Florida / Shorepoint Health Punta Gorda
CMS certification 100047 · Punta Gorda, FL · 2 entries in CMS's price-transparency list
Shorepoint Health Punta Gorda: charges and Medicare payments
Shorepoint Health Punta Gorda reported 422 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 6.21 times what it was paid — mid-range in Florida, number 94 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: 66 stays at an average charge of $88,603, 48% above the national average. It also billed 209 outpatient services, charging 15.88 times what Medicare paid.
- 1Medicare inpatient stays 422
- 2Charge ÷ paid, inpatient 6.21×
- 3Rank in FL (highest ratio = 1) 94 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 18 DRGs that can be compared with the national average, Shorepoint Health Punta Gorda charged more than the national average in 11 (61%). 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 | 66 | $88,603 | +48% | $11,585 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 61 | $84,196 | -7% | $16,833 |
| 690 Kidney and Urinary Tract Infections without MCC | 38 | $33,411 | -12% | $6,838 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $41,028 | +2% | $6,689 |
| 291 Heart Failure and Shock with MCC | 29 | $77,939 | +38% | $11,237 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $63,197 | +65% | $7,020 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $72,915 | +3% | $14,209 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $45,129 | +22% | $6,609 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $72,717 | +44% | $10,024 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $38,590 | -25% | $9,901 |
| 683 Renal Failure with CC | 15 | $56,423 | +39% | $7,637 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $135,840 | +35% | $17,592 |
| 603 Cellulitis without MCC | 12 | $36,970 | -1% | $7,519 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 12 | $53,297 | +9% | $8,691 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $28,500 | -1% | $4,741 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $156,194 | +53% | $17,930 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $37,678 | 0% | $6,647 |
| 885 Psychoses | 11 | $25,444 | -42% | $11,342 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 95 | $28,973 | $2,418 |
| Level 6 Musculoskeletal Procedures | 43 | $193,386 | $16,491 |
| Level 1 Laparoscopy and Related Services | 31 | $99,702 | $5,227 |
| Level 4 Musculoskeletal Procedures | 15 | $111,301 | $6,480 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 13 | $15,544 | $1,333 |
| Level 3 Musculoskeletal Procedures | 12 | $78,284 | $2,932 |
Against the Florida average
For Simple Pneumonia and Pleurisy with MCC (DRG 193), Shorepoint Health Punta Gorda charged $88,603 on average, 13% more than the Florida average of $78,292, and was paid $11,585 against a state average of $10,939. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Shorepoint Health Punta Gorda charged $84,196 on average, 25% less than the Florida average of $112,838, and was paid $16,833 against a state average of $15,663. For Kidney and Urinary Tract Infections without MCC (DRG 690), Shorepoint Health Punta Gorda charged $33,411 on average, 31% less than the Florida average of $48,190, and was paid $6,838 against a state average of $7,285. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Shorepoint Health Punta Gorda charged $41,028 on average, 23% less than the Florida average of $53,444, and was paid $6,689 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,973 was 2% above the state average of $28,431. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $193,386 was 38% above the state average of $140,120. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $99,702 was 46% above the state average of $68,202. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $111,301 was 50% above the state average of $74,087.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Shorepoint Health Punta Gorda in Punta Gorda, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-01-03 (CMS case 1315)
- Administrative Closure — 2025-04-22 (CMS case 3995)
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.