Florida / Homestead Hospital
CMS certification 100125 · Homestead, FL · 3 entries in CMS's price-transparency list
Homestead Hospital: charges and Medicare payments
Homestead Hospital reported 517 Medicare inpatient stays across 22 DRGs in 2024. Across them it charged 5.14 times what it was paid — among the lower ratios in Florida, number 119 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: 89 stays at an average charge of $128,961, 43% above the national average. It also billed 619 outpatient services, charging 14.44 times what Medicare paid.
- 1Medicare inpatient stays 517
- 2Charge ÷ paid, inpatient 5.14×
- 3Rank in FL (highest ratio = 1) 119 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 22 DRGs that can be compared with the national average, Homestead Hospital charged more than the national average in 19 (86%). 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 | 89 | $128,961 | +43% | $21,443 |
| 291 Heart Failure and Shock with MCC | 52 | $88,101 | +56% | $16,077 |
| 193 Simple Pneumonia and Pleurisy with MCC | 50 | $84,931 | +42% | $16,390 |
| 177 Respiratory Infections and Inflammations with MCC | 40 | $97,937 | +39% | $20,665 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $50,184 | +31% | $12,753 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $64,082 | +11% | $15,826 |
| 378 Gastrointestinal Hemorrhage with CC | 19 | $64,375 | +33% | $13,786 |
| 603 Cellulitis without MCC | 19 | $49,878 | +34% | $12,620 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $80,704 | +65% | $14,082 |
| 178 Respiratory Infections and Inflammations with CC | 17 | $65,813 | +45% | $13,317 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $77,054 | -10% | $18,559 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $47,368 | +25% | $13,078 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $57,955 | +44% | $12,550 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $247,748 | +8% | $41,953 |
| 682 Renal Failure with MCC | 15 | $66,645 | +1% | $16,477 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $68,300 | +33% | $14,653 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $46,363 | -8% | $13,578 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 14 | $136,056 | 0% | $27,290 |
| 389 Gastrointestinal Obstruction with CC | 13 | $46,849 | +20% | $11,964 |
| 683 Renal Failure with CC | 12 | $53,661 | +32% | $13,368 |
| 202 Bronchitis and Asthma with CC/MCC | 11 | $65,926 | +43% | $13,865 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $294,435 | +37% | $43,879 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 574 | $27,979 | $2,473 |
| Level 2 Upper GI Procedures | 15 | $26,146 | $1,724 |
| Level 1 Laparoscopy and Related Services | 15 | $71,246 | $4,955 |
| Level 5 Urology and Related Services | 15 | $46,166 | $4,687 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Homestead Hospital charged $128,961 on average, 14% more than the Florida average of $112,838, and was paid $21,443 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Homestead Hospital charged $88,101 on average, 30% more than the Florida average of $67,659, and was paid $16,077 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Homestead Hospital charged $84,931 on average, 8% more than the Florida average of $78,292, and was paid $16,390 against a state average of $10,939. For Respiratory Infections and Inflammations with MCC (DRG 177), Homestead Hospital charged $97,937 on average, 15% more than the Florida average of $85,454, and was paid $20,665 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,979 was 2% below the state average of $28,431. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $26,146 was 38% above the state average of $18,929. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $71,246 was 4% above the state average of $68,202. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $46,166 was 10% below the state average of $51,337.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Homestead Hospital in Homestead, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-11-22 (CMS case 2904)
- CAP Request — 2025-02-26 (CMS case 2904)
- Closure Notice — 2025-03-26 (CMS case 2904)
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.