Florida / Santa Rosa Medical Center
CMS certification 100124 · Milton, FL · 2 entries in CMS's price-transparency list
Santa Rosa Medical Center: charges and Medicare payments
Santa Rosa Medical Center reported 413 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 6.36 times what it was paid — mid-range in Florida, number 90 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: 86 stays at an average charge of $83,243, 8% below the national average. It also billed 489 outpatient services, charging 17.54 times what Medicare paid.
- 1Medicare inpatient stays 413
- 2Charge ÷ paid, inpatient 6.36×
- 3Rank in FL (highest ratio = 1) 90 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 17 DRGs that can be compared with the national average, Santa Rosa Medical Center charged more than the national average in 8 (47%). 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 | 86 | $83,243 | -8% | $13,889 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $68,170 | +14% | $9,840 |
| 689 Kidney and Urinary Tract Infections with MCC | 35 | $59,960 | +17% | $8,399 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 28 | $126,352 | +36% | $15,006 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $59,652 | -15% | $11,338 |
| 291 Heart Failure and Shock with MCC | 23 | $46,327 | -18% | $9,600 |
| 682 Renal Failure with MCC | 23 | $60,760 | -8% | $10,975 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $41,083 | +9% | $6,524 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $117,523 | +17% | $16,106 |
| 378 Gastrointestinal Hemorrhage with CC | 19 | $51,498 | +6% | $7,562 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $56,033 | +40% | $6,470 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 15 | $70,149 | -4% | $11,882 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $38,668 | -24% | $8,327 |
| 603 Cellulitis without MCC | 13 | $41,783 | +12% | $6,992 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $48,291 | -16% | $9,546 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $209,188 | -9% | $34,306 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $53,986 | -10% | $9,872 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 142 | $37,415 | $2,425 |
| Level 4 Urology and Related Services | 53 | $69,266 | $3,063 |
| Level 1 Laparoscopy and Related Services | 34 | $91,545 | $4,982 |
| Level 5 Urology and Related Services | 32 | $60,139 | $4,570 |
| Level 4 Musculoskeletal Procedures | 31 | $82,553 | $6,480 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 27 | $28,185 | $1,469 |
| Level 3 Urology and Related Services | 25 | $33,318 | $1,786 |
| Level 4 Endovascular Procedures | 21 | $90,541 | $13,587 |
| Level 2 Laparoscopy and Related Services | 20 | $162,614 | $8,935 |
| Level 1 Endovascular Procedures | 18 | $37,327 | $2,838 |
| Level 3 Vascular Procedures | 17 | $35,754 | $2,887 |
| Level 3 Endovascular Procedures | 17 | $78,766 | $9,957 |
| Level 2 Musculoskeletal Procedures | 14 | $26,212 | $1,456 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $42,041 | $2,416 |
| Level 2 Upper GI Procedures | 13 | $22,819 | $1,724 |
| Level 5 Gynecologic Procedures | 12 | $71,153 | $4,505 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Santa Rosa Medical Center charged $83,243 on average, 26% less than the Florida average of $112,838, and was paid $13,889 against a state average of $15,663. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Santa Rosa Medical Center charged $68,170 on average, 13% less than the Florida average of $78,292, and was paid $9,840 against a state average of $10,939. For Kidney and Urinary Tract Infections with MCC (DRG 689), Santa Rosa Medical Center charged $59,960 on average, 4% less than the Florida average of $62,527, and was paid $8,399 against a state average of $9,734. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Santa Rosa Medical Center charged $126,352 on average, 11% less than the Florida average of $141,193, and was paid $15,006 against a state average of $15,521. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $37,415 was 32% above the state average of $28,431. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $69,266 was 89% above the state average of $36,684. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $91,545 was 34% above the state average of $68,202. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $60,139 was 17% above the state average of $51,337.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Santa Rosa Medical Center in Milton, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-02-07 (CMS case 1313)
- Met Requirements — 2025-07-17 (CMS case 5837)
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.