Florida / Lakeland Regional Medical Center

CMS certification 100157 · Lakeland, FL

Lakeland Regional Medical Center: charges and Medicare payments

Lakeland Regional Medical Center reported 7,719 Medicare inpatient stays across 165 DRGs in 2024. Across them it charged 5.13 times what it was paid — among the lower ratios in Florida, number 120 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: 613 stays at an average charge of $74,127, 18% below the national average. It also billed 3,531 outpatient services, charging 9.01 times what Medicare paid.

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  1. 1Medicare inpatient stays 7,719
  2. 2Charge ÷ paid, inpatient 5.13×
  3. 3Rank in FL (highest ratio = 1) 120 of 159
  4. 4CMS price-transparency actions 0
DRG 871$74,127DRG 291$42,658DRG 177$59,536DRG 392$38,488DRG 274$109,055DRG 690$33,386DRG 689$39,351DRG 698$59,744DRG 683$34,756DRG 309$35,267
Average charge per stay at Lakeland Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 165 DRGs that can be compared with the national average, Lakeland Regional Medical Center charged more than the national average in 17 (10%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC613$74,127-18%$14,940
291 Heart Failure and Shock with MCC375$42,658-24%$9,829
177 Respiratory Infections and Inflammations with MCC248$59,536-16%$12,531
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...182$38,488-4%$6,731
274 Percutaneous and Other Intracardiac Procedures without MCC157$109,055-30%$24,317
690 Kidney and Urinary Tract Infections without MCC148$33,386-12%$6,803
689 Kidney and Urinary Tract Infections with MCC142$39,351-23%$9,219
698 Other Kidney and Urinary Tract Diagnoses with MCC126$59,744-19%$12,619
683 Renal Failure with CC125$34,756-15%$7,684
309 Cardiac Arrhythmia and Conduction Disorders with CC123$35,267-2%$6,598
378 Gastrointestinal Hemorrhage with CC120$50,024+3%$8,619
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...113$42,156-30%$10,502
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...113$31,844-14%$6,687
189 Pulmonary Edema and Respiratory Failure108$49,361-14%$9,799
682 Renal Failure with MCC106$45,656-31%$11,059
312 Syncope and Collapse103$38,750-15%$7,464
193 Simple Pneumonia and Pleurisy with MCC101$45,820-23%$10,319
853 Infectious and Parasitic Diseases with O.R. Procedures with...98$213,530-7%$39,089
267 Endovascular Cardiac Valve Replacement and Supplement...97$262,528+19%$36,694
178 Respiratory Infections and Inflammations with CC96$36,977-18%$8,150
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC95$39,674-19%$8,667
287 Circulatory Disorders except AMI, with Cardiac...86$64,706+1%$9,226
190 Chronic Obstructive Pulmonary Disease with MCC84$47,201-7%$8,916
377 Gastrointestinal Hemorrhage with MCC83$76,981-10%$14,843
481 Hip and Femur Procedures except Major Joint with CC81$81,457-19%$15,661
552 Medical Back Problems without MCC81$39,484-19%$8,164
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...80$57,449+3%$8,178
603 Cellulitis without MCC79$30,751-18%$7,446
308 Cardiac Arrhythmia and Conduction Disorders with MCC78$48,331-15%$10,020
322 Percutaneous Cardiovascular Procedures with Intraluminal...77$113,9890%$15,275
313 Chest Pain72$33,906-15%$6,360
069 Transient Ischemia without Thrombolytic71$49,606-2%$6,795
280 Acute Myocardial Infarction, Discharged Alive with MCC70$62,827-17%$12,315
699 Other Kidney and Urinary Tract Diagnoses with CC70$39,002-18%$8,301
470 Major Hip and Knee Joint Replacement or Reattachment of...69$80,917-13%$15,378
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...66$50,475-17%$10,110
194 Simple Pneumonia and Pleurisy with CC65$30,426-21%$7,261
286 Circulatory Disorders except AMI, with Cardiac...57$84,893-24%$16,196
321 Percutaneous Cardiovascular Procedures with Intraluminal...56$143,842-12%$22,670
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC55$28,7860%$5,300
372 Major Gastrointestinal Disorders and Peritoneal Infections...55$41,634-12%$8,712
266 Endovascular Cardiac Valve Replacement and Supplement...54$310,040+9%$46,044
314 Other Circulatory System Diagnoses with MCC54$74,600-21%$15,410
191 Chronic Obstructive Pulmonary Disease with CC53$34,344-13%$7,133
305 Hypertension without MCC51$32,956-18%$6,650
394 Other Digestive System Diagnoses with CC50$43,066-8%$8,023
638 Diabetes with CC50$33,608-19%$7,477
064 Intracranial Hemorrhage or Cerebral Infarction with MCC48$66,400-34%$13,894
071 Other Cerebrovascular Disorders with CC48$37,826-25%$8,196
522 Hip Replacement with Principal Diagnosis of Hip Fracture...47$98,746-3%$16,119
812 Red Blood Cell Disorders without MCC47$36,832-17%$7,584
389 Gastrointestinal Obstruction with CC45$38,431-1%$7,116
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...44$38,805-9%$7,384
480 Hip and Femur Procedures except Major Joint with MCC43$107,510-23%$22,286
057 Degenerative Nervous System Disorders without MCC42$34,457-39%$10,076
329 Major Small and Large Bowel Procedures with MCC42$172,324-20%$32,051
884 Organic Disturbances and Intellectual Disability42$35,760-43%$11,964
070 Other Cerebrovascular Disorders with MCC39$60,462-20%$12,411
202 Bronchitis and Asthma with CC/MCC36$37,683-18%$8,059
252 Other Vascular Procedures with MCC36$138,013-19%$24,876

Showing the 60 most frequent of 165 DRGs.

Outpatient services

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lakeland Regional Medical Center charged $74,127 on average, 34% less than the Florida average of $112,838, and was paid $14,940 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Lakeland Regional Medical Center charged $42,658 on average, 37% less than the Florida average of $67,659, and was paid $9,829 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Lakeland Regional Medical Center charged $59,536 on average, 30% less than the Florida average of $85,454, and was paid $12,531 against a state average of $13,200. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Lakeland Regional Medical Center charged $38,488 on average, 28% less than the Florida average of $53,444, and was paid $6,731 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,781 was 16% below the state average of $28,431. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,157 was 45% below the state average of $3,903. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $34,869 was 17% below the state average of $41,880. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $72,191 was 33% below the state average of $106,979.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.