Florida / Adventhealth Fish Memorial
CMS certification 100072 · Orange City, FL · 1 entry in CMS's price-transparency list
Adventhealth Fish Memorial: charges and Medicare payments
Adventhealth Fish Memorial reported 1,818 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 4.85 times what it was paid — among the lower ratios in Florida, number 133 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: 428 stays at an average charge of $71,129, 21% below the national average. It also billed 792 outpatient services, charging 7.13 times what Medicare paid.
- 1Medicare inpatient stays 1,818
- 2Charge ÷ paid, inpatient 4.85×
- 3Rank in FL (highest ratio = 1) 133 of 159
- 4CMS price-transparency actions 1
Inpatient stays
For the 52 DRGs that can be compared with the national average, Adventhealth Fish Memorial charged more than the national average in 1 (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 | 428 | $71,129 | -21% | $14,454 |
| 291 Heart Failure and Shock with MCC | 143 | $48,405 | -14% | $9,689 |
| 177 Respiratory Infections and Inflammations with MCC | 55 | $49,726 | -30% | $12,475 |
| 189 Pulmonary Edema and Respiratory Failure | 51 | $51,059 | -11% | $9,646 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 48 | $62,029 | -18% | $11,825 |
| 193 Simple Pneumonia and Pleurisy with MCC | 46 | $47,713 | -20% | $10,080 |
| 689 Kidney and Urinary Tract Infections with MCC | 45 | $49,001 | -5% | $8,956 |
| 312 Syncope and Collapse | 40 | $34,348 | -25% | $8,188 |
| 690 Kidney and Urinary Tract Infections without MCC | 40 | $33,695 | -11% | $6,638 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 39 | $28,977 | -20% | $6,005 |
| 378 Gastrointestinal Hemorrhage with CC | 39 | $50,870 | +5% | $8,299 |
| 682 Renal Failure with MCC | 38 | $54,115 | -18% | $11,409 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 37 | $36,523 | -9% | $6,546 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 37 | $145,890 | -36% | $31,386 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 37 | $41,931 | -15% | $8,678 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 36 | $52,963 | -13% | $10,390 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 34 | $35,523 | -37% | $9,456 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 34 | $65,122 | -11% | $13,733 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 29 | $46,514 | -17% | $8,290 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $90,526 | -21% | $17,324 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 24 | $41,397 | -35% | $10,638 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $47,090 | -22% | $9,822 |
| 069 Transient Ischemia without Thrombolytic | 23 | $47,090 | -7% | $6,933 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $62,737 | -27% | $15,421 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 22 | $42,162 | -17% | $6,951 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 21 | $69,703 | -30% | $14,903 |
| 813 Coagulation Disorders | 21 | $74,075 | -8% | $13,621 |
| 313 Chest Pain | 20 | $32,958 | -17% | $6,229 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $37,525 | -26% | $8,457 |
| 683 Renal Failure with CC | 19 | $36,786 | -10% | $7,001 |
| 552 Medical Back Problems without MCC | 18 | $42,537 | -13% | $7,326 |
| 637 Diabetes with MCC | 18 | $55,973 | -16% | $11,928 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $31,142 | -16% | $6,188 |
| 149 Dysequilibrium | 17 | $39,657 | -11% | $5,945 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $31,182 | -19% | $6,451 |
| 812 Red Blood Cell Disorders without MCC | 17 | $38,546 | -13% | $7,138 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 16 | $31,041 | -22% | $6,748 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 16 | $58,699 | -48% | $15,450 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 16 | $42,230 | -44% | $11,732 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $53,124 | -18% | $10,182 |
| 603 Cellulitis without MCC | 15 | $37,233 | 0% | $7,481 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $21,800 | -24% | $4,634 |
| 305 Hypertension without MCC | 13 | $32,974 | -18% | $6,799 |
| 314 Other Circulatory System Diagnoses with MCC | 13 | $60,739 | -36% | $14,926 |
| 389 Gastrointestinal Obstruction with CC | 13 | $38,396 | -1% | $6,901 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 13 | $41,281 | -39% | $10,031 |
| 303 Atherosclerosis without MCC | 12 | $30,902 | -12% | $5,314 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $95,804 | -41% | $23,469 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $35,949 | -24% | $7,707 |
| 811 Red Blood Cell Disorders with MCC | 12 | $51,306 | -25% | $10,520 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 12 | $176,756 | -45% | $44,216 |
| 202 Bronchitis and Asthma with CC/MCC | 11 | $28,645 | -38% | $7,473 |
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Fish Memorial charged $71,129 on average, 37% less than the Florida average of $112,838, and was paid $14,454 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Fish Memorial charged $48,405 on average, 28% less than the Florida average of $67,659, and was paid $9,689 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventhealth Fish Memorial charged $49,726 on average, 42% less than the Florida average of $85,454, and was paid $12,475 against a state average of $13,200. For Pulmonary Edema and Respiratory Failure (DRG 189), Adventhealth Fish Memorial charged $51,059 on average, 29% less than the Florida average of $72,382, and was paid $9,646 against a state average of $10,641. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $60,442 was 44% below the state average of $106,979. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,450 was 7% below the state average of $28,431. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,273 was 43% below the state average of $14,597. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $20,850 was 50% below the state average of $41,880.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventhealth Fish Memorial in Orange City, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-24 (CMS case 4085)
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.