Florida / Adventhealth North Pinellas
CMS certification 100055 · Tarpon Springs, FL · 2 entries in CMS's price-transparency list
Adventhealth North Pinellas: charges and Medicare payments
Adventhealth North Pinellas reported 866 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 5.95 times what it was paid — mid-range in Florida, number 98 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: 177 stays at an average charge of $83,903, 7% below the national average. It also billed 475 outpatient services, charging 11.36 times what Medicare paid.
- 1Medicare inpatient stays 866
- 2Charge ÷ paid, inpatient 5.95×
- 3Rank in FL (highest ratio = 1) 98 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 34 DRGs that can be compared with the national average, Adventhealth North Pinellas charged more than the national average in 22 (65%). 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 | 177 | $83,903 | -7% | $13,577 |
| 291 Heart Failure and Shock with MCC | 56 | $48,778 | -13% | $9,266 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $74,916 | +6% | $13,257 |
| 193 Simple Pneumonia and Pleurisy with MCC | 34 | $60,542 | +1% | $9,781 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 34 | $54,922 | -14% | $11,060 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $55,022 | +7% | $8,646 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $40,382 | +7% | $6,263 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 30 | $62,192 | +23% | $10,047 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $38,125 | +6% | $6,980 |
| 312 Syncope and Collapse | 26 | $48,868 | +7% | $6,783 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $73,069 | 0% | $11,620 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 25 | $78,548 | +4% | $12,145 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $57,237 | +18% | $8,155 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $62,629 | +28% | $8,099 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $221,531 | -3% | $47,682 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 19 | $50,223 | -1% | $7,759 |
| 682 Renal Failure with MCC | 19 | $64,111 | -3% | $12,115 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 18 | $67,888 | +20% | $9,421 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $40,932 | +7% | $6,418 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $47,689 | +19% | $6,334 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $34,845 | +21% | $4,693 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $133,464 | +32% | $17,673 |
| 305 Hypertension without MCC | 13 | $41,448 | +3% | $7,930 |
| 313 Chest Pain | 13 | $37,518 | -6% | $5,784 |
| 314 Other Circulatory System Diagnoses with MCC | 13 | $65,719 | -31% | $14,996 |
| 603 Cellulitis without MCC | 13 | $51,875 | +39% | $6,755 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $39,212 | -35% | $11,237 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $29,796 | -20% | $5,925 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $77,549 | -31% | $20,854 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $57,007 | +2% | $11,473 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $60,170 | +5% | $13,163 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $118,009 | +3% | $13,216 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $162,947 | +17% | $19,907 |
| 552 Medical Back Problems without MCC | 11 | $51,207 | +5% | $7,238 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 113 | $26,750 | $2,479 |
| Level 1 Endovascular Procedures | 67 | $24,133 | $2,925 |
| Level 5 Musculoskeletal Procedures | 43 | $95,483 | $11,906 |
| Level 5 Urology and Related Services | 43 | $30,293 | $4,687 |
| Level 3 Endovascular Procedures | 26 | $99,058 | $9,957 |
| Level 4 Urology and Related Services | 25 | $45,220 | $3,158 |
| Level 2 Musculoskeletal Procedures | 23 | $22,911 | $1,456 |
| Level 3 Urology and Related Services | 23 | $17,442 | $1,845 |
| Level 3 Musculoskeletal Procedures | 19 | $40,521 | $2,932 |
| Level 4 Musculoskeletal Procedures | 18 | $78,217 | $6,480 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 17 | $17,584 | $1,469 |
| Level 1 Laparoscopy and Related Services | 16 | $63,695 | $5,227 |
| Level 4 Endovascular Procedures | 15 | $130,042 | $12,806 |
| Level 3 Vascular Procedures | 14 | $30,774 | $2,888 |
| Level 6 Musculoskeletal Procedures | 13 | $104,006 | $16,845 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth North Pinellas charged $83,903 on average, 26% less than the Florida average of $112,838, and was paid $13,577 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Adventhealth North Pinellas charged $48,778 on average, 28% less than the Florida average of $67,659, and was paid $9,266 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventhealth North Pinellas charged $74,916 on average, 12% less than the Florida average of $85,454, and was paid $13,257 against a state average of $13,200. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventhealth North Pinellas charged $60,542 on average, 23% less than the Florida average of $78,292, and was paid $9,781 against a state average of $10,939. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,750 was 6% below the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $24,133 was 42% below the state average of $41,880. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $95,483 was 11% below the state average of $106,979. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $30,293 was 41% below the state average of $51,337.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventhealth North Pinellas in Tarpon Springs, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-05 (CMS case 820)
- Met Requirements — 2025-07-16 (CMS case 5801)
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.