Florida / HCA Florida West Hospital
CMS certification 100231 · Pensacola, FL · 3 entries in CMS's price-transparency list
HCA Florida West Hospital: charges and Medicare payments
HCA Florida West Hospital reported 3,112 Medicare inpatient stays across 98 DRGs in 2024. Across them it charged 9.4 times what it was paid — among the higher ratios in Florida, number 48 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: 308 stays at an average charge of $106,815, 18% above the national average. It also billed 2,123 outpatient services, charging 18.65 times what Medicare paid.
- 1Medicare inpatient stays 3,112
- 2Charge ÷ paid, inpatient 9.4×
- 3Rank in FL (highest ratio = 1) 48 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 98 DRGs that can be compared with the national average, HCA Florida West Hospital charged more than the national average in 96 (98%). 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 | 308 | $106,815 | +18% | $14,557 |
| 291 Heart Failure and Shock with MCC | 178 | $76,072 | +35% | $9,731 |
| 885 Psychoses | 112 | $85,933 | +95% | $10,722 |
| 193 Simple Pneumonia and Pleurisy with MCC | 99 | $72,707 | +22% | $10,009 |
| 682 Renal Failure with MCC | 83 | $84,542 | +28% | $11,141 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 80 | $66,448 | +65% | $6,269 |
| 683 Renal Failure with CC | 71 | $65,674 | +61% | $7,547 |
| 177 Respiratory Infections and Inflammations with MCC | 69 | $90,697 | +28% | $12,151 |
| 690 Kidney and Urinary Tract Infections without MCC | 68 | $56,178 | +49% | $6,329 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 64 | $75,067 | +53% | $7,824 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 59 | $99,342 | +78% | $8,271 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 49 | $120,515 | +21% | $14,403 |
| 481 Hip and Femur Procedures except Major Joint with CC | 49 | $186,243 | +85% | $16,095 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 47 | $90,127 | +49% | $9,723 |
| 189 Pulmonary Edema and Respiratory Failure | 46 | $75,221 | +31% | $9,692 |
| 305 Hypertension without MCC | 46 | $63,698 | +59% | $6,531 |
| 552 Medical Back Problems without MCC | 45 | $72,245 | +48% | $7,419 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 44 | $55,401 | +49% | $6,148 |
| 389 Gastrointestinal Obstruction with CC | 42 | $60,774 | +56% | $7,190 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 41 | $312,627 | +99% | $24,350 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 41 | $79,432 | +8% | $11,775 |
| 811 Red Blood Cell Disorders with MCC | 40 | $104,405 | +53% | $11,054 |
| 689 Kidney and Urinary Tract Infections with MCC | 39 | $69,701 | +36% | $8,300 |
| 194 Simple Pneumonia and Pleurisy with CC | 36 | $59,370 | +55% | $6,510 |
| 312 Syncope and Collapse | 36 | $72,974 | +60% | $7,002 |
| 603 Cellulitis without MCC | 36 | $52,121 | +40% | $6,841 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 34 | $206,492 | +122% | $15,568 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 33 | $293,563 | +28% | $33,604 |
| 377 Gastrointestinal Hemorrhage with MCC | 32 | $128,231 | +50% | $13,127 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 31 | $65,260 | +81% | $6,084 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 28 | $182,982 | +79% | $14,694 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $74,115 | +53% | $7,882 |
| 812 Red Blood Cell Disorders without MCC | 27 | $60,748 | +37% | $7,241 |
| 070 Other Cerebrovascular Disorders with MCC | 25 | $93,216 | +23% | $11,797 |
| 884 Organic Disturbances and Intellectual Disability | 25 | $86,032 | +38% | $11,821 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 24 | $150,441 | +11% | $19,999 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 24 | $204,303 | +138% | $13,975 |
| 638 Diabetes with CC | 24 | $54,707 | +31% | $6,664 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 23 | $87,526 | +55% | $9,371 |
| 313 Chest Pain | 23 | $79,498 | +99% | $5,919 |
| 330 Major Small and Large Bowel Procedures with CC | 23 | $227,054 | +91% | $18,808 |
| 039 Extracranial Procedures without CC/MCC | 22 | $149,196 | +134% | $11,150 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 22 | $167,174 | +51% | $18,081 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 22 | $57,170 | +99% | $4,756 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 21 | $414,125 | +47% | $37,249 |
| 394 Other Digestive System Diagnoses with CC | 21 | $64,363 | +37% | $7,538 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 21 | $66,439 | +56% | $6,775 |
| 069 Transient Ischemia without Thrombolytic | 20 | $98,822 | +96% | $6,468 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $236,916 | +107% | $13,733 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 19 | $109,943 | +45% | $11,766 |
| 388 Gastrointestinal Obstruction with MCC | 19 | $87,233 | +27% | $11,465 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 19 | $67,895 | +43% | $7,777 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $174,361 | +77% | $14,514 |
| 091 Other Disorders of Nervous System with MCC | 18 | $119,102 | +44% | $12,226 |
| 101 Seizures without MCC | 18 | $70,351 | +44% | $7,312 |
| 149 Dysequilibrium | 18 | $74,672 | +68% | $6,670 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 18 | $104,006 | +60% | $10,701 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 18 | $130,363 | +104% | $9,758 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $73,584 | +21% | $9,409 |
| 472 Cervical Spinal Fusion with CC | 18 | $240,474 | +68% | $28,794 |
Showing the 60 most frequent of 98 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida West Hospital charged $106,815 on average, 5% less than the Florida average of $112,838, and was paid $14,557 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida West Hospital charged $76,072 on average, 12% more than the Florida average of $67,659, and was paid $9,731 against a state average of $10,715. For Psychoses (DRG 885), HCA Florida West Hospital charged $85,933 on average, 84% more than the Florida average of $46,705, and was paid $10,722 against a state average of $13,805. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida West Hospital charged $72,707 on average, 7% less than the Florida average of $78,292, and was paid $10,009 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $39,826 was 40% above the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $162,733 was 52% above the state average of $106,979. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $114,272 was 68% above the state average of $68,202. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $23,974 was 64% above the state average of $14,597.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida West Hospital in Pensacola, 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 352)
- Closure Notice — 2023-10-02 (CMS case 352)
- Met Requirements — 2025-05-05 (CMS case 4266)
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.