Florida / Uf Health Shands Hospital
CMS certification 100113 · Gainesville, FL · 4 entries in CMS's price-transparency list
Uf Health Shands Hospital: charges and Medicare payments
Uf Health Shands Hospital reported 8,179 Medicare inpatient stays across 205 DRGs in 2024. Across them it charged 4.16 times what it was paid — among the lower ratios in Florida, number 146 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: 661 stays at an average charge of $94,227, 4% above the national average. It also billed 6,167 outpatient services, charging 7.79 times what Medicare paid.
- 1Medicare inpatient stays 8,179
- 2Charge ÷ paid, inpatient 4.16×
- 3Rank in FL (highest ratio = 1) 146 of 159
- 4CMS price-transparency actions 4
Inpatient stays
For the 205 DRGs that can be compared with the national average, Uf Health Shands Hospital charged more than the national average in 60 (29%). 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 | 661 | $94,227 | +4% | $22,121 |
| 291 Heart Failure and Shock with MCC | 327 | $54,456 | -3% | $14,466 |
| 177 Respiratory Infections and Inflammations with MCC | 183 | $72,124 | +2% | $18,640 |
| 189 Pulmonary Edema and Respiratory Failure | 182 | $62,154 | +8% | $14,628 |
| 690 Kidney and Urinary Tract Infections without MCC | 154 | $35,936 | -5% | $9,852 |
| 193 Simple Pneumonia and Pleurisy with MCC | 138 | $55,276 | -7% | $14,438 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 132 | $68,120 | -7% | $17,972 |
| 312 Syncope and Collapse | 125 | $36,081 | -21% | $10,216 |
| 689 Kidney and Urinary Tract Infections with MCC | 124 | $42,878 | -16% | $13,043 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 119 | $45,499 | -7% | $12,043 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 107 | $67,333 | +42% | $14,559 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 103 | $36,445 | -9% | $9,586 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 94 | $78,561 | -21% | $20,970 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 94 | $342,284 | -14% | $76,989 |
| 603 Cellulitis without MCC | 88 | $36,302 | -3% | $10,546 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 87 | $31,475 | -13% | $9,056 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 86 | $119,448 | +6% | $26,096 |
| 683 Renal Failure with CC | 85 | $35,103 | -14% | $10,434 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 80 | $33,998 | -8% | $9,542 |
| 027 Craniotomy and Endovascular Intracranial Procedures without... | 79 | $74,479 | -47% | $24,438 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 76 | $142,511 | -38% | $40,287 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 75 | $881,122 | -16% | $195,508 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 75 | $58,670 | -3% | $14,908 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 75 | $266,979 | +17% | $60,861 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 73 | $51,014 | +1% | $12,061 |
| 378 Gastrointestinal Hemorrhage with CC | 72 | $53,236 | +10% | $11,789 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 69 | $56,929 | +1% | $14,309 |
| 682 Renal Failure with MCC | 64 | $48,584 | -26% | $16,152 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 60 | $41,482 | -26% | $11,934 |
| 314 Other Circulatory System Diagnoses with MCC | 60 | $94,117 | -1% | $23,576 |
| 330 Major Small and Large Bowel Procedures with CC | 60 | $117,581 | -1% | $23,528 |
| 638 Diabetes with CC | 59 | $38,679 | -7% | $10,647 |
| 394 Other Digestive System Diagnoses with CC | 58 | $40,264 | -14% | $10,882 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 55 | $70,546 | -7% | $18,169 |
| 205 Other Respiratory System Diagnoses with MCC | 54 | $92,910 | +5% | $20,274 |
| 329 Major Small and Large Bowel Procedures with MCC | 54 | $245,569 | +14% | $56,406 |
| 100 Seizures with MCC | 53 | $87,109 | -8% | $23,011 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 53 | $50,262 | -18% | $14,308 |
| 091 Other Disorders of Nervous System with MCC | 52 | $90,568 | +9% | $20,606 |
| 377 Gastrointestinal Hemorrhage with MCC | 52 | $59,374 | -30% | $19,200 |
| 092 Other Disorders of Nervous System with CC | 50 | $46,586 | -10% | $11,944 |
| 481 Hip and Femur Procedures except Major Joint with CC | 50 | $115,938 | +15% | $21,778 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 50 | $109,167 | +7% | $22,646 |
| 270 Other Major Cardiovascular Procedures with MCC | 47 | $213,307 | -18% | $48,145 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 46 | $59,597 | -7% | $12,319 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 45 | $141,748 | +64% | $28,939 |
| 637 Diabetes with MCC | 45 | $92,069 | +38% | $20,066 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 44 | $56,782 | -13% | $14,982 |
| 252 Other Vascular Procedures with MCC | 44 | $140,090 | -18% | $34,781 |
| 253 Other Vascular Procedures with CC | 44 | $108,933 | -17% | $25,638 |
| 460 Spinal Fusion except Cervical without MCC | 44 | $131,954 | -23% | $36,379 |
| 552 Medical Back Problems without MCC | 44 | $35,939 | -26% | $11,172 |
| 812 Red Blood Cell Disorders without MCC | 44 | $45,302 | +2% | $11,099 |
| 300 Peripheral Vascular Disorders with CC | 42 | $35,117 | -29% | $11,773 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 42 | $273,546 | -15% | $67,267 |
| 163 Major Chest Procedures with MCC | 41 | $177,012 | -16% | $46,179 |
| 178 Respiratory Infections and Inflammations with CC | 40 | $57,244 | +26% | $12,207 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 40 | $22,447 | -22% | $7,123 |
| 393 Other Digestive System Diagnoses with MCC | 40 | $63,353 | -17% | $17,824 |
| 305 Hypertension without MCC | 39 | $34,830 | -13% | $9,389 |
Showing the 60 most frequent of 205 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Uf Health Shands Hospital charged $94,227 on average, 16% less than the Florida average of $112,838, and was paid $22,121 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Uf Health Shands Hospital charged $54,456 on average, 20% less than the Florida average of $67,659, and was paid $14,466 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Uf Health Shands Hospital charged $72,124 on average, 16% less than the Florida average of $85,454, and was paid $18,640 against a state average of $13,200. For Pulmonary Edema and Respiratory Failure (DRG 189), Uf Health Shands Hospital charged $62,154 on average, 14% less than the Florida average of $72,382, and was paid $14,628 against a state average of $10,641. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $16,389 was 31% below the state average of $23,896. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,815 was 38% below the state average of $18,929. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,084 was 62% below the state average of $41,880. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,149 was 24% below the state average of $14,597.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Uf Health Shands Hospital in Gainesville, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-02-13 (CMS case 830)
- Closure Notice — 2023-05-24 (CMS case 830)
- Warning Notice — 2025-03-24 (CMS case 3329)
- Closure Notice — 2025-06-25 (CMS case 3329)
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.