Florida / Lee Memorial Hospital
CMS certification 100012 · Fort Myers, FL · 2 entries in CMS's price-transparency list
Lee Memorial Hospital: charges and Medicare payments
Lee Memorial Hospital reported 7,560 Medicare inpatient stays across 165 DRGs in 2024. Across them it charged 5.64 times what it was paid — mid-range in Florida, number 101 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 580 stays at an average charge of $46,514, 17% below the national average. It also billed 6,734 outpatient services, charging 11.01 times what Medicare paid.
- 1Medicare inpatient stays 7,560
- 2Charge ÷ paid, inpatient 5.64×
- 3Rank in FL (highest ratio = 1) 101 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 165 DRGs that can be compared with the national average, Lee Memorial Hospital charged more than the national average in 44 (27%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 580 | $46,514 | -17% | $10,455 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 488 | $82,970 | -8% | $15,509 |
| 177 Respiratory Infections and Inflammations with MCC | 254 | $60,530 | -14% | $12,824 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 237 | $108,508 | +16% | $15,156 |
| 690 Kidney and Urinary Tract Infections without MCC | 181 | $32,414 | -14% | $6,954 |
| 193 Simple Pneumonia and Pleurisy with MCC | 167 | $45,149 | -24% | $10,724 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 160 | $29,520 | -18% | $6,724 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 152 | $34,099 | -15% | $7,209 |
| 189 Pulmonary Edema and Respiratory Failure | 151 | $54,954 | -5% | $10,105 |
| 378 Gastrointestinal Hemorrhage with CC | 146 | $42,134 | -13% | $8,247 |
| 683 Renal Failure with CC | 128 | $35,354 | -13% | $7,636 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 126 | $22,284 | -22% | $5,506 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 117 | $29,139 | -21% | $6,812 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 107 | $113,300 | -1% | $15,594 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 106 | $306,213 | +38% | $39,981 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 104 | $173,541 | +11% | $24,943 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 90 | $43,342 | -23% | $10,352 |
| 603 Cellulitis without MCC | 84 | $25,972 | -30% | $7,957 |
| 689 Kidney and Urinary Tract Infections with MCC | 81 | $41,892 | -18% | $9,290 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 78 | $42,056 | -14% | $8,389 |
| 312 Syncope and Collapse | 77 | $38,156 | -16% | $7,527 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 74 | $83,318 | -26% | $17,444 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 74 | $154,808 | -5% | $23,527 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 73 | $80,483 | +6% | $13,493 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 73 | $63,620 | -13% | $12,753 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 72 | $57,149 | -11% | $9,636 |
| 467 Revision of Hip or Knee Replacement with CC | 71 | $174,037 | +10% | $26,857 |
| 377 Gastrointestinal Hemorrhage with MCC | 70 | $74,090 | -13% | $15,644 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 68 | $209,722 | -8% | $38,509 |
| 178 Respiratory Infections and Inflammations with CC | 65 | $39,611 | -13% | $8,375 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 62 | $349,640 | +23% | $50,713 |
| 552 Medical Back Problems without MCC | 62 | $35,692 | -27% | $7,929 |
| 682 Renal Failure with MCC | 61 | $56,526 | -14% | $11,991 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 57 | $49,481 | -18% | $10,936 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 55 | $34,864 | -27% | $8,606 |
| 314 Other Circulatory System Diagnoses with MCC | 54 | $75,679 | -20% | $16,160 |
| 194 Simple Pneumonia and Pleurisy with CC | 52 | $34,479 | -10% | $7,240 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 51 | $44,827 | -11% | $8,976 |
| 389 Gastrointestinal Obstruction with CC | 51 | $34,864 | -10% | $6,996 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 51 | $54,708 | -10% | $10,693 |
| 394 Other Digestive System Diagnoses with CC | 51 | $38,422 | -18% | $8,081 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 49 | $242,966 | +15% | $31,170 |
| 057 Degenerative Nervous System Disorders without MCC | 47 | $35,731 | -37% | $10,632 |
| 329 Major Small and Large Bowel Procedures with MCC | 47 | $214,169 | 0% | $37,330 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 47 | $118,465 | +16% | $16,279 |
| 481 Hip and Femur Procedures except Major Joint with CC | 46 | $106,472 | +6% | $16,621 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 45 | $255,980 | -13% | $47,858 |
| 305 Hypertension without MCC | 45 | $29,719 | -26% | $6,735 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 44 | $49,515 | -2% | $8,246 |
| 812 Red Blood Cell Disorders without MCC | 44 | $32,410 | -27% | $7,883 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 43 | $104,549 | -6% | $18,893 |
| 313 Chest Pain | 42 | $30,049 | -25% | $6,364 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 42 | $93,761 | +1% | $13,341 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 38 | $38,472 | -19% | $8,586 |
| 638 Diabetes with CC | 38 | $36,502 | -12% | $7,681 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 37 | $41,308 | -26% | $8,515 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 37 | $50,870 | -22% | $10,943 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 37 | $116,423 | -8% | $19,166 |
| 300 Peripheral Vascular Disorders with CC | 36 | $44,875 | -9% | $8,966 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 36 | $141,513 | +14% | $19,912 |
Showing the 60 most frequent of 165 DRGs.
Outpatient services
Against the Florida average
For Heart Failure and Shock with MCC (DRG 291), Lee Memorial Hospital charged $46,514 on average, 31% less than the Florida average of $67,659, and was paid $10,455 against a state average of $10,715. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lee Memorial Hospital charged $82,970 on average, 26% less than the Florida average of $112,838, and was paid $15,509 against a state average of $15,663. For Respiratory Infections and Inflammations with MCC (DRG 177), Lee Memorial Hospital charged $60,530 on average, 29% less than the Florida average of $85,454, and was paid $12,824 against a state average of $13,200. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Lee Memorial Hospital charged $108,508 on average, 23% less than the Florida average of $141,193, and was paid $15,156 against a state average of $15,521. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,365 was 21% below the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $97,453 was 9% below the state average of $106,979. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,921 was 18% below the state average of $14,597. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,546 was 18% below the state average of $18,929.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Lee Memorial Hospital in Fort Myers, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-03-28 (CMS case 3474)
- Met Requirements — 2025-06-11 (CMS case 5033)
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.