Florida / Winter Haven Hospital

CMS certification 100052 · Winter Haven, FL · 5 entries in CMS's price-transparency list

Winter Haven Hospital: charges and Medicare payments

Winter Haven Hospital reported 2,673 Medicare inpatient stays across 79 DRGs in 2024. Across them it charged 4.9 times what it was paid — among the lower ratios in Florida, number 129 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: 381 stays at an average charge of $73,809, 18% below the national average. It also billed 2,124 outpatient services, charging 8.47 times what Medicare paid.

1Medicare inpatient stays 2,673
2Charge ÷ paid, inpatient 4.9×
3Rank in FL (highest ratio = 1) 129 of 159
4CMS price-transparency actions 5

Average charge per stay at Winter Haven Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 79 DRGs that can be compared with the national average, Winter Haven Hospital charged more than the national average in 6 (8%). 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	381	$73,809	-18%	$15,468
291 Heart Failure and Shock with MCC	208	$45,353	-20%	$9,939
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	94	$44,220	-10%	$8,737
885 Psychoses	93	$31,377	-29%	$10,971
193 Simple Pneumonia and Pleurisy with MCC	82	$55,659	-7%	$10,468
690 Kidney and Urinary Tract Infections without MCC	79	$36,248	-4%	$6,673
683 Renal Failure with CC	64	$37,381	-8%	$7,773
177 Respiratory Infections and Inflammations with MCC	60	$57,767	-18%	$11,855
698 Other Kidney and Urinary Tract Diagnoses with MCC	57	$63,830	-13%	$12,397
689 Kidney and Urinary Tract Infections with MCC	55	$37,623	-27%	$9,003
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	51	$56,309	+1%	$8,544
309 Cardiac Arrhythmia and Conduction Disorders with CC	47	$31,551	-13%	$6,348
378 Gastrointestinal Hemorrhage with CC	45	$43,774	-10%	$8,281
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	44	$37,053	-8%	$6,807
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	42	$38,310	-36%	$10,167
853 Infectious and Parasitic Diseases with O.R. Procedures with...	42	$200,852	-12%	$32,551
682 Renal Failure with MCC	39	$54,715	-17%	$11,299
190 Chronic Obstructive Pulmonary Disease with MCC	37	$42,714	-16%	$9,316
280 Acute Myocardial Infarction, Discharged Alive with MCC	36	$63,890	-16%	$12,135
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	35	$34,073	-8%	$6,686
312 Syncope and Collapse	33	$43,710	-4%	$7,037
377 Gastrointestinal Hemorrhage with MCC	33	$64,200	-25%	$12,744
603 Cellulitis without MCC	33	$33,654	-10%	$7,017
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	32	$77,783	-22%	$13,876
189 Pulmonary Edema and Respiratory Failure	32	$39,421	-32%	$9,290
699 Other Kidney and Urinary Tract Diagnoses with CC	32	$32,982	-31%	$8,014
322 Percutaneous Cardiovascular Procedures with Intraluminal...	30	$111,022	-3%	$14,252
481 Hip and Femur Procedures except Major Joint with CC	29	$87,775	-13%	$14,998
308 Cardiac Arrhythmia and Conduction Disorders with MCC	28	$44,884	-21%	$9,842
194 Simple Pneumonia and Pleurisy with CC	27	$36,177	-6%	$7,387
267 Endovascular Cardiac Valve Replacement and Supplement...	26	$193,850	-12%	$35,910
552 Medical Back Problems without MCC	26	$40,116	-18%	$8,082
236 Coronary Bypass without Cardiac Catheterization without MCC	25	$170,542	-19%	$27,871
191 Chronic Obstructive Pulmonary Disease with CC	24	$34,505	-13%	$7,335
178 Respiratory Infections and Inflammations with CC	23	$36,501	-19%	$8,005
884 Organic Disturbances and Intellectual Disability	23	$38,320	-39%	$12,802
208 Respiratory System Diagnosis with Ventilator Support <=96...	22	$85,358	-37%	$22,714
314 Other Circulatory System Diagnoses with MCC	21	$47,899	-49%	$14,926
389 Gastrointestinal Obstruction with CC	21	$39,371	+1%	$6,891
432 Cirrhosis and Alcoholic Hepatitis with MCC	21	$62,031	-35%	$14,829
252 Other Vascular Procedures with MCC	19	$129,928	-24%	$25,191
287 Circulatory Disorders except AMI, with Cardiac...	19	$59,532	-7%	$8,931
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	18	$28,786	0%	$5,357
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	18	$94,280	-8%	$16,046
638 Diabetes with CC	18	$42,025	+1%	$8,197
812 Red Blood Cell Disorders without MCC	18	$44,893	+1%	$7,731
854 Infectious and Parasitic Diseases with O.R. Procedures with...	18	$77,930	-21%	$16,850
100 Seizures with MCC	17	$44,127	-53%	$13,157
274 Percutaneous and Other Intracardiac Procedures without MCC	17	$98,299	-37%	$24,192
300 Peripheral Vascular Disorders with CC	17	$30,507	-38%	$8,535
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	15	$46,315	-24%	$10,405
057 Degenerative Nervous System Disorders without MCC	14	$37,256	-34%	$11,626
202 Bronchitis and Asthma with CC/MCC	14	$38,162	-17%	$8,115
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	14	$173,446	-37%	$38,601
281 Acute Myocardial Infarction, Discharged Alive with CC	14	$48,495	-4%	$8,954
329 Major Small and Large Bowel Procedures with MCC	14	$143,053	-33%	$27,127
331 Major Small and Large Bowel Procedures without CC/MCC	14	$84,157	-2%	$13,225
811 Red Blood Cell Disorders with MCC	14	$47,522	-30%	$11,281
069 Transient Ischemia without Thrombolytic	13	$43,030	-15%	$6,429
286 Circulatory Disorders except AMI, with Cardiac...	13	$88,939	-21%	$15,514

Showing the 60 most frequent of 79 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,046	$22,071	$2,458
Level 5 Musculoskeletal Procedures	205	$76,365	$11,856
Level 1 Endovascular Procedures	136	$29,469	$2,926
Level 2 Excision/ Biopsy/ Incision and Drainage	79	$8,802	$1,469
Level 2 Upper GI Procedures	63	$12,769	$1,658
Level 1 Laparoscopy and Related Services	59	$48,407	$5,227
Level 3 Vascular Procedures	47	$19,533	$2,808
Level 3 Endovascular Procedures	44	$75,986	$9,957
Level 3 Electrophysiologic Procedures	42	$134,468	$21,459
Level 4 Urology and Related Services	40	$22,928	$3,158
Level 3 Urology and Related Services	38	$12,273	$1,810
Level 3 Pacemaker and Similar Procedures	36	$47,973	$9,666
Level 6 Musculoskeletal Procedures	33	$84,992	$16,845
Level 2 Vascular Procedures	31	$11,074	$1,311
Level 2 Pacemaker and Similar Procedures	24	$37,619	$7,696
Level 2 ICD and Similar Procedures	22	$126,932	$29,712
Level 5 Urology and Related Services	22	$25,740	$4,687
Level 2 Musculoskeletal Procedures	21	$14,101	$1,456
Level 4 Musculoskeletal Procedures	21	$52,671	$6,407
Level 4 Endovascular Procedures	20	$104,648	$15,852
Level 4 Vascular Procedures	18	$37,782	$4,978
Level 2 Urology and Related Services	15	$4,734	$619
Level 3 Excision/ Biopsy/ Incision and Drainage	14	$21,014	$2,574
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	13	$29,415	$3,134
Level 3 Lower GI Procedures	12	$12,914	$2,543

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Winter Haven Hospital charged $73,809 on average, 35% less than the Florida average of $112,838, and was paid $15,468 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Winter Haven Hospital charged $45,353 on average, 33% less than the Florida average of $67,659, and was paid $9,939 against a state average of $10,715. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Winter Haven Hospital charged $44,220 on average, 30% less than the Florida average of $62,885, and was paid $8,737 against a state average of $8,998. For Psychoses (DRG 885), Winter Haven Hospital charged $31,377 on average, 33% less than the Florida average of $46,705, and was paid $10,971 against a state average of $13,805. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,071 was 22% below the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $76,365 was 29% below the state average of $106,979. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $29,469 was 30% below the state average of $41,880. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,802 was 40% below the state average of $14,597.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Winter Haven Hospital in Winter Haven, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-09-29 (CMS case 509)
CAP Request — 2022-07-27 (CMS case 509)
Closure Notice — 2023-06-15 (CMS case 509)
Warning Notice — 2025-03-05 (CMS case 3195)
Closure Notice — 2025-05-21 (CMS case 3195)

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.