Florida / Palm Bay Hospital
CMS certification 100316 · Palm Bay, FL
Palm Bay Hospital: charges and Medicare payments
Palm Bay Hospital reported 1,534 Medicare inpatient stays across 56 DRGs in 2024. Across them it charged 5.48 times what it was paid — mid-range in Florida, number 105 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: 130 stays at an average charge of $77,719, 14% below the national average. It also billed 1,102 outpatient services, charging 9.99 times what Medicare paid.
- 1Medicare inpatient stays 1,534
- 2Charge ÷ paid, inpatient 5.48×
- 3Rank in FL (highest ratio = 1) 105 of 159
- 4CMS price-transparency actions 0
Inpatient stays
For the 56 DRGs that can be compared with the national average, Palm Bay Hospital charged more than the national average in 7 (13%). 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 | 130 | $77,719 | -14% | $13,663 |
| 291 Heart Failure and Shock with MCC | 88 | $56,342 | 0% | $9,509 |
| 177 Respiratory Infections and Inflammations with MCC | 69 | $67,199 | -5% | $11,953 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 63 | $34,660 | -14% | $6,345 |
| 193 Simple Pneumonia and Pleurisy with MCC | 61 | $56,991 | -5% | $10,164 |
| 689 Kidney and Urinary Tract Infections with MCC | 58 | $42,129 | -18% | $8,830 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 57 | $56,759 | +12% | $8,475 |
| 690 Kidney and Urinary Tract Infections without MCC | 52 | $32,509 | -14% | $6,381 |
| 312 Syncope and Collapse | 39 | $32,244 | -29% | $7,236 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 37 | $59,632 | -21% | $12,037 |
| 378 Gastrointestinal Hemorrhage with CC | 35 | $47,150 | -3% | $7,946 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 35 | $40,973 | -16% | $8,354 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $54,197 | -6% | $9,359 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $27,531 | -26% | $6,234 |
| 313 Chest Pain | 30 | $28,841 | -28% | $5,926 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 29 | $41,819 | -25% | $8,058 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $42,102 | -30% | $9,039 |
| 683 Renal Failure with CC | 27 | $37,299 | -8% | $7,031 |
| 069 Transient Ischemia without Thrombolytic | 25 | $38,375 | -24% | $6,460 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $42,836 | -24% | $9,203 |
| 682 Renal Failure with MCC | 25 | $57,240 | -13% | $10,699 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $71,012 | -17% | $12,937 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 23 | $89,089 | -11% | $13,664 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $187,148 | -18% | $31,753 |
| 149 Dysequilibrium | 22 | $26,641 | -40% | $6,105 |
| 552 Medical Back Problems without MCC | 22 | $31,223 | -36% | $7,315 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 21 | $43,408 | -32% | $8,424 |
| 389 Gastrointestinal Obstruction with CC | 20 | $34,132 | -12% | $6,441 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $98,542 | -2% | $14,506 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $60,635 | -17% | $11,893 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $53,493 | -12% | $9,599 |
| 071 Other Cerebrovascular Disorders with CC | 17 | $46,020 | -9% | $8,013 |
| 100 Seizures with MCC | 17 | $54,053 | -43% | $13,947 |
| 305 Hypertension without MCC | 17 | $33,572 | -16% | $6,529 |
| 603 Cellulitis without MCC | 17 | $35,775 | -4% | $7,006 |
| 637 Diabetes with MCC | 17 | $73,721 | +11% | $11,512 |
| 092 Other Disorders of Nervous System with CC | 16 | $33,115 | -36% | $7,795 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $29,421 | -19% | $6,042 |
| 202 Bronchitis and Asthma with CC/MCC | 15 | $46,722 | +1% | $7,550 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 15 | $28,811 | -32% | $6,869 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $34,041 | -33% | $7,034 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $55,245 | -51% | $15,331 |
| 393 Other Digestive System Diagnoses with MCC | 14 | $64,424 | -16% | $11,993 |
| 811 Red Blood Cell Disorders with MCC | 14 | $59,650 | -12% | $10,610 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $79,104 | -31% | $13,459 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 13 | $105,571 | -24% | $19,319 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $120,059 | +17% | $15,212 |
| 638 Diabetes with CC | 13 | $35,094 | -16% | $7,244 |
| 176 Pulmonary Embolism without MCC | 12 | $27,252 | -34% | $6,573 |
| 101 Seizures without MCC | 11 | $29,894 | -39% | $7,026 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $71,829 | +10% | $9,934 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $45,592 | +1% | $7,454 |
| 315 Other Circulatory System Diagnoses with CC | 11 | $37,135 | -23% | $7,458 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $111,797 | +20% | $13,763 |
| 551 Medical Back Problems with MCC | 11 | $51,136 | -35% | $12,292 |
| 948 Signs and Symptoms without MCC | 11 | $28,487 | -25% | $6,348 |
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Palm Bay Hospital charged $77,719 on average, 31% less than the Florida average of $112,838, and was paid $13,663 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Palm Bay Hospital charged $56,342 on average, 17% less than the Florida average of $67,659, and was paid $9,509 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Palm Bay Hospital charged $67,199 on average, 21% less than the Florida average of $85,454, and was paid $11,953 against a state average of $13,200. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Palm Bay Hospital charged $34,660 on average, 35% less than the Florida average of $53,444, and was paid $6,345 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,814 was 37% below the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $101,164 was 5% below the state average of $106,979. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $34,870 was 20% below the state average of $43,452. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $26,505 was 42% above the state average of $18,605.
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.