Florida / Adventhealth Palm Coast Parkway
CMS certification 100363 · Palm Coast, FL · 2 entries in CMS's price-transparency list
Adventhealth Palm Coast Parkway: charges and Medicare payments
Adventhealth Palm Coast Parkway reported 1,224 Medicare inpatient stays across 43 DRGs in 2024. Across them it charged 5.28 times what it was paid — among the lower ratios in Florida, number 111 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: 227 stays at an average charge of $59,480, 34% below the national average. It also billed 463 outpatient services, charging 10.71 times what Medicare paid.
- 1Medicare inpatient stays 1,224
- 2Charge ÷ paid, inpatient 5.28×
- 3Rank in FL (highest ratio = 1) 111 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 43 DRGs that can be compared with the national average, Adventhealth Palm Coast Parkway 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 | 227 | $59,480 | -34% | $12,577 |
| 291 Heart Failure and Shock with MCC | 97 | $38,577 | -32% | $7,986 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 52 | $36,576 | -25% | $6,635 |
| 177 Respiratory Infections and Inflammations with MCC | 51 | $50,717 | -28% | $10,130 |
| 193 Simple Pneumonia and Pleurisy with MCC | 41 | $47,183 | -21% | $9,764 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 41 | $35,939 | -11% | $4,974 |
| 690 Kidney and Urinary Tract Infections without MCC | 37 | $29,779 | -21% | $5,731 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $39,719 | -31% | $8,655 |
| 689 Kidney and Urinary Tract Infections with MCC | 35 | $41,768 | -19% | $7,066 |
| 312 Syncope and Collapse | 32 | $39,283 | -14% | $5,844 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 30 | $31,446 | -13% | $5,071 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $47,809 | -37% | $8,613 |
| 069 Transient Ischemia without Thrombolytic | 28 | $43,442 | -14% | $5,047 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $73,010 | -14% | $10,818 |
| 682 Renal Failure with MCC | 23 | $40,477 | -39% | $9,026 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $56,986 | -22% | $9,511 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $38,492 | -32% | $8,743 |
| 313 Chest Pain | 21 | $29,707 | -26% | $4,839 |
| 683 Renal Failure with CC | 21 | $31,321 | -23% | $6,247 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $135,057 | -41% | $27,494 |
| 552 Medical Back Problems without MCC | 18 | $36,660 | -25% | $6,736 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $32,378 | -13% | $4,908 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $40,754 | -16% | $6,133 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $41,047 | -33% | $7,921 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $45,969 | -18% | $6,297 |
| 149 Dysequilibrium | 16 | $40,635 | -8% | $4,737 |
| 178 Respiratory Infections and Inflammations with CC | 16 | $27,893 | -38% | $6,155 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $35,695 | -29% | $6,733 |
| 637 Diabetes with MCC | 16 | $45,855 | -31% | $10,054 |
| 813 Coagulation Disorders | 16 | $54,592 | -32% | $9,773 |
| 603 Cellulitis without MCC | 15 | $24,295 | -35% | $6,147 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $38,827 | -36% | $8,298 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 14 | $47,656 | -52% | $14,047 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $29,463 | -23% | $5,232 |
| 394 Other Digestive System Diagnoses with CC | 14 | $34,120 | -28% | $5,950 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $41,018 | -14% | $5,588 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $37,038 | -27% | $5,495 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 12 | $53,788 | -16% | $6,687 |
| 389 Gastrointestinal Obstruction with CC | 12 | $33,508 | -14% | $5,035 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 12 | $116,675 | -16% | $17,717 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 11 | $68,457 | -37% | $13,684 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $53,120 | -18% | $11,557 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 11 | $49,858 | -33% | $9,560 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 117 | $22,638 | $2,446 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 47 | $14,862 | $1,469 |
| Level 3 Urology and Related Services | 47 | $20,200 | $1,825 |
| Level 2 Upper GI Procedures | 46 | $12,528 | $1,723 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 37 | $23,962 | $2,574 |
| Level 6 Urology and Related Services | 34 | $54,589 | $8,146 |
| Level 3 Vascular Procedures | 29 | $21,252 | $2,887 |
| Level 5 Urology and Related Services | 24 | $32,369 | $4,687 |
| Level 1 Laparoscopy and Related Services | 21 | $50,527 | $5,227 |
| Level 2 Urology and Related Services | 20 | $15,276 | $619 |
| Level 4 Urology and Related Services | 17 | $27,449 | $3,158 |
| Level 2 Vascular Procedures | 13 | $14,493 | $1,451 |
| Level 3 Endovascular Procedures | 11 | $82,245 | $9,957 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Palm Coast Parkway charged $59,480 on average, 47% less than the Florida average of $112,838, and was paid $12,577 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Palm Coast Parkway charged $38,577 on average, 43% less than the Florida average of $67,659, and was paid $7,986 against a state average of $10,715. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Adventhealth Palm Coast Parkway charged $36,576 on average, 42% less than the Florida average of $62,885, and was paid $6,635 against a state average of $8,998. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventhealth Palm Coast Parkway charged $50,717 on average, 41% less than the Florida average of $85,454, and was paid $10,130 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,638 was 20% below the state average of $28,431. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,862 was 2% above the state average of $14,597. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $20,200 was 14% below the state average of $23,471. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $12,528 was 34% below the state average of $18,929.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventhealth Palm Coast Parkway in Palm Coast, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-25 (CMS case 4113)
- CAP Request — 2026-07-10 (CMS case 8190)
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.