Florida / Morton Plant North Bay Hospital
CMS certification 100063 · New Port Richey, FL · 4 entries in CMS's price-transparency list
Morton Plant North Bay Hospital: charges and Medicare payments
Morton Plant North Bay Hospital reported 1,318 Medicare inpatient stays across 42 DRGs in 2024. Across them it charged 4.83 times what it was paid — among the lower ratios in Florida, number 134 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: 204 stays at an average charge of $68,006, 25% below the national average. It also billed 583 outpatient services, charging 11.59 times what Medicare paid.
- 1Medicare inpatient stays 1,318
- 2Charge ÷ paid, inpatient 4.83×
- 3Rank in FL (highest ratio = 1) 134 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 42 DRGs that can be compared with the national average, Morton Plant North Bay Hospital charged more than the national average in 10 (24%). 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 | 204 | $68,006 | -25% | $15,398 |
| 291 Heart Failure and Shock with MCC | 84 | $52,664 | -7% | $10,261 |
| 193 Simple Pneumonia and Pleurisy with MCC | 61 | $47,431 | -21% | $10,772 |
| 177 Respiratory Infections and Inflammations with MCC | 53 | $65,128 | -8% | $13,732 |
| 689 Kidney and Urinary Tract Infections with MCC | 53 | $47,172 | -8% | $9,501 |
| 189 Pulmonary Edema and Respiratory Failure | 50 | $48,493 | -16% | $10,443 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 48 | $42,070 | +5% | $7,339 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 47 | $66,027 | -13% | $12,609 |
| 690 Kidney and Urinary Tract Infections without MCC | 46 | $35,042 | -7% | $7,520 |
| 885 Psychoses | 44 | $27,951 | -37% | $11,433 |
| 683 Renal Failure with CC | 37 | $37,893 | -7% | $7,865 |
| 312 Syncope and Collapse | 36 | $43,886 | -4% | $8,371 |
| 603 Cellulitis without MCC | 35 | $38,938 | +4% | $8,047 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 31 | $59,284 | -19% | $12,395 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $45,250 | -8% | $9,525 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $39,678 | +10% | $6,823 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $50,262 | +4% | $10,122 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $47,751 | -5% | $8,230 |
| 682 Renal Failure with MCC | 24 | $68,088 | +3% | $12,160 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $33,931 | -8% | $7,172 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $174,926 | -24% | $36,127 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 21 | $32,637 | -18% | $8,090 |
| 394 Other Digestive System Diagnoses with CC | 21 | $40,147 | -15% | $8,343 |
| 101 Seizures without MCC | 18 | $46,330 | -5% | $7,733 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 18 | $58,604 | -8% | $9,438 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $40,551 | -33% | $10,540 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 18 | $55,186 | -26% | $14,603 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $107,023 | -7% | $14,719 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $69,164 | -19% | $14,568 |
| 552 Medical Back Problems without MCC | 16 | $39,134 | -20% | $8,226 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $49,499 | +4% | $9,027 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 14 | $28,621 | -23% | $7,822 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $37,063 | -27% | $8,972 |
| 536 Fractures of Hip and Pelvis without MCC | 13 | $32,647 | -13% | $7,327 |
| 812 Red Blood Cell Disorders without MCC | 13 | $47,017 | +6% | $8,267 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $85,422 | -14% | $15,622 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $47,168 | -17% | $10,379 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $165,420 | +1% | $18,936 |
| 092 Other Disorders of Nervous System with CC | 11 | $53,683 | +4% | $8,879 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $32,731 | -15% | $8,846 |
| 305 Hypertension without MCC | 11 | $33,688 | -16% | $7,067 |
| 638 Diabetes with CC | 11 | $46,058 | +11% | $8,234 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 330 | $22,559 | $2,461 |
| Level 1 Endovascular Procedures | 77 | $33,433 | $2,956 |
| Level 1 Laparoscopy and Related Services | 35 | $58,398 | $5,227 |
| Level 3 Endovascular Procedures | 33 | $83,368 | $9,957 |
| Level 4 Urology and Related Services | 27 | $18,278 | $3,158 |
| Level 3 Musculoskeletal Procedures | 25 | $21,993 | $2,932 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 19 | $12,490 | $1,469 |
| Level 3 Urology and Related Services | 15 | $14,258 | $1,845 |
| Level 2 Musculoskeletal Procedures | 11 | $12,009 | $1,456 |
| Level 3 Airway Endoscopy | 11 | $6,651 | $1,537 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Morton Plant North Bay Hospital charged $68,006 on average, 40% less than the Florida average of $112,838, and was paid $15,398 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Morton Plant North Bay Hospital charged $52,664 on average, 22% less than the Florida average of $67,659, and was paid $10,261 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Morton Plant North Bay Hospital charged $47,431 on average, 39% less than the Florida average of $78,292, and was paid $10,772 against a state average of $10,939. For Respiratory Infections and Inflammations with MCC (DRG 177), Morton Plant North Bay Hospital charged $65,128 on average, 24% less than the Florida average of $85,454, and was paid $13,732 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,559 was 21% below the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $33,433 was 20% below the state average of $41,880. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $58,398 was 14% below the state average of $68,202. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $83,368 was 19% below the state average of $102,708.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Morton Plant North Bay Hospital in New Port Richey, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-03-26 (CMS case 2443)
- Closure Notice — 2024-07-03 (CMS case 2443)
- Warning Notice — 2025-08-20 (CMS case 6337)
- Closure Notice — 2025-08-25 (CMS case 6337)
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.