4/100
#2,536 nationally
Hca Florida Osceola Hospital
700 West Oak Street, Kissimmee, FL 34741 · (407) 846-2266
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Hca Florida Osceola Hospital billed $11.24 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
- 11.2x
- volume-weighted across all its priced work
- Procedures priced
- 79
- inpatient and outpatient combined
- Rank in FL
- #146
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 5% of U.S. hospitals.
Better than 3% of U.S. hospitals.
Better than 3% of U.S. hospitals.
Better than 6% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
232 | $193,826 | $18,531 | +197% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
164 | $77,272 | $2,467 | +298% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
98 | $78,784 | $2,956 | +212% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
71 | $107,146 | $12,527 | +147% |
|
Fainting
MS-DRG 312 · Inpatient stay |
51 | $113,330 | $9,520 | +209% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
50 | $278,206 | $31,137 | +92% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
50 | $144,168 | $10,561 | +269% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
47 | $292,291 | $17,875 | +283% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
46 | $167,089 | $15,643 | +172% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
40 | $468,945 | $43,919 | +164% |
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 |
|---|---|---|---|
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$202,205 | $11,849 | +344% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$80,704 | $2,811 | +322% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$152,324 | $10,013 | +314% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$109,780 | $4,438 | +300% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$77,272 | $2,467 | +298% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
$177,291 | $10,522 | +294% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$158,816 | $12,231 | +290% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$49,520 | $1,845 | +283% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
$1,193,901 | $158,194 | +36% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$114,590 | $17,827 | +46% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$111,187 | $16,193 | +73% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$91,172 | $9,666 | +77% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
$398,642 | $45,457 | +78% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$438,005 | $53,695 | +82% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
$175,564 | $21,317 | +87% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$238,407 | $29,157 | +91% |
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.