Florida / St Mary's Medical Center
CMS certification 100288 · West Palm Beach, FL · 1 entry in CMS's price-transparency list
St Mary's Medical Center: charges and Medicare payments
St Mary's Medical Center reported 846 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 11.49 times what it was paid — among the higher ratios in Florida, number 23 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: 110 stays at an average charge of $186,104, 106% above the national average. It also billed 283 outpatient services, charging 21.52 times what Medicare paid.
- 1Medicare inpatient stays 846
- 2Charge ÷ paid, inpatient 11.49×
- 3Rank in FL (highest ratio = 1) 23 of 159
- 4CMS price-transparency actions 1
Inpatient stays
For the 36 DRGs that can be compared with the national average, St Mary's Medical Center charged more than the national average in 36 (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 | 110 | $186,104 | +106% | $16,329 |
| 481 Hip and Femur Procedures except Major Joint with CC | 53 | $233,841 | +132% | $16,951 |
| 552 Medical Back Problems without MCC | 47 | $118,030 | +142% | $9,468 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 39 | $194,937 | +95% | $16,007 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 33 | $110,824 | +99% | $9,439 |
| 291 Heart Failure and Shock with MCC | 32 | $100,754 | +79% | $12,451 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 31 | $164,644 | +125% | $12,518 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 30 | $222,184 | +93% | $19,224 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $113,862 | +91% | $10,705 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 24 | $439,712 | +92% | $38,858 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 23 | $132,115 | +93% | $11,724 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 23 | $99,721 | +134% | $8,421 |
| 605 Trauma To The Skin, Subcutaneous Tissue and Breast without... | 23 | $106,719 | +130% | $8,247 |
| 312 Syncope and Collapse | 22 | $107,275 | +136% | $10,319 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 22 | $322,759 | +171% | $22,202 |
| 603 Cellulitis without MCC | 21 | $62,697 | +68% | $9,021 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 18 | $314,277 | +36% | $31,566 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $110,279 | +125% | $9,782 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 17 | $330,070 | +138% | $22,462 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 16 | $488,850 | +74% | $44,624 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 16 | $218,305 | +101% | $18,782 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 16 | $230,610 | +147% | $15,522 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 16 | $215,384 | +110% | $18,006 |
| 551 Medical Back Problems with MCC | 16 | $138,205 | +76% | $13,280 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $91,579 | +93% | $9,069 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $134,414 | +90% | $13,802 |
| 682 Renal Failure with MCC | 15 | $98,020 | +49% | $10,497 |
| 460 Spinal Fusion except Cervical without MCC | 14 | $315,274 | +85% | $32,937 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $192,808 | +163% | $14,005 |
| 472 Cervical Spinal Fusion with CC | 13 | $188,339 | +32% | $24,174 |
| 069 Transient Ischemia without Thrombolytic | 12 | $94,874 | +88% | $7,243 |
| 100 Seizures with MCC | 12 | $158,003 | +67% | $18,876 |
| 637 Diabetes with MCC | 12 | $139,574 | +110% | $12,680 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 11 | $791,066 | +29% | $69,518 |
| 101 Seizures without MCC | 11 | $137,544 | +182% | $8,425 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $99,698 | +65% | $11,478 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 125 | $42,685 | $2,416 |
| Level 5 Musculoskeletal Procedures | 71 | $182,963 | $11,472 |
| Level 4 Musculoskeletal Procedures | 59 | $126,413 | $6,134 |
| Level 3 Musculoskeletal Procedures | 17 | $79,230 | $2,795 |
| Level 4 Vascular Procedures | 11 | $77,774 | $4,978 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Mary's Medical Center charged $186,104 on average, 65% more than the Florida average of $112,838, and was paid $16,329 against a state average of $15,663. For Hip and Femur Procedures except Major Joint with CC (DRG 481), St Mary's Medical Center charged $233,841 on average, 62% more than the Florida average of $144,271, and was paid $16,951 against a state average of $16,375. For Medical Back Problems without MCC (DRG 552), St Mary's Medical Center charged $118,030 on average, 84% more than the Florida average of $64,016, and was paid $9,468 against a state average of $8,297. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), St Mary's Medical Center charged $194,937 on average, 58% more than the Florida average of $123,098, and was paid $16,007 against a state average of $15,779. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $42,685 was 50% above the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $182,963 was 71% above the state average of $106,979. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $126,413 was 71% above the state average of $74,087. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $79,230 was 82% above the state average of $43,452.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Mary's Medical Center in West Palm Beach, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-03-12 (CMS case 3218)
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.