,376 | +96% | $27,478 |
| 472 Cervical Spinal Fusion with CC | 11 | $300,169 | +110% | $24,492 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $77,565 | +82% | $8,101 |
| 637 Diabetes with MCC | 11 | $135,243 | +103% | $12,763 |
| 643 Endocrine Disorders with MCC | 11 | $174,184 | +135% | $14,617 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 11 | $180,565 | +219% | $10,908 |
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Trinity Hospital charged $189,332 on average, 68% more than the Florida average of $112,838, and was paid $16,347 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Trinity Hospital charged $132,881 on average, 96% more than the Florida average of $67,659, and was paid $12,985 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Trinity Hospital charged $130,538 on average, 67% more than the Florida average of $78,292, and was paid $11,949 against a state average of $10,939. For Kidney and Urinary Tract Infections without MCC (DRG 690), HCA Florida Trinity Hospital charged $81,440 on average, 69% more than the Florida average of $48,190, and was paid $7,999 against a state average of $7,285. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $65,294 was 130% above the state average of $28,431. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $86,419 was 68% above the state average of $51,337. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,900 was 23% above the state average of $14,597. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $107,078 was 156% above the state average of $41,880.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Trinity Hospital in Trinity, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 366)
- CAP Request — 2022-10-17 (CMS case 366)
- Closure Notice — 2023-04-28 (CMS case 366)
- Met Requirements — 2025-05-02 (CMS case 4248)
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.