Florida / Wellington Regional Medical Center
CMS certification 100275 · Wellington, FL · 1 entry in CMS's price-transparency list
Wellington Regional Medical Center: charges and Medicare payments
Wellington Regional Medical Center reported 1,438 Medicare inpatient stays across 50 DRGs in 2024. Across them it charged 11.58 times what it was paid — among the higher ratios in Florida, number 21 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: 197 stays at an average charge of $174,468, 93% above the national average. It also billed 975 outpatient services, charging 16.52 times what Medicare paid.
- 1Medicare inpatient stays 1,438
- 2Charge ÷ paid, inpatient 11.58×
- 3Rank in FL (highest ratio = 1) 21 of 159
- 4CMS price-transparency actions 1
Inpatient stays
For the 50 DRGs that can be compared with the national average, Wellington Regional Medical Center charged more than the national average in 50 (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 | 197 | $174,468 | +93% | $14,223 |
| 193 Simple Pneumonia and Pleurisy with MCC | 88 | $128,426 | +115% | $10,228 |
| 291 Heart Failure and Shock with MCC | 86 | $108,891 | +93% | $9,716 |
| 177 Respiratory Infections and Inflammations with MCC | 48 | $142,207 | +101% | $12,328 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 47 | $157,895 | +108% | $12,417 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 47 | $68,112 | +70% | $6,538 |
| 690 Kidney and Urinary Tract Infections without MCC | 44 | $65,842 | +74% | $6,561 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 40 | $89,444 | +82% | $8,351 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 39 | $172,619 | +73% | $14,320 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 38 | $388,204 | +70% | $35,344 |
| 312 Syncope and Collapse | 35 | $77,318 | +70% | $7,156 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 34 | $119,462 | +114% | $8,348 |
| 194 Simple Pneumonia and Pleurisy with CC | 34 | $82,057 | +114% | $7,010 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $91,533 | +78% | $8,850 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 32 | $54,422 | +51% | $6,149 |
| 069 Transient Ischemia without Thrombolytic | 29 | $86,581 | +72% | $6,498 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $104,101 | +114% | $7,938 |
| 683 Renal Failure with CC | 25 | $73,082 | +80% | $7,395 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $132,687 | +55% | $12,051 |
| 481 Hip and Femur Procedures except Major Joint with CC | 24 | $159,855 | +59% | $15,677 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $74,526 | +101% | $6,303 |
| 682 Renal Failure with MCC | 23 | $104,444 | +58% | $11,107 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 21 | $89,770 | +77% | $8,532 |
| 552 Medical Back Problems without MCC | 21 | $92,288 | +89% | $7,591 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 20 | $50,863 | +77% | $5,440 |
| 313 Chest Pain | 20 | $57,065 | +43% | $6,449 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $141,541 | +93% | $11,171 |
| 101 Seizures without MCC | 19 | $101,520 | +108% | $7,443 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $109,861 | +82% | $9,062 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $97,421 | +93% | $7,504 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 18 | $177,150 | +73% | $15,440 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $243,149 | +112% | $14,029 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 17 | $222,661 | +60% | $21,355 |
| 603 Cellulitis without MCC | 16 | $51,919 | +39% | $6,996 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $137,915 | +144% | $8,411 |
| 389 Gastrointestinal Obstruction with CC | 15 | $75,803 | +95% | $6,677 |
| 445 Disorders of The Biliary Tract with CC | 15 | $82,414 | +42% | $8,838 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $202,550 | +252% | $9,164 |
| 394 Other Digestive System Diagnoses with CC | 12 | $94,431 | +101% | $7,696 |
| 638 Diabetes with CC | 12 | $71,857 | +72% | $7,505 |
| 811 Red Blood Cell Disorders with MCC | 12 | $108,988 | +60% | $11,257 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 11 | $414,651 | +79% | $36,447 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $106,839 | +89% | $10,339 |
| 164 Major Chest Procedures with CC | 11 | $246,080 | +93% | $17,545 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $111,887 | +75% | $8,945 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $231,305 | +94% | $17,329 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $100,103 | +30% | $13,034 |
| 460 Spinal Fusion except Cervical without MCC | 11 | $253,055 | +49% | $29,547 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 11 | $101,872 | +80% | $9,006 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 11 | $293,712 | +36% | $34,267 |
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wellington Regional Medical Center charged $174,468 on average, 55% more than the Florida average of $112,838, and was paid $14,223 against a state average of $15,663. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Wellington Regional Medical Center charged $128,426 on average, 64% more than the Florida average of $78,292, and was paid $10,228 against a state average of $10,939. For Heart Failure and Shock with MCC (DRG 291), Wellington Regional Medical Center charged $108,891 on average, 61% more than the Florida average of $67,659, and was paid $9,716 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Wellington Regional Medical Center charged $142,207 on average, 66% more than the Florida average of $85,454, and was paid $12,328 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,325 was 28% above the state average of $28,431. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,966 was 23% above the state average of $14,597. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $70,827 was 4% above the state average of $68,202. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $52,620 was 26% above the state average of $41,880.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Wellington Regional Medical Center in Wellington, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-05-14 (CMS case 4528)
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.