Florida / Adventhealth Daytona Beach
CMS certification 100068 · Daytona Beach, FL · 2 entries in CMS's price-transparency list
Adventhealth Daytona Beach: charges and Medicare payments
Adventhealth Daytona Beach reported 4,854 Medicare inpatient stays across 138 DRGs in 2024. Across them it charged 5.32 times what it was paid — among the lower ratios in Florida, number 109 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: 527 stays at an average charge of $75,327, 17% below the national average. It also billed 3,279 outpatient services, charging 8.36 times what Medicare paid.
- 1Medicare inpatient stays 4,854
- 2Charge ÷ paid, inpatient 5.32×
- 3Rank in FL (highest ratio = 1) 109 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 138 DRGs that can be compared with the national average, Adventhealth Daytona Beach charged more than the national average in 3 (2%). 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 | 527 | $75,327 | -17% | $13,776 |
| 291 Heart Failure and Shock with MCC | 211 | $46,339 | -18% | $9,320 |
| 177 Respiratory Infections and Inflammations with MCC | 111 | $57,791 | -18% | $11,675 |
| 193 Simple Pneumonia and Pleurisy with MCC | 107 | $51,074 | -15% | $9,746 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 106 | $151,995 | -3% | $23,451 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 80 | $57,907 | -24% | $11,569 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 77 | $28,655 | -21% | $6,015 |
| 689 Kidney and Urinary Tract Infections with MCC | 77 | $45,676 | -11% | $8,487 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 75 | $45,521 | -18% | $8,076 |
| 189 Pulmonary Edema and Respiratory Failure | 74 | $44,244 | -23% | $8,997 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 71 | $218,817 | -23% | $44,210 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 70 | $36,412 | -9% | $6,044 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 66 | $69,935 | -5% | $11,772 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 66 | $44,864 | -9% | $7,987 |
| 378 Gastrointestinal Hemorrhage with CC | 65 | $45,948 | -5% | $7,500 |
| 682 Renal Failure with MCC | 65 | $53,335 | -19% | $10,964 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 65 | $168,670 | -26% | $34,942 |
| 690 Kidney and Urinary Tract Infections without MCC | 63 | $33,165 | -12% | $6,304 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 61 | $172,456 | -18% | $27,478 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 60 | $73,405 | -26% | $13,116 |
| 683 Renal Failure with CC | 60 | $36,787 | -10% | $6,578 |
| 312 Syncope and Collapse | 59 | $35,863 | -21% | $6,630 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 59 | $44,279 | -27% | $9,544 |
| 552 Medical Back Problems without MCC | 56 | $35,708 | -27% | $7,100 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 52 | $19,614 | -32% | $4,659 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 51 | $100,744 | -12% | $14,527 |
| 481 Hip and Femur Procedures except Major Joint with CC | 51 | $97,021 | -4% | $15,005 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 50 | $37,492 | -26% | $7,064 |
| 377 Gastrointestinal Hemorrhage with MCC | 45 | $80,508 | -6% | $12,994 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 44 | $30,681 | -17% | $5,967 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 43 | $200,596 | -13% | $34,677 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 43 | $47,754 | -16% | $8,785 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 42 | $212,913 | -4% | $33,842 |
| 330 Major Small and Large Bowel Procedures with CC | 41 | $75,459 | -37% | $18,848 |
| 313 Chest Pain | 39 | $27,770 | -30% | $5,808 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 38 | $44,521 | -12% | $9,110 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 37 | $47,617 | -25% | $8,516 |
| 603 Cellulitis without MCC | 35 | $33,434 | -10% | $6,611 |
| 270 Other Major Cardiovascular Procedures with MCC | 34 | $203,055 | -22% | $46,659 |
| 329 Major Small and Large Bowel Procedures with MCC | 33 | $154,817 | -28% | $30,000 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 32 | $76,456 | -29% | $14,979 |
| 253 Other Vascular Procedures with CC | 32 | $117,224 | -11% | $18,667 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 32 | $179,655 | -16% | $27,338 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 32 | $118,187 | -15% | $19,717 |
| 389 Gastrointestinal Obstruction with CC | 31 | $31,045 | -20% | $6,163 |
| 069 Transient Ischemia without Thrombolytic | 30 | $44,823 | -11% | $5,975 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $124,264 | -24% | $22,214 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 30 | $92,021 | -1% | $14,208 |
| 101 Seizures without MCC | 29 | $29,930 | -39% | $6,641 |
| 229 Other Cardiothoracic Procedures without MCC | 29 | $158,771 | -4% | $23,285 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 29 | $40,137 | -15% | $7,325 |
| 194 Simple Pneumonia and Pleurisy with CC | 28 | $33,208 | -13% | $6,977 |
| 314 Other Circulatory System Diagnoses with MCC | 28 | $45,044 | -52% | $14,207 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 28 | $100,757 | -2% | $14,698 |
| 300 Peripheral Vascular Disorders with CC | 27 | $33,028 | -33% | $7,774 |
| 472 Cervical Spinal Fusion with CC | 27 | $130,339 | -9% | $20,783 |
| 035 Carotid Artery Stent Procedures with CC | 26 | $102,344 | -10% | $16,281 |
| 164 Major Chest Procedures with CC | 26 | $103,642 | -19% | $18,734 |
| 305 Hypertension without MCC | 26 | $27,849 | -31% | $5,713 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 26 | $54,545 | -27% | $11,610 |
Showing the 60 most frequent of 138 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Daytona Beach charged $75,327 on average, 33% less than the Florida average of $112,838, and was paid $13,776 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Daytona Beach charged $46,339 on average, 32% less than the Florida average of $67,659, and was paid $9,320 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventhealth Daytona Beach charged $57,791 on average, 32% less than the Florida average of $85,454, and was paid $11,675 against a state average of $13,200. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventhealth Daytona Beach charged $51,074 on average, 35% less than the Florida average of $78,292, and was paid $9,746 against a state average of $10,939. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $13,427 was 29% below the state average of $18,929. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,365 was 25% below the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,328 was 47% below the state average of $41,880. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $172,496 was 12% below the state average of $195,231.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventhealth Daytona Beach in Daytona Beach, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-03-05 (CMS case 3168)
- Closure Notice — 2025-06-06 (CMS case 3168)
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.