Florida / Holmes Regional Medical Center
CMS certification 100019 · Melbourne, FL · 4 entries in CMS's price-transparency list
Holmes Regional Medical Center: charges and Medicare payments
Holmes Regional Medical Center reported 6,415 Medicare inpatient stays across 180 DRGs in 2024. Across them it charged 6.52 times what it was paid — mid-range in Florida, number 87 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: 345 stays at an average charge of $82,520, 9% below the national average. It also billed 2,829 outpatient services, charging 8.3 times what Medicare paid.
- 1Medicare inpatient stays 6,415
- 2Charge ÷ paid, inpatient 6.52×
- 3Rank in FL (highest ratio = 1) 87 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 180 DRGs that can be compared with the national average, Holmes Regional Medical Center charged more than the national average in 72 (40%). 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 | 345 | $82,520 | -9% | $14,098 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 199 | $140,620 | -10% | $22,842 |
| 291 Heart Failure and Shock with MCC | 187 | $60,265 | +7% | $9,587 |
| 177 Respiratory Infections and Inflammations with MCC | 186 | $77,042 | +9% | $12,447 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 127 | $383,726 | +73% | $40,556 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 123 | $82,610 | -17% | $14,024 |
| 193 Simple Pneumonia and Pleurisy with MCC | 123 | $59,050 | -1% | $10,421 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 106 | $34,129 | -15% | $6,536 |
| 689 Kidney and Urinary Tract Infections with MCC | 104 | $42,270 | -18% | $8,856 |
| 312 Syncope and Collapse | 103 | $34,778 | -24% | $6,797 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 100 | $69,153 | +37% | $8,356 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 100 | $73,423 | -3% | $12,000 |
| 313 Chest Pain | 100 | $36,557 | -8% | $6,369 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 90 | $53,386 | -4% | $7,935 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 90 | $28,913 | -20% | $6,079 |
| 690 Kidney and Urinary Tract Infections without MCC | 87 | $36,110 | -5% | $6,306 |
| 552 Medical Back Problems without MCC | 80 | $40,956 | -16% | $7,360 |
| 682 Renal Failure with MCC | 79 | $54,385 | -18% | $10,583 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 78 | $25,066 | -13% | $4,673 |
| 378 Gastrointestinal Hemorrhage with CC | 70 | $44,388 | -9% | $7,534 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 69 | $65,884 | -10% | $12,044 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 63 | $65,027 | +15% | $9,165 |
| 603 Cellulitis without MCC | 63 | $33,605 | -10% | $7,163 |
| 460 Spinal Fusion except Cervical without MCC | 62 | $228,047 | +34% | $27,429 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 61 | $427,572 | +50% | $51,490 |
| 270 Other Major Cardiovascular Procedures with MCC | 60 | $235,063 | -9% | $37,792 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 58 | $78,218 | -32% | $13,861 |
| 069 Transient Ischemia without Thrombolytic | 56 | $39,155 | -22% | $6,338 |
| 189 Pulmonary Edema and Respiratory Failure | 56 | $70,670 | +23% | $9,493 |
| 377 Gastrointestinal Hemorrhage with MCC | 55 | $68,254 | -20% | $12,539 |
| 481 Hip and Femur Procedures except Major Joint with CC | 51 | $121,803 | +21% | $16,241 |
| 271 Other Major Cardiovascular Procedures with CC | 50 | $187,946 | +8% | $26,368 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 50 | $27,297 | -26% | $6,097 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 49 | $178,811 | -23% | $34,102 |
| 092 Other Disorders of Nervous System with CC | 48 | $40,997 | -20% | $7,669 |
| 683 Renal Failure with CC | 47 | $34,791 | -15% | $6,992 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 46 | $48,559 | -1% | $7,834 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 45 | $54,628 | -20% | $9,843 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 45 | $46,520 | -27% | $8,299 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $60,461 | 0% | $9,848 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 45 | $232,378 | +1% | $37,553 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 42 | $40,018 | -21% | $7,137 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 42 | $113,673 | -31% | $21,049 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 41 | $41,765 | -12% | $7,584 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 39 | $59,356 | -9% | $10,239 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 39 | $360,823 | +31% | $40,594 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 39 | $112,880 | +21% | $13,743 |
| 812 Red Blood Cell Disorders without MCC | 38 | $32,073 | -28% | $6,978 |
| 472 Cervical Spinal Fusion with CC | 37 | $165,866 | +16% | $21,201 |
| 101 Seizures without MCC | 36 | $33,406 | -31% | $7,069 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 36 | $418,905 | +50% | $57,269 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 36 | $134,367 | +32% | $16,236 |
| 149 Dysequilibrium | 35 | $30,691 | -31% | $5,960 |
| 229 Other Cardiothoracic Procedures without MCC | 35 | $174,190 | +5% | $29,299 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $64,605 | +6% | $9,641 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 33 | $107,938 | -3% | $17,152 |
| 300 Peripheral Vascular Disorders with CC | 33 | $41,672 | -16% | $8,054 |
| 305 Hypertension without MCC | 33 | $25,840 | -36% | $6,009 |
| 314 Other Circulatory System Diagnoses with MCC | 33 | $93,716 | -1% | $16,343 |
| 637 Diabetes with MCC | 33 | $57,192 | -14% | $10,534 |
Showing the 60 most frequent of 180 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Holmes Regional Medical Center charged $82,520 on average, 27% less than the Florida average of $112,838, and was paid $14,098 against a state average of $15,663. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Holmes Regional Medical Center charged $140,620 on average, 24% less than the Florida average of $185,126, and was paid $22,842 against a state average of $24,802. For Heart Failure and Shock with MCC (DRG 291), Holmes Regional Medical Center charged $60,265 on average, 11% less than the Florida average of $67,659, and was paid $9,587 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Holmes Regional Medical Center charged $77,042 on average, 10% less than the Florida average of $85,454, and was paid $12,447 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,013 was 40% below the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,670 was 58% below the state average of $41,880. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $104,592 was 2% below the state average of $106,979. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $119,513 was 39% below the state average of $195,231.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Holmes Regional Medical Center in Melbourne, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-04-19 (CMS case 79)
- CAP Request — 2021-09-30 (CMS case 79)
- Closure Notice — 2022-01-06 (CMS case 79)
- Met Requirements — 2025-03-28 (CMS case 3473)
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.