Florida / Palm Beach Gardens Medical Center
CMS certification 100176 · Palm Beach Gardens, FL · 3 entries in CMS's price-transparency list
Palm Beach Gardens Medical Center: charges and Medicare payments
Palm Beach Gardens Medical Center reported 2,309 Medicare inpatient stays across 76 DRGs in 2024. Across them it charged 13.76 times what it was paid — among the higher ratios in Florida, number 6 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: 172 stays at an average charge of $207,462, 130% above the national average. It also billed 1,990 outpatient services, charging 17.3 times what Medicare paid.
- 1Medicare inpatient stays 2,309
- 2Charge ÷ paid, inpatient 13.76×
- 3Rank in FL (highest ratio = 1) 6 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 76 DRGs that can be compared with the national average, Palm Beach Gardens Medical Center charged more than the national average in 76 (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 | 172 | $207,462 | +130% | $13,207 |
| 291 Heart Failure and Shock with MCC | 148 | $114,645 | +103% | $8,839 |
| 177 Respiratory Infections and Inflammations with MCC | 132 | $146,956 | +108% | $10,897 |
| 193 Simple Pneumonia and Pleurisy with MCC | 104 | $137,778 | +131% | $8,836 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 63 | $294,493 | +88% | $21,489 |
| 690 Kidney and Urinary Tract Infections without MCC | 61 | $83,934 | +122% | $5,350 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 56 | $75,528 | +88% | $5,260 |
| 603 Cellulitis without MCC | 55 | $90,391 | +142% | $6,352 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 52 | $67,556 | +82% | $5,082 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 51 | $73,119 | +102% | $5,165 |
| 689 Kidney and Urinary Tract Infections with MCC | 47 | $118,727 | +131% | $7,713 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 46 | $133,343 | +82% | $10,698 |
| 682 Renal Failure with MCC | 41 | $124,595 | +89% | $9,632 |
| 194 Simple Pneumonia and Pleurisy with CC | 40 | $84,795 | +121% | $5,205 |
| 312 Syncope and Collapse | 40 | $68,510 | +50% | $5,838 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 36 | $381,874 | +34% | $41,049 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $105,760 | +75% | $9,245 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 31 | $136,363 | +113% | $6,903 |
| 481 Hip and Femur Procedures except Major Joint with CC | 31 | $183,861 | +82% | $13,466 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $254,544 | +122% | $11,869 |
| 377 Gastrointestinal Hemorrhage with MCC | 30 | $141,634 | +66% | $11,583 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 29 | $796,929 | +107% | $46,815 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 29 | $87,259 | +54% | $8,058 |
| 683 Renal Failure with CC | 29 | $86,823 | +113% | $6,319 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $101,672 | +109% | $6,630 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $635,824 | +178% | $40,430 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 26 | $353,785 | +60% | $32,774 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 26 | $226,540 | +121% | $14,159 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 25 | $213,014 | +90% | $15,684 |
| 552 Medical Back Problems without MCC | 25 | $92,803 | +90% | $6,768 |
| 178 Respiratory Infections and Inflammations with CC | 24 | $95,877 | +112% | $6,763 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $145,326 | +92% | $10,481 |
| 305 Hypertension without MCC | 24 | $63,380 | +58% | $5,015 |
| 314 Other Circulatory System Diagnoses with MCC | 24 | $121,610 | +28% | $13,194 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 23 | $50,860 | +77% | $3,716 |
| 313 Chest Pain | 23 | $61,518 | +54% | $4,921 |
| 389 Gastrointestinal Obstruction with CC | 23 | $86,729 | +123% | $5,357 |
| 039 Extracranial Procedures without CC/MCC | 22 | $150,247 | +135% | $7,632 |
| 189 Pulmonary Edema and Respiratory Failure | 22 | $114,156 | +98% | $8,248 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 22 | $384,842 | +78% | $29,150 |
| 330 Major Small and Large Bowel Procedures with CC | 20 | $158,130 | +33% | $15,874 |
| 713 Transurethral Prostatectomy with CC/MCC | 20 | $121,870 | +59% | $9,727 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 19 | $221,115 | +99% | $14,494 |
| 271 Other Major Cardiovascular Procedures with CC | 19 | $356,423 | +105% | $23,232 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $361,032 | +121% | $19,058 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $99,096 | +62% | $8,662 |
| 394 Other Digestive System Diagnoses with CC | 19 | $76,650 | +63% | $6,668 |
| 202 Bronchitis and Asthma with CC/MCC | 18 | $79,596 | +72% | $6,532 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $206,570 | +122% | $12,536 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $107,385 | +112% | $7,311 |
| 536 Fractures of Hip and Pelvis without MCC | 17 | $69,703 | +85% | $5,159 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $141,008 | +41% | $12,889 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $122,904 | +121% | $7,328 |
| 244 Permanent Cardiac Pacemaker Implant without CC/MCC | 15 | $171,740 | +84% | $12,243 |
| 270 Other Major Cardiovascular Procedures with MCC | 15 | $406,973 | +57% | $33,645 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $316,471 | +47% | $23,745 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $93,295 | +96% | $6,536 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 14 | $355,881 | +66% | $27,424 |
| 460 Spinal Fusion except Cervical without MCC | 14 | $413,183 | +143% | $27,731 |
| 472 Cervical Spinal Fusion with CC | 14 | $304,735 | +113% | $18,406 |
Showing the 60 most frequent of 76 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Palm Beach Gardens Medical Center charged $207,462 on average, 84% more than the Florida average of $112,838, and was paid $13,207 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Palm Beach Gardens Medical Center charged $114,645 on average, 69% more than the Florida average of $67,659, and was paid $8,839 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Palm Beach Gardens Medical Center charged $146,956 on average, 72% more than the Florida average of $85,454, and was paid $10,897 against a state average of $13,200. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Palm Beach Gardens Medical Center charged $137,778 on average, 76% more than the Florida average of $78,292, and was paid $8,836 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $37,636 was 32% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $67,565 was 61% above the state average of $41,880. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $174,405 was 63% above the state average of $106,979. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $250,166 was 28% above the state average of $195,231.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Palm Beach Gardens Medical Center in Palm Beach Gardens, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-10-04 (CMS case 2767)
- Closure Notice — 2024-10-23 (CMS case 2767)
- Met Requirements — 2025-07-15 (CMS case 5768)
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.