facebook tracking Flagler Hospital, St Augustine, FL: ER Visit 2h 46m

Flagler Hospital, St Augustine, FL

400 Health Park Blvd, St Augustine, FL 32086Saint Johns County

Acute care hospital 335 beds (Medicare cost report FY2024) Emergency room

Independent directory · data from CMS, not from this hospital

Flagler Hospital is a non-profit acute care hospital in St Augustine, Florida, with an emergency department. According to HospitalsInEachState.com's analysis of the July 2026 CMS release, patients treated and sent home spend a median of 2 hr 46 min in its emergency department, 11 min longer than the average across Florida hospitals (2 hr 35 min). Medicare rates it 3 out of 5 stars overall, and patients give it 3 out of 5 in the Medicare patient survey. Flagler Hospital is in network for at least one 2027 Marketplace plan from 5 insurers in Florida, according to the insurers' network files loaded November 4, 2026.

Visiting Flagler Hospital

Address 400 Health Park Blvd
St Augustine, FL 32086
County: Saint Johns
Directions Apple Maps Call (904) 819-5155
Emergency room Yes. For patients treated and sent home, the median ER visit here lasts 2 hr 46 min (average across FL hospitals: 2 hr 35 min). Medicare's median time in the ER for patients treated and sent home; not a live wait. ER times across FL
What to bring
  • Photo ID and your insurance, Medicare or Medicaid card
  • A list of your medicines, doses and allergies
  • Your doctor's name and phone number
  • A phone charger
Visiting hours and parking vary: call ahead.

Official links: Website for Flagler Hospital (opens the hospital's site)

Quick answers about Flagler Hospital

How long is the ER wait at Flagler Hospital?

CMS doesn't publish live wait times. Over the 12 months CMS reported, patients treated and sent home spent a median of 2 hr 46 min in the Flagler Hospital emergency room (the average across Florida hospitals is 2 hr 35 min). 1% of ER patients left before being seen. For tonight's wait, check the hospital's website (opens the hospital's own site) or call (904) 819-5155. In an emergency, call 911.

What is the phone number for Flagler Hospital?

The main phone number for Flagler Hospital is (904) 819-5155, from Medicare's hospital records.

Call (904) 819-5155
What is the address of Flagler Hospital?

Flagler Hospital is at 400 Health Park Blvd, St Augustine, FL 32086.

Directions (opens Google Maps)
Does Flagler Hospital have an emergency room?

Yes. Flagler Hospital has an emergency department, according to Medicare data.

What is Flagler Hospital's Medicare star rating?

Flagler Hospital has an overall rating of 3 out of 5 stars from the Centers for Medicare & Medicaid Services (CMS). Star ratings come from CMS quality and safety measures, not patient reviews.

Quality and performance

Centers for Medicare & Medicaid Services · data as of July 2026

Patients treated and sent home from the emergency department at Flagler Hospital spend a median of 2 hours 46 minutes there. That is 11 minutes longer than the average across Florida hospitals (2 hours 35 minutes).

CMS rating ★★★★★ 3/5
Left before seen 1%
ER volume high
Type Acute Care
Ownership Non-profit
Maternity Birthing-friendly

Source: CMS Hospital General Information and Timely & Effective Care. Wait times are a median over a past 12-month reporting period, not live data. Not affiliated with CMS or with Flagler Hospital. For a medical emergency, call 911.

Compare ER waits across Florida · How Florida hospitals rank on star ratings · Other birthing-friendly hospitals in Florida · How we source this data · Something wrong on this page? Tell us

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What patients say

CMS patient survey (HCAHPS) · 403 completed surveys · patients discharged Oct 2024 – Sep 2025

Patients gave Flagler Hospital a 3-star patient experience rating out of 5. 63% would definitely recommend it (U.S. average 71%). 65% rated it 9 or 10 out of 10.

Patient star rating ★★★★★ 3 out of 5
Would definitely recommend 63% U.S. 71% · FL 69%
Rated 9 or 10 of 10 65% U.S. 72% · FL 68%
Survey response rate 20% of patients surveyed
Nurse communicationDid nurses treat you with courtesy and respect, listen carefully and explain things clearly?
★★★★★
75% always · 5% sometimes or never · U.S. 80% always
Doctor communicationDid doctors treat you with courtesy and respect, listen carefully and explain things clearly?
★★★★★
76% always · 5% sometimes or never · U.S. 80% always
Communication about medicinesBefore giving you a new medicine, did staff tell you what it was for and its possible side effects?
★★★★★
54% always · 25% sometimes or never · U.S. 62% always
Discharge informationDid staff talk with you about help you would need at home and symptoms to watch for?
★★★★★
82% yes · 18% no · U.S. 86% yes
CleanlinessHow often were your room and bathroom kept clean?
★★★★★
66% always · 12% sometimes or never · U.S. 74% always
Quiet at nightHow often was the area around your room quiet at night?
★★★★★
47% always · 13% sometimes or never · U.S. 60% always
Overall hospital ratingUsing any number from 0 to 10, what number would you use to rate this hospital?
★★★★★
65% 9 or 10 · 11% 6 or lower · U.S. 72% 9 or 10
Would recommendWould you recommend this hospital to your friends and family?
★★★★★
63% definitely yes · 7% no · U.S. 71% definitely yes

The patient survey (HCAHPS) asks a random sample of adult patients about their recent hospital stay. CMS adjusts the results for the mix of patients and how the survey was done, so hospitals can be compared fairly. About the data.

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Infections, complications and deaths

Centers for Medicare & Medicaid Services · compared with hospitals nationwide

Of the 5 hospital-acquired infections CMS could compare, Flagler Hospital was better than the national benchmark on 2 and worse on 0. Its rate of serious complications was same as national.

Hospital-acquired infections

Central line-associated bloodstream infections (CLABSI)Bloodstream infections in patients with a central IV line, in ICUs and select wards.
Same as national 3 infections vs 3.6 predicted · ratio 0.85
Catheter-associated urinary tract infections (CAUTI)Urinary tract infections in patients with a urinary catheter, in ICUs and select wards.
Better than national 2 infections vs 6.7 predicted · ratio 0.30
Surgical site infections after colon surgeryInfections at the surgery site after colon surgery.
Same as national 1 infections vs 2.9 predicted · ratio 0.35
MRSA bloodstream infectionsBloodstream infections caused by methicillin-resistant Staphylococcus aureus, a drug-resistant bacteria.
Same as national 1 infections vs 1.9 predicted · ratio 0.53
C. diff intestinal infectionsClostridioides difficile infections, a bacteria that causes severe diarrhea, often after antibiotics.
Better than national 3 infections vs 30.3 predicted · ratio 0.10

Serious complications

Serious complications (CMS PSI 90)Combines patient safety problems such as falls with fractures, bed sores, collapsed lungs, blood clots and infections after surgery. 1.00 is the national value; lower is better.
Same as national Ratio 0.95

Death rates within 30 days

Patients treated forThis hospitalU.S.
Heart attack patients 11.3% 11.9%
Heart failure patients 10.8% 11.1%
Pneumonia patients 13.3% 15.2%
Stroke patients 12.7% 11.9%
COPD patients 9.0% 8.6%
Coronary bypass (CABG) surgery patients 2.7% 2.4%
Hospital-wide, all conditions 3.9% 3.9%

Risk-adjusted rates. CMS has not published a statistical better/worse comparison for these death rates in the current release, so small differences from the U.S. rate may be chance.

Other complications

None of the other safety indicators CMS compares was statistically better or worse than national.

All 12 complication measures
MeasureThis hospitalU.S.CMS comparison
Complications after hip or knee replacement% of patients 4 4.1 Not compared
Deaths among surgical patients with serious treatable complicationsper 1,000 patients 162.51 173.3 Same as national
Pressure ulcers (bed sores)per 1,000 patients 0.5 0.63 Same as national
Falls in the hospital that caused a broken boneper 1,000 patients 0.29 0.27 Same as national
Collapsed lung caused by a medical procedureper 1,000 patients 0.19 0.21 Same as national
Bleeding or blood clot under the skin after surgeryper 1,000 patients 3.04 2.34 Same as national
Kidney injury needing dialysis after surgeryper 1,000 patients 1.7 1.67 Same as national
Respiratory failure after surgeryper 1,000 patients 7.71 9.42 Same as national
Blood clots in the lungs or legs after surgeryper 1,000 patients 3.63 3.52 Same as national
Bloodstream infection (sepsis) after surgeryper 1,000 patients 5.46 5.27 Same as national
Surgical wound splitting openper 1,000 patients 1.67 1.77 Same as national
Accidental cuts or tears during abdominal surgeryper 1,000 patients 1.25 1.06 Same as national

"Better" or "worse" means CMS found the difference from the national benchmark statistically significant; most hospitals are "no different". Infection results compare the infections a hospital reported with the number predicted for a hospital of its size and type (a ratio below 1 means fewer than predicted), for Oct 2024 – Sep 2025. Death and complication rates are risk-adjusted for how sick patients were. Each death rate counts deaths within 30 days of a hospital stay, pooled over one to three years of Medicare patients depending on the measure. About the data.

What insurance does Flagler Hospital accept?

Original Medicare: Medicare-certified, so it can bill Original Medicare (Medicare number 100090). Medicare Advantage plans have their own networks, which this section does not cover.

2027 Marketplace plans in Florida that list this hospital

Marketplace insurers whose 2027 plan networks in Florida list Flagler Hospital, most plans in network first
InsurerPlans in networkNetwork tier
Florida Blue 121 of 121 plans Preferred
Florida Health Care Plans 83 of 92 plans Preferred
AvMed 64 of 64 plans Preferred
Oscar 64 of 64 plans Preferred
Ambetter 56 of 56 plans Preferred

2027 plan year, individual Marketplace (ACA) plans only.Health insurance in Florida

Plans that include this hospital: Florida Blue BlueOptions Bronze 24J, Florida Blue BlueOptions Bronze 24J01-18S, Florida Blue BlueOptions Gold 24J, Florida Blue BlueOptions Gold 24J01-20S, Florida Blue BlueOptions Platinum 24J, Florida Blue BlueOptions Platinum 24J01-21S Compare plans

Is Flagler Hospital in your plan?

For HealthCare.gov Marketplace plans (2027). Enter your ZIP code, then pick your insurer and plan. We only use your ZIP code to find plans; we don't save it.

Live from HealthCare.gov's Marketplace provider data, as reported by insurers. Networks change: confirm with your insurer before you get care. Not affiliated with HealthCare.gov or CMS.

What insurance does Flagler Hospital accept?

In the 2027 HealthCare.gov Marketplace plan data (insurer network files loaded November 4, 2026), Flagler Hospital is in network for 5 Marketplace insurers in Florida: Florida Blue (121 of 121 plans), Florida Health Care Plans (83 of 92 plans), AvMed (64 of 64 plans) and 2 other insurers. This covers Marketplace (ACA) plans only, not Medicare Advantage, Medicaid or employer plans. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Does Flagler Hospital take Medicare?

Flagler Hospital is a Medicare-certified hospital (CMS Certification Number 100090), according to CMS hospital data. Medicare Advantage plans have their own networks, which this page does not cover; check with your plan before you get care.

Does Flagler Hospital accept Florida Blue?

Flagler Hospital is in network for 121 of 121 plans that Florida Blue sells on the Florida Marketplace in 2027, according to Florida Blue's network file loaded November 4, 2026. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Does Flagler Hospital accept Florida Health Care Plans?

Flagler Hospital is in network for 83 of 92 plans that Florida Health Care Plans sells on the Florida Marketplace in 2027, according to Florida Health Care Plans's network file loaded November 4, 2026. Not every Florida Health Care Plans plan includes it. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Does Flagler Hospital accept AvMed?

Flagler Hospital is in network for 64 of 64 plans that AvMed sells on the Florida Marketplace in 2027, according to AvMed's network file loaded November 4, 2026. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Source: the insurers' 2027 machine-readable provider files listed in the CMS Marketplace public use files, loaded November 4, 2026, matched to hospitals by NPI from CMS Hospital Enrollments. How we match networks to hospitals Networks change; confirm with your insurer before you go.

Readmissions and return visits

Centers for Medicare & Medicaid Services · Medicare patients · Jul 2023 – Jun 2025

Of the 2 readmission and return-visit measures CMS could compare, Flagler Hospital was better on 1 and worse on 0 (than the national rate, or than expected for its patients).

Back in the hospital within 30 days

After a stay forThis hospitalU.S.CMS comparison
Heart attack 14.8% 14.4% Not compared
Heart failure 21% 21.3% Not compared
Pneumonia 17.3% 17.3% Not compared
COPD (chronic lung disease) 19.5% 20% Not compared
Heart bypass surgery (CABG) 10.2% 11% Not compared
Hip or knee replacement 5.2% 5.8% Not compared

Return trips after a stay or procedure

Extra days back in hospital after heart attackDays spent back in the ER, under observation or readmitted within 30 days, per 100 discharges, compared with what was expected.
Not compared -1.1 days per 100 discharges vs expected · U.S. +4.2
Extra days back in hospital after heart failureDays spent back in the ER, under observation or readmitted within 30 days, per 100 discharges, compared with what was expected.
Not compared -16.7 days per 100 discharges vs expected · U.S. +1.3
Extra days back in hospital after pneumoniaDays spent back in the ER, under observation or readmitted within 30 days, per 100 discharges, compared with what was expected.
Not compared +29 days per 100 discharges vs expected · U.S. +3.9
Hospital visits within 7 days of an outpatient colonoscopyUnplanned hospital visits per 1,000 colonoscopies.
Same as national 12.3 per 1,000 procedures · U.S. 13
Hospital visits after outpatient surgeryUnplanned visits within 7 days of same-day surgery, as a ratio to the number expected (1.00 = expected).
Better than expected 0.70 1.00 = expected · U.S. 1.00

Medicare's readmission program

Excess readmission ratio: this hospital's predicted readmissions divided by the number expected for a typical hospital with the same patients. Above 1.00 means more readmissions than expected. 3 of 6 conditions are above 1.00.

ConditionRatioPatientsReadmissions
COPD 1.081 190 More than expected
Pneumonia 1.055 602 More than expected
Hip or knee replacement 1.014 – More than expected
Heart failure 0.974 563 Fewer than expected
Heart attack 0.972 234 Fewer than expected
Heart bypass surgery 0.828 – Fewer than expected

Readmission rates count Medicare patients who were admitted to any acute-care hospital within 30 days of leaving this one, adjusted for how sick they were. "Better" or "worse" means CMS found the difference from the national rate statistically significant; most hospitals are "no different". Return-day and outpatient-surgery measures compare the hospital with what CMS expected for its own patients. The Readmissions Reduction Program ratios are shown as CMS publishes them; whether a hospital's payments are reduced depends on how its ratios compare with similar hospitals, so a ratio above 1.00 alone doesn't mean a penalty. About the data.

Timely and effective care

Centers for Medicare & Medicaid Services · all patients unless noted · Oct 2024 – Sep 2025

Flagler Hospital's emergency department is classed by CMS as high volume.

MeasureThis hospitalU.S.*
Sepsis: got all recommended early treatmentPatients with severe sepsis or septic shock who received every step of the recommended early care bundle. Higher is better. 184 patients. 59% 65%
Septic shock: full treatment within 3 hoursHigher is better. 70 patients. 89% 73%
Stroke: brain scan read within 45 minutes of ER arrivalPatients arriving with stroke symptoms whose head CT or MRI was interpreted within 45 minutes. Higher is better. 13 patients. 69% 69%
Typical time in the ER before going homeMedian minutes from arrival to leaving, for ER patients sent home (not counting mental health patients or transfers). Lower is better. 423 patients. 166 min 162 min
Typical ER time for mental health patients sent homeMedian minutes from arrival to leaving. Lower is better. 11 patients. 152 min 257 min
Patients who left the ER before being seenLower is better. 48,984 patients. 1% 2%
Health care workers vaccinated against fluHigher is better. 2,632 patients. 70% 78%
Discharged on two opioids, or an opioid and a benzodiazepinePatients sent home with prescriptions that raise the risk of overdose when combined. Lower is better. 3,537 patients. 21% 15%
Colonoscopy: right follow-up interval for average-risk patientsHigher is better. 28 patients. 86% 93%
Stroke: discharged on clot-prevention medicineHigher is better. 128 patients. 98% 98%*
Stroke: clot prevention started by day 2Higher is better. 121 patients. 91% 94%*

CMS publishes these process-of-care measures without a better/worse verdict, so the U.S. figure is shown for context; small differences, or results based on few patients, may not mean much. *Median of all hospitals CMS reports, where CMS publishes no national figure. About the data.

Maternity care

Centers for Medicare & Medicaid Services · reported by the hospital · Jan 2024 – Dec 2024

Maternity safety practices (CMS SM-7)Whether the hospital reports taking part in a state or national perinatal quality program and following its patient-safety practices.
Yes

Maternity measures are reported by hospitals that deliver babies. The U.S. figure is the median of the hospitals CMS reports, not a CMS verdict. About the data.

Medicare spending and payment programs

Centers for Medicare & Medicaid Services

Hospital-acquired conditions · FY 2026
No penalty
Not in the worst-performing quarter on infections and patient-safety problems. 719 of 3,012 hospitals were penalized.
Value-based purchasing · FY 2026
18.9 / 100
Total performance score; the median hospital scored 29.5. Medicare raises or lowers each hospital's payments based on this score.
Medicare spending per patient
1.08
8% more than the national median per hospital stay (about $29,610 vs $27,417), counting Medicare spending from 3 days before admission to 30 days after discharge.

Value-based purchasing scores by area

AreaScore (out of 100)
Clinical outcomesDeath rates and complications16.7
Patient experiencePatient survey results29
SafetyHospital-acquired infections30
Efficiency and costMedicare spending per patient0

The Hospital-Acquired Condition Reduction Program cuts Medicare payments by 1% for the quarter of hospitals with the worst scores. The Hospital Value-Based Purchasing Program withholds a small share of every hospital's Medicare payments and pays it back according to the total performance score. A spending ratio of 1.00 equals the national median; spending reflects prices, the services patients received and care after discharge, not quality. Some hospitals, such as critical access, children's and cancer hospitals, are not part of these programs. About the data.

Care after a stay at Flagler Hospital

Medicare-certified providers near this hospital, with their CMS ratings. A hospital discharge planner can make the referral.

Skilled nursing facilities nearby

Skilled nursing ratings and inspections at Nursing Homes In Each State

Dialysis centers nearby See more

Home health agencies nearby See more

Hospice care providers nearby See more

Source: CMS Care Compare. Distances are approximate.

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Doctors at Flagler Hospital

379 Medicare-enrolled doctors and other clinicians list this hospital as an affiliation, across 28 specialties.

See all 379 clinicians

Find doctors in St Augustine

Medicare-enrolled specialists with a practice in St Augustine, with addresses, phone numbers and the hospitals they work with.

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What Medicare paid at Flagler Hospital

Centers for Medicare & Medicaid Services · original Medicare patients · 2024

Average hospital charges and actual payments for the procedures Medicare patients most often had here, compared with the average for Florida.

Hospital stays

Outpatient services

ServiceServicesAvg billedAvg allowed
Comprehensive Observation ServicesAPC 8011 824 $19,506 $2,642
Level 5 Musculoskeletal ProceduresAPC 5115 360 $49,099 $12,603
Level 4 Musculoskeletal ProceduresAPC 5114 219 $27,338 $6,915
Level 1 Endovascular ProceduresAPC 5191 206 $20,470 $3,166
Level 1 Intraocular ProceduresAPC 5491 191 $10,858 $2,261

Charges are the hospital's list prices; payments are what Medicare, the patient and any other insurer actually paid (for outpatient services, Medicare's allowed amount). Private insurance prices differ. "vs state" compares this hospital's average payment with the state average for the same stay. All procedure costs.

Size and finances

Medicare cost report · fiscal year ending Sep 2024

Beds
335
Reported to Medicare, FY2024
Employees
1,481
Full-time equivalent
Discharges
12,156
Inpatient stays a year
Patient revenue
$297.9 million
Net of discounts
Operating margin
-19.0%
On patient care
Charity care
$7.1 million
2.0% of expenses
Bad debt
$15.4 million
Unpaid patient bills

As reported by the hospital to CMS; not audited. Operating margin is income from patient care divided by net patient revenue and leaves out investment income and donations. Compare Florida hospital finances.

Who owns Flagler Hospital

Medicare enrollment and ownership records (PECOS)

Medicare lists the hospital's legal name as Flagler Hospital Inc, a non-profit organization, incorporated 1905.

Flagler Hospital Inc Operational or managerial control · 100% · since 1966
Shands Teaching Hospital and Clinics Inc Owns 5% or more directly · 100% · since 2023 Non-profit

683 doctors and other clinicians list Flagler Hospital as a hospital affiliation in Medicare's clinician directory.

Organizations with 5% or more ownership (directly or through other companies), partnership interests or operational control, as the hospital reported them to Medicare. Records can lag behind recent sales. Individuals are not listed. Who owns America's hospitals.

Non-profit finances

IRS Form 990 · tax year ending Sep 2023 · Flagler Hospital Inc (EIN 59-0675143)

Revenue
$333.7 million
Expenses
$364.3 million
Deficit
$30.6 million
-9.2% of revenue
Officer pay
$5.3 million
Compensation of current officers, directors and key employees

As filed with the IRS by Flagler Hospital Inc. Matched by name and address, so check the filing to confirm it's the right organization. See the full Form 990 filings · Non-profit hospital finances.

The area around Flagler Hospital

HRSA shortage designations and BLS pay data

Primary care: Parts of St. Johns are federally designated health professional shortage areas (2 designations). Highest shortage score 17.

Mental health: St. Johns is a federally designated health professional shortage area. Highest shortage score 17.

Dental: Parts of St. Johns are federally designated health professional shortage areas (3 designations). Highest shortage score 20.

Nurse pay: registered nurses in Florida earn a median $84,190 a year. Healthcare salaries in Florida.

Shortage areas are designated by the Health Resources and Services Administration where there are too few primary care, mental health or dental providers for the population; scores run from 0 to 25 for primary and mental health care and 0 to 26 for dental care, higher meaning greater need. Florida shortage areas

Healthcare pay in Florida

Registered nurses across Florida (all employers) earned a median of $84,190 a year (BLS, May 2025).Registered Nurse (RN) salary in FloridaNurse Practitioner salary in FloridaRespiratory Therapist salary in FloridaHealthcare salaries in Florida

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Cite this data

Writing about Flagler Hospital? You're welcome to quote these figures. They are free to use under CC BY 4.0: please credit HospitalsInEachState.com and link to this page.

Figures as of the July 2026 CMS release Updated automatically when CMS publishes new data Permanent link: hospitalsineachstate.com/hospitals/florida/st-augustine/flagler-hospital/400-health-park-blvd/

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