Florida / Adventhealth Deland
CMS certification 100045 · Deland, FL · 2 entries in CMS's price-transparency list
Adventhealth Deland: charges and Medicare payments
Adventhealth Deland reported 1,677 Medicare inpatient stays across 55 DRGs in 2024. Across them it charged 4.87 times what it was paid — among the lower ratios in Florida, number 131 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: 255 stays at an average charge of $72,026, 20% below the national average. It also billed 729 outpatient services, charging 8.51 times what Medicare paid.
- 1Medicare inpatient stays 1,677
- 2Charge ÷ paid, inpatient 4.87×
- 3Rank in FL (highest ratio = 1) 131 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 55 DRGs that can be compared with the national average, Adventhealth Deland charged more than the national average in 2 (4%). 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 | 255 | $72,026 | -20% | $14,114 |
| 291 Heart Failure and Shock with MCC | 93 | $40,036 | -29% | $9,638 |
| 193 Simple Pneumonia and Pleurisy with MCC | 81 | $48,790 | -18% | $10,536 |
| 689 Kidney and Urinary Tract Infections with MCC | 60 | $38,334 | -25% | $8,986 |
| 177 Respiratory Infections and Inflammations with MCC | 59 | $51,324 | -27% | $11,800 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 52 | $38,881 | -3% | $6,438 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 49 | $43,313 | -12% | $8,361 |
| 312 Syncope and Collapse | 39 | $32,814 | -28% | $7,278 |
| 690 Kidney and Urinary Tract Infections without MCC | 38 | $31,997 | -15% | $6,520 |
| 189 Pulmonary Edema and Respiratory Failure | 37 | $39,706 | -31% | $10,018 |
| 481 Hip and Femur Procedures except Major Joint with CC | 35 | $80,196 | -20% | $14,780 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 33 | $66,902 | -33% | $13,800 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 31 | $54,385 | -28% | $12,102 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 31 | $147,860 | -35% | $31,224 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $29,448 | -18% | $6,585 |
| 378 Gastrointestinal Hemorrhage with CC | 29 | $46,189 | -5% | $8,632 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $44,844 | -26% | $9,906 |
| 683 Renal Failure with CC | 29 | $36,191 | -11% | $7,702 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 29 | $61,136 | -17% | $12,884 |
| 682 Renal Failure with MCC | 28 | $57,654 | -13% | $10,699 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $42,455 | -16% | $8,618 |
| 194 Simple Pneumonia and Pleurisy with CC | 27 | $30,781 | -20% | $6,709 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $54,889 | -10% | $9,945 |
| 603 Cellulitis without MCC | 26 | $33,575 | -10% | $7,147 |
| 313 Chest Pain | 25 | $28,873 | -28% | $6,666 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $76,453 | -25% | $16,323 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $60,318 | -29% | $13,193 |
| 069 Transient Ischemia without Thrombolytic | 23 | $43,371 | -14% | $7,828 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $55,429 | -1% | $7,823 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 21 | $104,496 | -25% | $19,990 |
| 552 Medical Back Problems without MCC | 21 | $39,976 | -18% | $7,501 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 21 | $208,758 | -35% | $44,762 |
| 305 Hypertension without MCC | 20 | $35,991 | -10% | $6,396 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $37,091 | -35% | $9,316 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $26,407 | -29% | $6,268 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $84,686 | -26% | $13,614 |
| 149 Dysequilibrium | 17 | $38,577 | -13% | $6,177 |
| 812 Red Blood Cell Disorders without MCC | 17 | $28,360 | -36% | $7,280 |
| 389 Gastrointestinal Obstruction with CC | 16 | $32,136 | -17% | $7,363 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 16 | $32,166 | -25% | $8,369 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 14 | $31,825 | -20% | $6,928 |
| 638 Diabetes with CC | 14 | $34,684 | -17% | $7,040 |
| 813 Coagulation Disorders | 14 | $40,877 | -49% | $11,758 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 13 | $24,311 | -15% | $4,813 |
| 101 Seizures without MCC | 12 | $26,516 | -46% | $7,267 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $33,409 | -26% | $9,022 |
| 637 Diabetes with MCC | 12 | $55,720 | -16% | $10,607 |
| 056 Degenerative Nervous System Disorders with MCC | 11 | $44,631 | -54% | $13,212 |
| 071 Other Cerebrovascular Disorders with CC | 11 | $45,295 | -10% | $10,003 |
| 092 Other Disorders of Nervous System with CC | 11 | $34,221 | -34% | $8,155 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $37,950 | -25% | $8,993 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $193,476 | -10% | $32,936 |
| 643 Endocrine Disorders with MCC | 11 | $63,650 | -14% | $12,392 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $128,288 | +31% | $16,590 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 11 | $84,029 | +12% | $14,674 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 227 | $21,989 | $2,479 |
| Level 5 Musculoskeletal Procedures | 70 | $58,249 | $11,906 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 67 | $9,572 | $1,458 |
| Level 2 Upper GI Procedures | 46 | $14,477 | $1,723 |
| Level 4 Musculoskeletal Procedures | 43 | $59,081 | $6,480 |
| Level 6 Musculoskeletal Procedures | 35 | $84,791 | $16,845 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 33 | $34,953 | $3,058 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 27 | $23,876 | $2,574 |
| Level 1 Laparoscopy and Related Services | 27 | $40,894 | $5,130 |
| Level 3 Vascular Procedures | 25 | $22,639 | $2,799 |
| Level 3 Airway Endoscopy | 19 | $20,736 | $1,473 |
| Level 2 Vascular Procedures | 19 | $5,560 | $1,451 |
| Level 1 Endovascular Procedures | 19 | $19,031 | $2,957 |
| Level 3 Endovascular Procedures | 19 | $70,236 | $9,957 |
| Level 2 Musculoskeletal Procedures | 16 | $18,980 | $1,392 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 14 | $32,467 | $3,453 |
| Level 3 Musculoskeletal Procedures | 12 | $39,173 | $2,932 |
| Level 3 Lower GI Procedures | 11 | $28,495 | $2,543 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Deland charged $72,026 on average, 36% less than the Florida average of $112,838, and was paid $14,114 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Deland charged $40,036 on average, 41% less than the Florida average of $67,659, and was paid $9,638 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventhealth Deland charged $48,790 on average, 38% less than the Florida average of $78,292, and was paid $10,536 against a state average of $10,939. For Kidney and Urinary Tract Infections with MCC (DRG 689), Adventhealth Deland charged $38,334 on average, 39% less than the Florida average of $62,527, and was paid $8,986 against a state average of $9,734. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,989 was 23% below the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $58,249 was 46% below the state average of $106,979. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,572 was 34% below the state average of $14,597. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,477 was 24% below the state average of $18,929.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventhealth Deland in Deland, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-28 (CMS case 3167)
- Closure Notice — 2025-06-04 (CMS case 3167)
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.