Florida / Adventhealth New Smyrna Beach
CMS certification 100014 · New Smyrna Beach, FL
Adventhealth New Smyrna Beach: charges and Medicare payments
Adventhealth New Smyrna Beach reported 1,385 Medicare inpatient stays across 48 DRGs in 2024. Across them it charged 4.22 times what it was paid — among the lower ratios in Florida, number 145 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: 242 stays at an average charge of $55,826, 38% below the national average. It also billed 1,149 outpatient services, charging 7.31 times what Medicare paid.
- 1Medicare inpatient stays 1,385
- 2Charge ÷ paid, inpatient 4.22×
- 3Rank in FL (highest ratio = 1) 145 of 159
- 4CMS price-transparency actions 0
Inpatient stays
For the 48 DRGs that can be compared with the national average, Adventhealth New Smyrna Beach charged more than the national average in 0 (0%). 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 | 242 | $55,826 | -38% | $13,604 |
| 291 Heart Failure and Shock with MCC | 94 | $34,528 | -39% | $9,325 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 58 | $34,540 | -30% | $7,720 |
| 193 Simple Pneumonia and Pleurisy with MCC | 50 | $36,252 | -39% | $9,438 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 40 | $52,505 | -31% | $10,907 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 40 | $44,273 | -31% | $8,057 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $37,544 | -35% | $9,194 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 35 | $93,982 | -18% | $13,162 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $35,085 | -42% | $9,346 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 34 | $116,625 | -49% | $30,845 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $33,365 | -35% | $8,418 |
| 177 Respiratory Infections and Inflammations with MCC | 31 | $36,853 | -48% | $11,681 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $29,975 | -25% | $6,527 |
| 690 Kidney and Urinary Tract Infections without MCC | 29 | $26,276 | -31% | $6,879 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $26,238 | -27% | $6,060 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $31,532 | -35% | $7,484 |
| 682 Renal Failure with MCC | 26 | $42,307 | -36% | $10,667 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $47,400 | -35% | $11,155 |
| 312 Syncope and Collapse | 25 | $35,213 | -23% | $6,698 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 23 | $48,169 | -52% | $12,478 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 23 | $56,667 | -50% | $14,775 |
| 603 Cellulitis without MCC | 23 | $24,386 | -35% | $6,813 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 22 | $33,815 | -33% | $7,008 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $87,998 | -46% | $23,192 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $72,574 | -28% | $14,613 |
| 683 Renal Failure with CC | 22 | $27,050 | -34% | $6,842 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $44,378 | -22% | $8,908 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $18,461 | -50% | $6,037 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $44,042 | -21% | $7,316 |
| 069 Transient Ischemia without Thrombolytic | 17 | $35,713 | -29% | $6,178 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $23,113 | -40% | $6,534 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $22,927 | -20% | $4,527 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $50,201 | -41% | $13,196 |
| 389 Gastrointestinal Obstruction with CC | 15 | $21,371 | -45% | $6,364 |
| 229 Other Cardiothoracic Procedures without MCC | 14 | $105,266 | -36% | $22,241 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $63,932 | -31% | $15,951 |
| 811 Red Blood Cell Disorders with MCC | 14 | $48,047 | -30% | $10,282 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $25,782 | -49% | $8,185 |
| 390 Gastrointestinal Obstruction without CC/MCC | 13 | $15,469 | -45% | $4,499 |
| 536 Fractures of Hip and Pelvis without MCC | 13 | $21,454 | -43% | $6,058 |
| 552 Medical Back Problems without MCC | 13 | $30,262 | -38% | $7,307 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 12 | $88,236 | -36% | $19,984 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $80,091 | -22% | $15,090 |
| 813 Coagulation Disorders | 12 | $40,022 | -50% | $11,330 |
| 228 Other Cardiothoracic Procedures with MCC | 11 | $145,929 | -42% | $35,353 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $37,754 | -38% | $11,133 |
| 478 Biopsies of Musculoskeletal System and Connective Tissue... | 11 | $68,131 | -42% | $15,986 |
| 812 Red Blood Cell Disorders without MCC | 11 | $27,214 | -39% | $6,979 |
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth New Smyrna Beach charged $55,826 on average, 51% less than the Florida average of $112,838, and was paid $13,604 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Adventhealth New Smyrna Beach charged $34,528 on average, 49% less than the Florida average of $67,659, and was paid $9,325 against a state average of $10,715. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Adventhealth New Smyrna Beach charged $34,540 on average, 45% less than the Florida average of $62,885, and was paid $7,720 against a state average of $8,998. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventhealth New Smyrna Beach charged $36,252 on average, 54% less than the Florida average of $78,292, and was paid $9,438 against a state average of $10,939. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,231 was 56% below the state average of $41,880. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,749 was 31% below the state average of $28,431. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,941 was 46% below the state average of $14,597. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $28,832 was 58% below the state average of $68,202.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.