45/100
#1,418 nationally
Flagler Hospital
400 Health Park Blvd, Saint Augustine, FL 32086 · (904) 819-5155
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Flagler Hospital billed $5.14 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 119
- inpatient and outpatient combined
- Rank in FL
- #15
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 32% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 45% of U.S. hospitals.
Better than 60% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
824 | $19,506 | $2,642 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
360 | $49,099 | $12,603 | -21% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
329 | $84,078 | $16,320 | +29% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
219 | $27,338 | $6,915 | -31% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
217 | $49,572 | $10,808 | +14% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
206 | $20,470 | $3,166 | -19% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
191 | $10,858 | $2,261 | -8% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
161 | $11,109 | $1,565 | +10% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
153 | $15,921 | $3,124 | -22% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
153 | $146,430 | $22,980 | +10% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$15,243 | $1,554 | +78% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$57,100 | $7,948 | +72% |
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay |
$237,744 | $31,960 | +58% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$139,608 | $16,975 | +46% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$73,726 | $12,905 | +39% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$51,593 | $7,690 | +36% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
$297,586 | $53,747 | +33% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$195,810 | $31,819 | +32% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$11,580 | $3,944 | -44% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$33,526 | $9,978 | -44% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
$76,647 | $23,606 | -36% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$44,945 | $12,507 | -33% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
$38,321 | $10,531 | -32% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$27,338 | $6,915 | -31% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$55,938 | $15,083 | -30% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$25,199 | $5,598 | -28% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.