Florida / Mayo Clinic

CMS certification 100151 · Jacksonville, FL

Mayo Clinic: charges and Medicare payments

Mayo Clinic reported 8,373 Medicare inpatient stays across 211 DRGs in 2024. Across them it charged 3.25 times what it was paid — among the lower ratios in Florida, number 155 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: 516 stays at an average charge of $78,600, 13% below the national average. It also billed 14,638 outpatient services, charging 6.74 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 8,373
  2. 2Charge ÷ paid, inpatient 3.25×
  3. 3Rank in FL (highest ratio = 1) 155 of 159
  4. 4CMS price-transparency actions 0
DRG 871$78,600DRG 291$46,673DRG 177$57,374DRG 330$93,385DRG 698$66,029DRG 267$110,854DRG 392$34,548DRG 872$36,836DRG 682$44,154DRG 193$51,338
Average charge per stay at Mayo Clinic, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 211 DRGs that can be compared with the national average, Mayo Clinic charged more than the national average in 15 (7%). 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 MCC516$78,600-13%$23,179
291 Heart Failure and Shock with MCC367$46,673-17%$15,023
177 Respiratory Infections and Inflammations with MCC261$57,374-19%$18,192
330 Major Small and Large Bowel Procedures with CC141$93,385-22%$23,637
698 Other Kidney and Urinary Tract Diagnoses with MCC121$66,029-10%$21,494
267 Endovascular Cardiac Valve Replacement and Supplement...107$110,854-50%$43,309
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...106$34,548-14%$9,990
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC102$36,836-25%$12,304
682 Renal Failure with MCC98$44,154-33%$16,113
193 Simple Pneumonia and Pleurisy with MCC94$51,338-14%$15,494
025 Craniotomy and Endovascular Intracranial Procedures with MCC90$174,162-25%$55,640
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...90$46,849-22%$14,765
378 Gastrointestinal Hemorrhage with CC88$39,424-19%$10,936
064 Intracranial Hemorrhage or Cerebral Infarction with MCC87$80,341-20%$22,532
164 Major Chest Procedures with CC87$86,539-32%$28,271
603 Cellulitis without MCC87$29,019-22%$10,255
683 Renal Failure with CC87$30,876-24%$10,971
690 Kidney and Urinary Tract Infections without MCC86$26,932-29%$9,175
652 Kidney Transplant85$250,653-25%$64,511
699 Other Kidney and Urinary Tract Diagnoses with CC81$39,139-18%$12,229
178 Respiratory Infections and Inflammations with CC80$40,925-10%$11,076
689 Kidney and Urinary Tract Infections with MCC80$37,450-27%$12,798
266 Endovascular Cardiac Valve Replacement and Supplement...73$127,285-55%$58,187
309 Cardiac Arrhythmia and Conduction Disorders with CC71$27,679-23%$9,182
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...71$33,502-10%$10,242
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...68$50,970-16%$15,114
394 Other Digestive System Diagnoses with CC67$39,307-16%$12,495
194 Simple Pneumonia and Pleurisy with CC66$32,074-16%$9,610
314 Other Circulatory System Diagnoses with MCC66$74,061-22%$23,168
389 Gastrointestinal Obstruction with CC64$31,264-20%$9,536
853 Infectious and Parasitic Diseases with O.R. Procedures with...64$175,268-23%$51,128
377 Gastrointestinal Hemorrhage with MCC60$68,670-20%$19,748
393 Other Digestive System Diagnoses with MCC60$62,163-19%$18,349
026 Craniotomy and Endovascular Intracranial Procedures with CC59$84,244-49%$29,295
308 Cardiac Arrhythmia and Conduction Disorders with MCC59$42,473-25%$13,939
327 Stomach, Esophageal and Duodenal Procedures with CC59$104,513-17%$29,768
454 Combined Anterior and Posterior Spinal Fusion with CC59$156,433-44%$59,808
481 Hip and Femur Procedures except Major Joint with CC58$75,920-25%$22,684
919 Complications of Treatment with MCC55$88,0540%$28,516
205 Other Respiratory System Diagnoses with MCC54$76,756-13%$24,788
657 Kidney and Ureter Procedures for Neoplasm with CC54$89,766-10%$25,240
406 Pancreas, Liver and Shunt Procedures with CC52$130,171-20%$35,193
472 Cervical Spinal Fusion with CC52$100,078-30%$30,552
101 Seizures without MCC51$34,864-28%$12,385
329 Major Small and Large Bowel Procedures with MCC50$186,324-13%$57,395
005 Liver Transplant with MCC or Intestinal Transplant49$410,484-50%$104,261
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale48$51,389-21%$15,239
274 Percutaneous and Other Intracardiac Procedures without MCC48$98,890-37%$29,262
467 Revision of Hip or Knee Replacement with CC48$95,038-40%$33,928
286 Circulatory Disorders except AMI, with Cardiac...47$116,127+3%$28,861
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...47$72,351-16%$21,233
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...47$36,826-46%$15,124
027 Craniotomy and Endovascular Intracranial Procedures without...46$84,331-40%$25,654
862 Postoperative and Post-Traumatic Infections with MCC46$49,492-41%$18,892
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...45$47,893-14%$13,396
189 Pulmonary Edema and Respiratory Failure45$51,098-11%$16,492
920 Complications of Treatment with CC45$32,053-35%$11,217
522 Hip Replacement with Principal Diagnosis of Hip Fracture...44$71,180-30%$20,897
220 Cardiac Valve and Other Major Cardiothoracic Procedures...42$193,811-30%$64,254
236 Coronary Bypass without Cardiac Catheterization without MCC42$163,009-23%$52,748

Showing the 60 most frequent of 211 DRGs.

Outpatient services

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mayo Clinic charged $78,600 on average, 30% less than the Florida average of $112,838, and was paid $23,179 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Mayo Clinic charged $46,673 on average, 31% less than the Florida average of $67,659, and was paid $15,023 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Mayo Clinic charged $57,374 on average, 33% less than the Florida average of $85,454, and was paid $18,192 against a state average of $13,200. For Major Small and Large Bowel Procedures with CC (DRG 330), Mayo Clinic charged $93,385 on average, 47% less than the Florida average of $177,863, and was paid $23,637 against a state average of $20,254. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,713 was 45% below the state average of $28,431. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,036 was 52% below the state average of $14,597. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,006 was 26% below the state average of $18,929. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,154 was 56% 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.