Sacred Heart Hospital on the Emerald Coast: charges and Medicare payments

Sacred Heart Hospital on the Emerald Coast reported 1,059 Medicare inpatient stays across 40 DRGs in 2024. Across them it charged 4.92 times what it was paid — among the lower ratios in Florida, number 127 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 193, Simple Pneumonia and Pleurisy with MCC: 104 stays at an average charge of $39,043, 35% below the national average. It also billed 1,628 outpatient services, charging 8.47 times what Medicare paid.

1Medicare inpatient stays 1,059
2Charge ÷ paid, inpatient 4.92×
3Rank in FL (highest ratio = 1) 127 of 159
4CMS price-transparency actions 0

Average charge per stay at Sacred Heart Hospital on the Emerald Coast, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 40 DRGs that can be compared with the national average, Sacred Heart Hospital on the Emerald Coast charged more than the national average in 5 (13%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
193 Simple Pneumonia and Pleurisy with MCC	104	$39,043	-35%	$10,256
291 Heart Failure and Shock with MCC	85	$37,631	-33%	$9,632
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	77	$61,080	-32%	$14,237
177 Respiratory Infections and Inflammations with MCC	64	$48,927	-31%	$12,374
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	38	$235,003	+16%	$34,743
689 Kidney and Urinary Tract Infections with MCC	36	$36,370	-29%	$8,772
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	33	$35,815	-11%	$6,689
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$26,908	-27%	$6,584
682 Renal Failure with MCC	31	$42,083	-36%	$10,831
460 Spinal Fusion except Cervical without MCC	27	$175,165	+3%	$26,681
690 Kidney and Urinary Tract Infections without MCC	25	$30,015	-21%	$6,888
280 Acute Myocardial Infarction, Discharged Alive with MCC	24	$60,824	-20%	$11,147
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	24	$27,757	-3%	$5,092
472 Cervical Spinal Fusion with CC	24	$93,485	-35%	$22,747
189 Pulmonary Edema and Respiratory Failure	23	$40,134	-30%	$9,805
194 Simple Pneumonia and Pleurisy with CC	23	$36,679	-4%	$6,939
309 Cardiac Arrhythmia and Conduction Disorders with CC	23	$35,293	-2%	$7,026
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	22	$42,920	-23%	$8,208
378 Gastrointestinal Hemorrhage with CC	22	$50,944	+5%	$8,078
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	21	$35,425	-41%	$9,911
603 Cellulitis without MCC	20	$30,782	-17%	$7,337
683 Renal Failure with CC	20	$30,442	-25%	$7,138
308 Cardiac Arrhythmia and Conduction Disorders with MCC	18	$35,495	-37%	$9,611
377 Gastrointestinal Hemorrhage with MCC	18	$86,942	+2%	$13,747
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	17	$45,145	-8%	$8,389
287 Circulatory Disorders except AMI, with Cardiac...	16	$70,134	+10%	$8,703
322 Percutaneous Cardiovascular Procedures with Intraluminal...	16	$102,251	-11%	$14,813
454 Combined Anterior and Posterior Spinal Fusion with CC	16	$262,638	-6%	$43,979
481 Hip and Femur Procedures except Major Joint with CC	16	$75,005	-26%	$14,018
698 Other Kidney and Urinary Tract Diagnoses with MCC	16	$39,956	-46%	$11,576
394 Other Digestive System Diagnoses with CC	15	$43,918	-7%	$7,762
473 Cervical Spinal Fusion without CC/MCC	15	$83,414	-27%	$18,236
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	14	$74,532	-27%	$15,731
468 Revision of Hip or Knee Replacement without CC/MCC	13	$91,292	-26%	$21,514
178 Respiratory Infections and Inflammations with CC	12	$27,876	-38%	$7,931
281 Acute Myocardial Infarction, Discharged Alive with CC	12	$42,273	-16%	$7,490
329 Major Small and Large Bowel Procedures with MCC	12	$140,230	-35%	$29,916
637 Diabetes with MCC	12	$53,589	-19%	$11,242
190 Chronic Obstructive Pulmonary Disease with MCC	11	$33,608	-34%	$8,453
389 Gastrointestinal Obstruction with CC	11	$31,268	-20%	$6,772

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	278	$26,986	$2,479
Level 2 Upper GI Procedures	230	$20,099	$1,712
Level 5 Musculoskeletal Procedures	228	$60,150	$11,861
Level 1 Endovascular Procedures	89	$37,974	$2,956
Level 2 Excision/ Biopsy/ Incision and Drainage	84	$14,507	$1,441
Level 1 Laparoscopy and Related Services	73	$39,168	$5,170
Level 1 Nerve Procedures	64	$16,752	$1,735
Level 4 Musculoskeletal Procedures	52	$46,188	$6,480
Level 3 Electrophysiologic Procedures	52	$184,271	$21,459
Level 4 Urology and Related Services	41	$27,273	$3,097
Level 6 Musculoskeletal Procedures	38	$85,087	$16,445
Level 4 ENT Procedures	34	$33,706	$2,916
Level 3 Excision/ Biopsy/ Incision and Drainage	33	$13,443	$2,574
Level 5 Urology and Related Services	33	$35,703	$4,687
Level 5 Neurostimulator and Related Procedures	32	$145,572	$28,046
Level 3 Pacemaker and Similar Procedures	27	$74,658	$9,666
Level 5 Airway Endoscopy	26	$52,107	$6,010
Level 3 Vascular Procedures	26	$29,761	$2,887
Level 3 Musculoskeletal Procedures	23	$25,477	$2,932
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	22	$28,915	$3,134
Level 2 Laparoscopy and Related Services	21	$48,468	$9,319
Level 3 Urology and Related Services	21	$22,983	$1,845
Level 3 Endovascular Procedures	17	$69,713	$9,957
Level 2 Pacemaker and Similar Procedures	17	$30,899	$7,696
Level 4 Gynecologic Procedures	16	$22,077	$2,832

Against the Florida average

For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sacred Heart Hospital on the Emerald Coast charged $39,043 on average, 50% less than the Florida average of $78,292, and was paid $10,256 against a state average of $10,939. For Heart Failure and Shock with MCC (DRG 291), Sacred Heart Hospital on the Emerald Coast charged $37,631 on average, 44% less than the Florida average of $67,659, and was paid $9,632 against a state average of $10,715. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sacred Heart Hospital on the Emerald Coast charged $61,080 on average, 46% less than the Florida average of $112,838, and was paid $14,237 against a state average of $15,663. For Respiratory Infections and Inflammations with MCC (DRG 177), Sacred Heart Hospital on the Emerald Coast charged $48,927 on average, 43% less than the Florida average of $85,454, and was paid $12,374 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,986 was 5% below the state average of $28,431. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $20,099 was 6% above the state average of $18,929. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $60,150 was 44% below the state average of $106,979. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $37,974 was 9% below the state average of $41,880.

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.