Florida / HCA Florida Twin Cities Hospital
CMS certification 100054 · Niceville, FL · 4 entries in CMS's price-transparency list
HCA Florida Twin Cities Hospital: charges and Medicare payments
HCA Florida Twin Cities Hospital reported 428 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 13.84 times what it was paid — among the higher ratios in Florida, number 5 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: 80 stays at an average charge of $159,038, 76% above the national average. It also billed 684 outpatient services, charging 21.59 times what Medicare paid.
- 1Medicare inpatient stays 428
- 2Charge ÷ paid, inpatient 13.84×
- 3Rank in FL (highest ratio = 1) 5 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 18 DRGs that can be compared with the national average, HCA Florida Twin Cities Hospital charged more than the national average in 18 (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 | 80 | $159,038 | +76% | $12,511 |
| 291 Heart Failure and Shock with MCC | 55 | $115,661 | +105% | $8,529 |
| 193 Simple Pneumonia and Pleurisy with MCC | 32 | $136,208 | +128% | $9,271 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $107,068 | +167% | $7,511 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $141,499 | +100% | $10,781 |
| 682 Renal Failure with MCC | 27 | $126,667 | +92% | $9,343 |
| 683 Renal Failure with CC | 24 | $90,587 | +123% | $7,305 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $101,329 | +173% | $5,918 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $90,384 | +139% | $5,406 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $109,897 | +91% | $8,220 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $144,275 | +139% | $8,859 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $135,057 | +175% | $6,845 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $99,936 | +177% | $4,957 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 12 | $647,607 | +131% | $53,367 |
| 812 Red Blood Cell Disorders without MCC | 12 | $92,275 | +108% | $6,153 |
| 305 Hypertension without MCC | 11 | $106,337 | +165% | $5,030 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $183,424 | +82% | $13,577 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $211,448 | +107% | $13,719 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 219 | $67,410 | $2,426 |
| Level 1 Intraocular Procedures | 101 | $32,064 | $2,061 |
| Level 5 Musculoskeletal Procedures | 85 | $133,375 | $11,785 |
| Level 1 Laparoscopy and Related Services | 48 | $113,289 | $5,227 |
| Level 3 Urology and Related Services | 31 | $67,349 | $1,756 |
| Level 3 Vascular Procedures | 28 | $64,934 | $2,887 |
| Level 4 Musculoskeletal Procedures | 25 | $101,936 | $6,351 |
| Level 2 Upper GI Procedures | 22 | $39,447 | $1,723 |
| Level 2 Musculoskeletal Procedures | 21 | $47,272 | $1,456 |
| Level 4 Urology and Related Services | 21 | $71,320 | $3,158 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 20 | $34,620 | $1,411 |
| Level 6 Musculoskeletal Procedures | 19 | $153,947 | $16,845 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 18 | $93,243 | $3,134 |
| Level 3 Musculoskeletal Procedures | 15 | $76,723 | $2,776 |
| Level 2 Vascular Procedures | 11 | $51,495 | $1,451 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Twin Cities Hospital charged $159,038 on average, 41% more than the Florida average of $112,838, and was paid $12,511 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Twin Cities Hospital charged $115,661 on average, 71% more than the Florida average of $67,659, and was paid $8,529 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Twin Cities Hospital charged $136,208 on average, 74% more than the Florida average of $78,292, and was paid $9,271 against a state average of $10,939. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), HCA Florida Twin Cities Hospital charged $107,068 on average, 100% more than the Florida average of $53,444, and was paid $7,511 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $67,410 was 137% above the state average of $28,431. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $32,064 was 34% above the state average of $23,896. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $133,375 was 25% above the state average of $106,979. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $113,289 was 66% above the state average of $68,202.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Twin Cities Hospital in Niceville, 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 356)
- Closure Notice — 2023-10-02 (CMS case 356)
- Met Requirements — 2025-03-31 (CMS case 3491)
- Met Requirements — 2025-05-07 (CMS case 4377)
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.