Uf Health Spanish Plaines Hospital: charges and Medicare payments

Uf Health Spanish Plaines Hospital reported 4,337 Medicare inpatient stays across 103 DRGs in 2024. Across them it charged 5.68 times what it was paid — mid-range in Florida, number 100 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: 463 stays at an average charge of $63,970, 29% below the national average. It also billed 2,226 outpatient services, charging 7.67 times what Medicare paid.

1Medicare inpatient stays 4,337
2Charge ÷ paid, inpatient 5.68×
3Rank in FL (highest ratio = 1) 100 of 159
4CMS price-transparency actions 0

Average charge per stay at Uf Health Spanish Plaines Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 103 DRGs that can be compared with the national average, Uf Health Spanish Plaines Hospital charged more than the national average in 4 (4%). 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	463	$63,970	-29%	$12,525
291 Heart Failure and Shock with MCC	333	$48,130	-15%	$8,317
177 Respiratory Infections and Inflammations with MCC	139	$57,631	-18%	$10,512
193 Simple Pneumonia and Pleurisy with MCC	139	$50,919	-15%	$8,489
280 Acute Myocardial Infarction, Discharged Alive with MCC	120	$61,182	-19%	$10,149
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	109	$29,229	-27%	$5,193
309 Cardiac Arrhythmia and Conduction Disorders with CC	107	$33,192	-8%	$4,934
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	105	$42,351	-14%	$6,728
378 Gastrointestinal Hemorrhage with CC	94	$40,789	-16%	$6,482
690 Kidney and Urinary Tract Infections without MCC	89	$32,689	-14%	$5,321
190 Chronic Obstructive Pulmonary Disease with MCC	84	$61,128	+21%	$7,625
322 Percutaneous Cardiovascular Procedures with Intraluminal...	82	$105,421	-8%	$12,626
689 Kidney and Urinary Tract Infections with MCC	80	$42,172	-18%	$7,517
683 Renal Failure with CC	78	$36,903	-9%	$5,917
682 Renal Failure with MCC	75	$53,475	-19%	$9,581
287 Circulatory Disorders except AMI, with Cardiac...	72	$42,960	-33%	$7,114
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	72	$32,655	-12%	$5,088
312 Syncope and Collapse	67	$31,815	-30%	$5,756
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	63	$24,274	-16%	$3,729
377 Gastrointestinal Hemorrhage with MCC	62	$66,167	-23%	$11,654
603 Cellulitis without MCC	61	$32,412	-13%	$5,750
853 Infectious and Parasitic Diseases with O.R. Procedures with...	57	$148,744	-35%	$32,937
281 Acute Myocardial Infarction, Discharged Alive with CC	54	$36,163	-28%	$5,967
321 Percutaneous Cardiovascular Procedures with Intraluminal...	50	$141,186	-14%	$18,928
389 Gastrointestinal Obstruction with CC	50	$31,051	-20%	$5,426
069 Transient Ischemia without Thrombolytic	49	$28,170	-44%	$5,265
698 Other Kidney and Urinary Tract Diagnoses with MCC	48	$66,059	-10%	$10,553
308 Cardiac Arrhythmia and Conduction Disorders with MCC	46	$43,874	-23%	$7,964
313 Chest Pain	45	$24,288	-39%	$4,802
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	42	$34,024	-39%	$6,502
812 Red Blood Cell Disorders without MCC	42	$31,112	-30%	$6,047
194 Simple Pneumonia and Pleurisy with CC	41	$36,627	-5%	$5,356
470 Major Hip and Knee Joint Replacement or Reattachment of...	40	$79,600	-15%	$12,476
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$49,342	-18%	$8,760
178 Respiratory Infections and Inflammations with CC	38	$36,672	-19%	$6,365
286 Circulatory Disorders except AMI, with Cardiac...	32	$72,434	-35%	$14,256
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	32	$43,107	-29%	$8,495
189 Pulmonary Edema and Respiratory Failure	29	$51,876	-10%	$8,227
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	27	$45,302	-30%	$9,229
305 Hypertension without MCC	27	$33,841	-16%	$4,996
811 Red Blood Cell Disorders with MCC	27	$53,338	-22%	$9,227
243 Permanent Cardiac Pacemaker Implant with CC	26	$76,518	-31%	$15,000
637 Diabetes with MCC	26	$59,577	-10%	$9,500
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	24	$58,674	-41%	$12,807
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	24	$47,711	-29%	$9,974
300 Peripheral Vascular Disorders with CC	23	$37,378	-24%	$6,999
602 Cellulitis with MCC	23	$58,794	-2%	$9,712
149 Dysequilibrium	22	$25,254	-43%	$5,218
176 Pulmonary Embolism without MCC	22	$32,524	-22%	$5,398
394 Other Digestive System Diagnoses with CC	22	$29,704	-37%	$6,104
638 Diabetes with CC	22	$34,462	-17%	$5,986
661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC	21	$44,599	-21%	$6,923
454 Combined Anterior and Posterior Spinal Fusion with CC	20	$128,204	-54%	$37,928
481 Hip and Femur Procedures except Major Joint with CC	20	$85,994	-15%	$13,590
699 Other Kidney and Urinary Tract Diagnoses with CC	20	$31,732	-33%	$6,507
186 Pleural Effusion with MCC	19	$64,461	-10%	$10,119
314 Other Circulatory System Diagnoses with MCC	19	$67,298	-29%	$13,781
315 Other Circulatory System Diagnoses with CC	19	$22,997	-52%	$6,398
330 Major Small and Large Bowel Procedures with CC	19	$112,925	-5%	$15,713
372 Major Gastrointestinal Disorders and Peritoneal Infections...	19	$51,681	+9%	$6,925

Showing the 60 most frequent of 103 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	678	$17,397	$2,479
Level 1 Endovascular Procedures	265	$16,175	$2,956
Level 3 Endovascular Procedures	135	$64,630	$9,957
Level 1 Laparoscopy and Related Services	104	$27,408	$5,227
Level 5 Musculoskeletal Procedures	87	$61,954	$11,670
Level 3 Vascular Procedures	87	$19,618	$2,863
Level 5 Urology and Related Services	81	$28,144	$4,653
Level 4 Urology and Related Services	78	$20,768	$3,158
Level 2 Excision/ Biopsy/ Incision and Drainage	64	$12,582	$1,469
Level 2 Vascular Procedures	61	$9,314	$1,451
Level 3 Pacemaker and Similar Procedures	52	$45,628	$9,666
Level 3 Urology and Related Services	47	$12,847	$1,845
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	41	$23,022	$3,081
Level 3 Musculoskeletal Procedures	38	$26,450	$2,932
Level 2 Breast/Lymphatic Surgery and Related Procedures	36	$45,513	$5,907
Level 6 Musculoskeletal Procedures	35	$78,604	$16,467
Level 4 Vascular Procedures	30	$30,834	$4,978
Level 2 Endovascular Procedures	30	$28,923	$5,040
Level 4 Musculoskeletal Procedures	29	$54,625	$6,302
Level 5 Airway Endoscopy	29	$76,459	$6,200
Level 1 Breast/Lymphatic Surgery and Related Procedures	28	$19,836	$3,453
Level 2 Musculoskeletal Procedures	25	$15,105	$1,456
Level 3 Excision/ Biopsy/ Incision and Drainage	24	$20,902	$2,574
Level 3 Airway Endoscopy	22	$13,104	$1,537
Level 4 Pacemaker and Similar Procedures	18	$96,087	$17,611

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Uf Health Spanish Plaines Hospital charged $63,970 on average, 43% less than the Florida average of $112,838, and was paid $12,525 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Uf Health Spanish Plaines Hospital charged $48,130 on average, 29% less than the Florida average of $67,659, and was paid $8,317 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Uf Health Spanish Plaines Hospital charged $57,631 on average, 33% less than the Florida average of $85,454, and was paid $10,512 against a state average of $13,200. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Uf Health Spanish Plaines Hospital charged $50,919 on average, 35% less than the Florida average of $78,292, and was paid $8,489 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,397 was 39% below the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,175 was 61% below the state average of $41,880. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $64,630 was 37% below the state average of $102,708. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $27,408 was 60% below the state average of $68,202.

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.