Florida / Adventhealth Orlando

CMS certification 100007 · Orlando, FL · 4 entries in CMS's price-transparency list

Adventhealth Orlando: charges and Medicare payments

Adventhealth Orlando reported 30,767 Medicare inpatient stays across 387 DRGs in 2024. Across them it charged 7.42 times what it was paid — mid-range in Florida, number 73 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: 3400 stays at an average charge of $129,307, 43% above the national average. It also billed 15,186 outpatient services, charging 13.5 times what Medicare paid.

1Medicare inpatient stays 30,767
2Charge ÷ paid, inpatient 7.42×
3Rank in FL (highest ratio = 1) 73 of 159
4CMS price-transparency actions 4

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

Inpatient stays

For the 387 DRGs that can be compared with the national average, Adventhealth Orlando charged more than the national average in 378 (98%). 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	3400	$129,307	+43%	$17,194
291 Heart Failure and Shock with MCC	1217	$84,093	+49%	$11,391
698 Other Kidney and Urinary Tract Diagnoses with MCC	614	$107,892	+47%	$14,317
177 Respiratory Infections and Inflammations with MCC	604	$98,383	+39%	$13,764
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	548	$58,712	+46%	$7,995
280 Acute Myocardial Infarction, Discharged Alive with MCC	521	$102,759	+36%	$14,209
853 Infectious and Parasitic Diseases with O.R. Procedures with...	501	$316,481	+38%	$44,039
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	490	$70,119	+43%	$9,903
689 Kidney and Urinary Tract Infections with MCC	436	$72,958	+42%	$10,895
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	413	$81,739	+36%	$11,408
309 Cardiac Arrhythmia and Conduction Disorders with CC	385	$48,774	+35%	$7,349
690 Kidney and Urinary Tract Infections without MCC	361	$53,614	+42%	$7,786
193 Simple Pneumonia and Pleurisy with MCC	338	$81,153	+36%	$11,902
312 Syncope and Collapse	329	$63,212	+39%	$7,771
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	320	$138,375	+39%	$16,980
682 Renal Failure with MCC	291	$86,750	+32%	$12,358
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	270	$85,728	+40%	$12,619
699 Other Kidney and Urinary Tract Diagnoses with CC	269	$64,219	+35%	$10,617
552 Medical Back Problems without MCC	268	$66,019	+35%	$8,638
308 Cardiac Arrhythmia and Conduction Disorders with MCC	252	$75,747	+34%	$11,174
603 Cellulitis without MCC	247	$53,417	+43%	$8,463
377 Gastrointestinal Hemorrhage with MCC	239	$145,401	+70%	$17,761
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	238	$93,846	+68%	$10,206
305 Hypertension without MCC	236	$53,507	+33%	$7,125
313 Chest Pain	229	$52,416	+31%	$7,009
314 Other Circulatory System Diagnoses with MCC	228	$130,899	+38%	$20,273
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	220	$55,511	+50%	$7,335
378 Gastrointestinal Hemorrhage with CC	219	$81,146	+67%	$10,065
683 Renal Failure with CC	218	$57,570	+41%	$8,567
190 Chronic Obstructive Pulmonary Disease with MCC	210	$71,454	+41%	$9,963
057 Degenerative Nervous System Disorders without MCC	203	$68,322	+21%	$11,079
069 Transient Ischemia without Thrombolytic	192	$78,775	+56%	$7,685
812 Red Blood Cell Disorders without MCC	187	$64,824	+46%	$8,883
481 Hip and Femur Procedures except Major Joint with CC	183	$164,502	+63%	$16,849
393 Other Digestive System Diagnoses with MCC	177	$103,223	+34%	$15,185
281 Acute Myocardial Infarction, Discharged Alive with CC	175	$73,313	+45%	$8,568
274 Percutaneous and Other Intracardiac Procedures without MCC	174	$256,702	+64%	$27,006
330 Major Small and Large Bowel Procedures with CC	171	$176,569	+48%	$22,156
189 Pulmonary Edema and Respiratory Failure	169	$82,197	+43%	$11,863
252 Other Vascular Procedures with MCC	169	$185,027	+8%	$28,857
394 Other Digestive System Diagnoses with CC	169	$71,965	+53%	$8,936
287 Circulatory Disorders except AMI, with Cardiac...	167	$93,764	+47%	$11,333
286 Circulatory Disorders except AMI, with Cardiac...	166	$169,306	+51%	$22,095
637 Diabetes with MCC	164	$88,246	+33%	$12,324
811 Red Blood Cell Disorders with MCC	162	$103,595	+52%	$12,171
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	161	$105,758	+57%	$13,535
870 Septicemia or Severe Sepsis with MV >96 Hours	160	$409,393	+27%	$51,625
389 Gastrointestinal Obstruction with CC	154	$53,114	+36%	$7,985
638 Diabetes with CC	150	$57,934	+39%	$8,892
100 Seizures with MCC	148	$99,828	+6%	$15,519
266 Endovascular Cardiac Valve Replacement and Supplement...	148	$491,059	+72%	$55,230
329 Major Small and Large Bowel Procedures with MCC	147	$313,521	+46%	$37,479
322 Percutaneous Cardiovascular Procedures with Intraluminal...	143	$150,032	+31%	$18,200
056 Degenerative Nervous System Disorders with MCC	141	$103,644	+8%	$17,596
194 Simple Pneumonia and Pleurisy with CC	140	$53,788	+40%	$7,975
178 Respiratory Infections and Inflammations with CC	136	$62,893	+39%	$9,002
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	133	$39,831	+39%	$6,275
202 Bronchitis and Asthma with CC/MCC	132	$64,225	+39%	$9,269
101 Seizures without MCC	130	$61,463	+26%	$8,231
813 Coagulation Disorders	129	$81,337	+2%	$13,725

Showing the 60 most frequent of 387 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	3,106	$37,344	$2,427
Level 2 Upper GI Procedures	823	$18,952	$1,699
Level 1 Endovascular Procedures	770	$38,790	$2,924
Level 2 Excision/ Biopsy/ Incision and Drainage	709	$18,766	$1,437
Level 3 Vascular Procedures	585	$27,195	$2,853
Level 3 Urology and Related Services	537	$22,838	$1,837
Level 1 Laparoscopy and Related Services	534	$80,402	$5,134
Level 2 Laparoscopy and Related Services	510	$139,452	$9,183
Level 5 Musculoskeletal Procedures	483	$130,036	$11,802
Level 3 Electrophysiologic Procedures	453	$241,555	$21,371
Level 3 Excision/ Biopsy/ Incision and Drainage	438	$33,676	$2,565
Level 5 Urology and Related Services	383	$48,118	$4,648
Level 3 Endovascular Procedures	372	$99,452	$9,845
Level 4 Musculoskeletal Procedures	349	$73,623	$6,451
Level 4 Urology and Related Services	349	$33,175	$3,129
Level 3 Musculoskeletal Procedures	235	$37,823	$2,880
Level 2 Vascular Procedures	224	$11,977	$1,435
Level 4 Airway Endoscopy	219	$39,818	$3,380
Level 2 Intraocular Procedures	217	$29,974	$3,629
Level 1 Nerve Procedures	216	$22,020	$1,737
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	193	$42,935	$3,108
Level 2 Musculoskeletal Procedures	187	$18,492	$1,450
Level 5 ENT Procedures	186	$50,269	$5,282
Level 4 Vascular Procedures	180	$59,036	$4,934
Level 1 Breast/Lymphatic Surgery and Related Procedures	179	$35,777	$3,441

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Orlando charged $129,307 on average, 15% more than the Florida average of $112,838, and was paid $17,194 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Orlando charged $84,093 on average, 24% more than the Florida average of $67,659, and was paid $11,391 against a state average of $10,715. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Adventhealth Orlando charged $107,892 on average, 20% more than the Florida average of $89,808, and was paid $14,317 against a state average of $13,414. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventhealth Orlando charged $98,383 on average, 15% more than the Florida average of $85,454, and was paid $13,764 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $37,344 was 31% above the state average of $28,431. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $18,952 was 0% below the state average of $18,929. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $38,790 was 7% below the state average of $41,880. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $18,766 was 29% above the state average of $14,597.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Adventhealth Orlando in Orlando, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-08-25 (CMS case 707)
Closure Notice — 2022-02-16 (CMS case 707)
Met Requirements — 2024-02-05 (CMS case 1654)
Met Requirements — 2025-07-15 (CMS case 5796)

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.