Hospital · CCN 100321
Ascension St Vincent's Clay County
1670 St Vincents Way, Middleburg, FL 32068 · Clay County
Part of Ascension Health · 134 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
40 admission types 45 outpatient services price file: ok
Billed per dollar paid, all admissions
5.16×
$66.7M billed against $12.9M paid across 1,082 Medicare discharges; the national figure is 5.03×.
6.2%
of adults in Clay County have medical debt in collections
10.3%
uninsured in the county · state 13.9%
$82K
median household income
11.1×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
34.9%
obesity in the countyⓘ
12.2%
diagnosed diabetes (PLACES)
6.6%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
164
$72,372
$13,879
5.2× st 7.2×
291
Heart failure and shock with mcc
86
$34,864
$9,418
3.7× st 6.3×
177
Respiratory infections and inflammations with mcc
73
$48,569
$11,659
4.2× st 6.5×
193
Simple pneumonia and pleurisy with mcc
63
$41,856
$9,680
4.3× st 7.2×
280
Acute myocardial infarction, discharged alive with mcc
39
$71,044
$11,446
6.2× st 7.3×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
32
$175,519
$20,327
8.6× st 9.0×
189
Pulmonary edema and respiratory failure
32
$45,055
$9,759
4.6× st 6.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
32
$41,087
$9,556
4.3× st 6.7×
682
Renal failure with mcc
27
$54,438
$10,950
5.0× st 7.0×
683
Renal failure with cc
27
$25,997
$6,942
3.7× st 6.7×
690
Kidney and urinary tract infections without mcc
24
$29,199
$6,298
4.6× st 6.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
23
$34,197
$7,667
4.5× st 7.0×
603
Cellulitis without mcc
22
$28,954
$6,847
4.2× st 5.9×
870
Septicemia or severe sepsis with mv >96 hours
22
$265,472
$45,916
5.8× st 6.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
22
$43,617
$13,427
3.2× st 7.8×
689
Kidney and urinary tract infections with mcc
21
$32,268
$8,428
3.8× st 6.4×
378
Gastrointestinal hemorrhage with cc
21
$40,446
$7,555
5.4× st 7.4×
853
Infectious and parasitic diseases with o.r. procedures with mcc
20
$172,081
$32,991
5.2× st 7.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
20
$109,674
$16,408
6.7× st 7.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
20
$119,946
$13,141
9.1× st 9.7×
377
Gastrointestinal hemorrhage with mcc
19
$57,817
$13,989
4.1× st 7.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
18
$23,324
$6,077
3.8× st 6.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
18
$30,652
$6,112
5.0× st 7.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
18
$32,922
$7,503
4.4× st 8.8×
811
Red blood cell disorders with mcc
16
$32,756
$10,389
3.2× st 7.5×
698
Other kidney and urinary tract diagnoses with mcc
16
$52,091
$11,385
4.6× st 6.7×
281
Acute myocardial infarction, discharged alive with cc
16
$59,406
$7,674
7.7× st 8.5×
309
Cardiac arrhythmia and conduction disorders with cc
16
$30,629
$6,149
5.0× st 6.9×
308
Cardiac arrhythmia and conduction disorders with mcc
15
$41,388
$8,600
4.8× st 6.6×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
15
$67,318
$8,191
8.2× st 8.9×
393
Other digestive system diagnoses with mcc
14
$41,261
$11,989
3.4× st 6.2×
190
Chronic obstructive pulmonary disease with mcc
14
$39,510
$8,172
4.8× st 6.5×
194
Simple pneumonia and pleurisy with cc
14
$26,297
$7,200
3.7× st 6.9×
312
Syncope and collapse
13
$28,003
$6,747
4.2× st 7.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
13
$31,619
$9,495
3.3× st 6.8×
329
Major small and large bowel procedures with mcc
12
$177,421
$30,275
5.9× st 7.5×
389
Gastrointestinal obstruction with cc
12
$22,725
$6,010
3.8× st 7.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
11
$135,463
$19,149
7.1× st 7.3×
638
Diabetes with cc
11
$31,595
$7,492
4.2× st 6.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
11
$23,506
$4,580
5.1× st 7.1×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
506
$19,376
$2,411
8.0×
5191
Level 1 Endovascular Procedures
120
$50,506
$2,921
17.3×
5115
Level 5 Musculoskeletal Procedures
102
$113,495
$11,906
9.5×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
75
$11,274
$1,457
7.7×
5361
Level 1 Laparoscopy and Related Services
72
$67,600
$5,227
12.9×
5375
Level 5 Urology and Related Services
57
$51,904
$4,622
11.2×
5114
Level 4 Musculoskeletal Procedures
51
$77,388
$6,480
11.9×
5193
Level 3 Endovascular Procedures
51
$98,970
$9,435
10.5×
5183
Level 3 Vascular Procedures
50
$26,424
$2,830
9.3×
5431
Level 1 Nerve Procedures
48
$31,197
$1,720
18.1×
5302
Level 2 Upper GI Procedures
44
$18,473
$1,723
10.7×
5194
Level 4 Endovascular Procedures
42
$86,875
$11,323
7.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
38
$51,758
$3,134
16.5×
5374
Level 4 Urology and Related Services
30
$41,784
$3,158
13.2×
5112
Level 2 Musculoskeletal Procedures
26
$25,134
$1,456
17.3×
5223
Level 3 Pacemaker and Similar Procedures
25
$131,653
$9,666
13.6×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
25
$28,297
$2,574
11.0×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
21
$40,097
$3,453
11.6×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
20
$61,119
$5,907
10.3×
5192
Level 2 Endovascular Procedures
20
$83,920
$5,177
16.2×
5113
Level 3 Musculoskeletal Procedures
18
$47,126
$2,932
16.1×
5222
Level 2 Pacemaker and Similar Procedures
15
$139,366
$7,696
18.1×
5116
Level 6 Musculoskeletal Procedures
14
$133,883
$15,758
8.5×
5165
Level 5 ENT Procedures
14
$69,000
$5,305
13.0×
5373
Level 3 Urology and Related Services
13
$25,813
$1,845
14.0×
5182
Level 2 Vascular Procedures
12
$14,261
$1,451
9.8×
5154
Level 4 Airway Endoscopy
11
$27,378
$3,392
8.1×
5153
Level 3 Airway Endoscopy
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 01/01/2026, template 3.0.0, 1,652,568 rows scanned, 15,239 distinct code–setting items kept. No rule fires against it.
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Ascension St Vincent's Clay County — standard charges file · FL · updated 01/01/2026· csv-tall · 16.2M bytes · fetched 2026-08-23 · sha256 90a1256925e6…
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.