Florida / Orlando Health St Cloud Hospital
CMS certification 100302 · Saint Cloud, FL · 1 entry in CMS's price-transparency list
Orlando Health St Cloud Hospital: charges and Medicare payments
Orlando Health St Cloud Hospital reported 790 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 9.06 times what it was paid — among the higher ratios in Florida, number 51 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: 168 stays at an average charge of $129,106, 43% above the national average. It also billed 360 outpatient services, charging 16.3 times what Medicare paid.
- 1Medicare inpatient stays 790
- 2Charge ÷ paid, inpatient 9.06×
- 3Rank in FL (highest ratio = 1) 51 of 159
- 4CMS price-transparency actions 1
Inpatient stays
For the 31 DRGs that can be compared with the national average, Orlando Health St Cloud Hospital charged more than the national average in 31 (100%). 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 | 168 | $129,106 | +43% | $13,205 |
| 291 Heart Failure and Shock with MCC | 66 | $85,336 | +51% | $9,588 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $64,262 | +60% | $6,857 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $55,554 | +47% | $6,115 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $90,574 | +28% | $12,703 |
| 312 Syncope and Collapse | 29 | $64,095 | +41% | $6,664 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $72,804 | +42% | $8,371 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $82,374 | +70% | $7,316 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $93,469 | +27% | $10,747 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $85,733 | +49% | $9,235 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $79,315 | +33% | $10,500 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $95,480 | +26% | $12,214 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $73,484 | +50% | $7,834 |
| 603 Cellulitis without MCC | 21 | $48,980 | +31% | $6,710 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $53,900 | +40% | $6,436 |
| 313 Chest Pain | 15 | $59,470 | +49% | $5,877 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $50,615 | +37% | $5,987 |
| 149 Dysequilibrium | 14 | $60,955 | +37% | $6,508 |
| 069 Transient Ischemia without Thrombolytic | 13 | $73,082 | +45% | $6,719 |
| 101 Seizures without MCC | 13 | $79,450 | +63% | $6,963 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 13 | $46,381 | +61% | $4,591 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $119,453 | +40% | $12,532 |
| 552 Medical Back Problems without MCC | 13 | $51,132 | +5% | $6,773 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $82,796 | +37% | $9,142 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $57,368 | +45% | $6,356 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $142,660 | +27% | $16,632 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $53,622 | +48% | $5,883 |
| 638 Diabetes with CC | 12 | $64,398 | +55% | $6,990 |
| 682 Renal Failure with MCC | 11 | $107,385 | +63% | $10,137 |
| 812 Red Blood Cell Disorders without MCC | 11 | $66,486 | +50% | $7,035 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $280,881 | +23% | $38,329 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 151 | $34,851 | $2,466 |
| Level 1 Intraocular Procedures | 57 | $22,299 | $2,111 |
| Level 1 Endovascular Procedures | 44 | $30,357 | $2,956 |
| Level 2 Upper GI Procedures | 24 | $25,305 | $1,724 |
| Level 3 Urology and Related Services | 20 | $28,954 | $1,845 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 16 | $75,511 | $3,134 |
| Level 6 Urology and Related Services | 14 | $54,468 | $8,343 |
| Level 2 Pacemaker and Similar Procedures | 12 | $96,298 | $7,696 |
| Level 4 Urology and Related Services | 11 | $40,047 | $3,158 |
| Level 1 Nerve Procedures | 11 | $34,780 | $1,749 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Orlando Health St Cloud Hospital charged $129,106 on average, 14% more than the Florida average of $112,838, and was paid $13,205 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Orlando Health St Cloud Hospital charged $85,336 on average, 26% more than the Florida average of $67,659, and was paid $9,588 against a state average of $10,715. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Orlando Health St Cloud Hospital charged $64,262 on average, 20% more than the Florida average of $53,444, and was paid $6,857 against a state average of $7,095. For Kidney and Urinary Tract Infections without MCC (DRG 690), Orlando Health St Cloud Hospital charged $55,554 on average, 15% more than the Florida average of $48,190, and was paid $6,115 against a state average of $7,285. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $34,851 was 23% above the state average of $28,431. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $22,299 was 7% below the state average of $23,896. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,357 was 28% below the state average of $41,880. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $25,305 was 34% above the state average of $18,929.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Orlando Health St Cloud Hospital in Saint Cloud, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-19 (CMS case 6314)
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.