Florida / Adventhealth Ocala

CMS certification 100062 · Ocala, FL · 2 entries in CMS's price-transparency list

Adventhealth Ocala: charges and Medicare payments

Adventhealth Ocala reported 3,340 Medicare inpatient stays across 99 DRGs in 2024. Across them it charged 8.17 times what it was paid — mid-range in Florida, number 62 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: 285 stays at an average charge of $98,027, 9% above the national average. It also billed 2,919 outpatient services, charging 17.09 times what Medicare paid.

1Medicare inpatient stays 3,340
2Charge ÷ paid, inpatient 8.17×
3Rank in FL (highest ratio = 1) 62 of 159
4CMS price-transparency actions 2

Average charge per stay at Adventhealth Ocala, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 99 DRGs that can be compared with the national average, Adventhealth Ocala charged more than the national average in 61 (62%). 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	285	$98,027	+9%	$14,138
291 Heart Failure and Shock with MCC	217	$54,346	-4%	$9,561
280 Acute Myocardial Infarction, Discharged Alive with MCC	112	$70,138	-7%	$11,396
177 Respiratory Infections and Inflammations with MCC	97	$87,009	+23%	$11,665
193 Simple Pneumonia and Pleurisy with MCC	91	$66,057	+11%	$9,756
274 Percutaneous and Other Intracardiac Procedures without MCC	87	$278,002	+77%	$23,224
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	87	$43,100	+7%	$6,670
690 Kidney and Urinary Tract Infections without MCC	87	$36,993	-2%	$6,424
603 Cellulitis without MCC	81	$44,350	+19%	$6,945
190 Chronic Obstructive Pulmonary Disease with MCC	76	$54,061	+7%	$8,308
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	69	$63,749	+30%	$8,266
689 Kidney and Urinary Tract Infections with MCC	63	$51,700	+1%	$8,541
287 Circulatory Disorders except AMI, with Cardiac...	62	$67,740	+6%	$8,142
194 Simple Pneumonia and Pleurisy with CC	50	$49,455	+29%	$6,302
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	50	$55,313	-8%	$10,024
322 Percutaneous Cardiovascular Procedures with Intraluminal...	47	$159,941	+40%	$15,598
378 Gastrointestinal Hemorrhage with CC	47	$62,228	+28%	$7,620
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	47	$33,426	-10%	$5,933
853 Infectious and Parasitic Diseases with O.R. Procedures with...	45	$292,496	+28%	$34,195
309 Cardiac Arrhythmia and Conduction Disorders with CC	42	$41,738	+16%	$6,239
281 Acute Myocardial Infarction, Discharged Alive with CC	41	$49,016	-3%	$6,923
698 Other Kidney and Urinary Tract Diagnoses with MCC	37	$80,673	+10%	$11,960
312 Syncope and Collapse	36	$36,874	-19%	$6,609
682 Renal Failure with MCC	36	$53,079	-20%	$10,526
321 Percutaneous Cardiovascular Procedures with Intraluminal...	35	$181,996	+11%	$23,781
389 Gastrointestinal Obstruction with CC	35	$43,155	+11%	$7,130
638 Diabetes with CC	35	$44,239	+6%	$7,271
683 Renal Failure with CC	33	$40,468	-1%	$6,763
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	32	$47,060	-16%	$7,500
229 Other Cardiothoracic Procedures without MCC	31	$263,880	+60%	$22,576
699 Other Kidney and Urinary Tract Diagnoses with CC	31	$39,762	-16%	$8,234
036 Carotid Artery Stent Procedures without CC/MCC	29	$203,883	+131%	$13,968
286 Circulatory Disorders except AMI, with Cardiac...	29	$90,501	-19%	$15,858
228 Other Cardiothoracic Procedures with MCC	28	$312,368	+25%	$37,251
308 Cardiac Arrhythmia and Conduction Disorders with MCC	28	$52,061	-8%	$9,426
602 Cellulitis with MCC	28	$67,148	+12%	$10,571
313 Chest Pain	27	$28,326	-29%	$6,104
330 Major Small and Large Bowel Procedures with CC	27	$255,726	+115%	$18,523
552 Medical Back Problems without MCC	27	$37,794	-23%	$7,130
266 Endovascular Cardiac Valve Replacement and Supplement...	26	$548,889	+93%	$45,888
267 Endovascular Cardiac Valve Replacement and Supplement...	26	$522,820	+136%	$36,334
377 Gastrointestinal Hemorrhage with MCC	26	$94,860	+11%	$13,143
236 Coronary Bypass without Cardiac Catheterization without MCC	25	$464,568	+120%	$42,080
300 Peripheral Vascular Disorders with CC	25	$44,842	-9%	$7,894
069 Transient Ischemia without Thrombolytic	24	$37,736	-25%	$6,418
305 Hypertension without MCC	24	$28,804	-28%	$6,514
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	24	$24,562	-15%	$4,472
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	24	$56,599	-7%	$9,556
481 Hip and Femur Procedures except Major Joint with CC	24	$169,128	+68%	$14,397
637 Diabetes with MCC	23	$68,843	+4%	$10,386
035 Carotid Artery Stent Procedures with CC	22	$216,572	+91%	$16,509
812 Red Blood Cell Disorders without MCC	22	$49,958	+13%	$6,913
394 Other Digestive System Diagnoses with CC	21	$46,812	-1%	$7,253
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	20	$73,586	-26%	$13,709
189 Pulmonary Edema and Respiratory Failure	20	$58,008	+1%	$9,185
393 Other Digestive System Diagnoses with MCC	20	$96,518	+26%	$13,573
418 Laparoscopic Cholecystectomy without C.D.E. with CC	19	$150,615	+62%	$12,781
039 Extracranial Procedures without CC/MCC	17	$142,498	+123%	$15,587
191 Chronic Obstructive Pulmonary Disease with CC	17	$42,631	+8%	$6,576
336 Peritoneal Adhesiolysis with CC	17	$203,157	+97%	$16,356

Showing the 60 most frequent of 99 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	718	$19,957	$2,474
Level 1 Endovascular Procedures	378	$39,194	$2,934
Level 2 Vascular Procedures	131	$12,935	$1,442
Level 4 Urology and Related Services	128	$73,677	$3,158
Level 3 Endovascular Procedures	121	$124,987	$9,957
Level 3 Vascular Procedures	101	$49,051	$2,887
Level 4 Endovascular Procedures	93	$159,095	$13,636
Level 5 Urology and Related Services	90	$101,665	$4,648
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	85	$76,081	$3,134
Level 2 Excision/ Biopsy/ Incision and Drainage	84	$29,085	$1,469
Level 3 Electrophysiologic Procedures	82	$301,386	$21,459
Level 4 Musculoskeletal Procedures	74	$139,075	$6,411
Level 2 Breast/Lymphatic Surgery and Related Procedures	73	$92,498	$5,907
Level 1 Laparoscopy and Related Services	68	$108,197	$5,104
Level 3 Musculoskeletal Procedures	66	$93,111	$2,932
Level 3 Urology and Related Services	65	$27,236	$1,845
Level 2 Laparoscopy and Related Services	56	$154,543	$9,319
Level 2 Upper GI Procedures	55	$26,716	$1,724
Level 3 Excision/ Biopsy/ Incision and Drainage	50	$36,079	$2,574
Level 6 Musculoskeletal Procedures	43	$250,985	$16,845
Level 1 Breast/Lymphatic Surgery and Related Procedures	39	$71,471	$3,453
Level 1 Nerve Procedures	38	$63,440	$1,749
Level 3 Pacemaker and Similar Procedures	37	$94,646	$9,666
Level 5 Musculoskeletal Procedures	34	$201,601	$11,765
Level 2 Endovascular Procedures	34	$68,457	$5,177

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Ocala charged $98,027 on average, 13% less than the Florida average of $112,838, and was paid $14,138 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Ocala charged $54,346 on average, 20% less than the Florida average of $67,659, and was paid $9,561 against a state average of $10,715. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Adventhealth Ocala charged $70,138 on average, 25% less than the Florida average of $93,403, and was paid $11,396 against a state average of $12,779. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventhealth Ocala charged $87,009 on average, 2% more than the Florida average of $85,454, and was paid $11,665 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,957 was 30% below the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $39,194 was 6% below the state average of $41,880. For Level 2 Vascular Procedures (outpatient APC 5182), its average charge of $12,935 was 0% below the state average of $12,955. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $73,677 was 101% above the state average of $36,684.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Adventhealth Ocala in Ocala, 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 567)
Met Requirements — 2025-07-16 (CMS case 5778)

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.