Adventhealth Redmond: charges and Medicare payments

Adventhealth Redmond reported 2,393 Medicare inpatient stays across 72 DRGs in 2024. Across them it charged 9.05 times what it was paid — among the higher ratios in Georgia, number 2 of 74 hospitals with at least 100 stays (state median 4.44×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 346 stays at an average charge of $130,875, 45% above the national average. It also billed 1,660 outpatient services, charging 14.92 times what Medicare paid.

1Medicare inpatient stays 2,393
2Charge ÷ paid, inpatient 9.05×
3Rank in GA (highest ratio = 1) 2 of 74
4CMS price-transparency actions 2

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

Inpatient stays

For the 72 DRGs that can be compared with the national average, Adventhealth Redmond charged more than the national average in 71 (99%). 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	346	$130,875	+45%	$14,995
280 Acute Myocardial Infarction, Discharged Alive with MCC	206	$109,957	+45%	$12,500
291 Heart Failure and Shock with MCC	126	$84,534	+50%	$10,590
274 Percutaneous and Other Intracardiac Procedures without MCC	66	$218,600	+39%	$25,382
281 Acute Myocardial Infarction, Discharged Alive with CC	64	$73,977	+47%	$7,944
321 Percutaneous Cardiovascular Procedures with Intraluminal...	64	$246,750	+51%	$24,059
322 Percutaneous Cardiovascular Procedures with Intraluminal...	59	$202,227	+77%	$14,630
177 Respiratory Infections and Inflammations with MCC	57	$117,606	+67%	$13,583
853 Infectious and Parasitic Diseases with O.R. Procedures with...	57	$287,819	+26%	$40,254
377 Gastrointestinal Hemorrhage with MCC	53	$106,718	+25%	$13,244
378 Gastrointestinal Hemorrhage with CC	53	$69,269	+43%	$7,994
682 Renal Failure with MCC	50	$107,507	+63%	$12,099
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	48	$81,854	+67%	$8,217
266 Endovascular Cardiac Valve Replacement and Supplement...	45	$482,824	+69%	$49,762
287 Circulatory Disorders except AMI, with Cardiac...	44	$97,910	+53%	$8,827
193 Simple Pneumonia and Pleurisy with MCC	42	$77,889	+30%	$10,351
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	38	$121,331	+21%	$15,924
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	38	$100,372	+80%	$8,135
267 Endovascular Cardiac Valve Replacement and Supplement...	36	$414,786	+87%	$38,051
309 Cardiac Arrhythmia and Conduction Disorders with CC	34	$45,025	+25%	$6,051
698 Other Kidney and Urinary Tract Diagnoses with MCC	34	$109,569	+49%	$12,987
190 Chronic Obstructive Pulmonary Disease with MCC	33	$77,312	+53%	$8,843
689 Kidney and Urinary Tract Infections with MCC	32	$89,362	+74%	$8,953
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	31	$59,141	+47%	$6,477
189 Pulmonary Edema and Respiratory Failure	30	$75,037	+30%	$9,915
286 Circulatory Disorders except AMI, with Cardiac...	27	$142,184	+27%	$16,844
308 Cardiac Arrhythmia and Conduction Disorders with MCC	25	$80,742	+43%	$9,719
312 Syncope and Collapse	23	$64,338	+41%	$6,980
070 Other Cerebrovascular Disorders with MCC	19	$121,982	+60%	$13,128
470 Major Hip and Knee Joint Replacement or Reattachment of...	19	$155,003	+66%	$14,727
637 Diabetes with MCC	19	$109,674	+65%	$11,417
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	19	$80,942	+118%	$6,385
683 Renal Failure with CC	19	$58,366	+43%	$6,843
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	18	$80,558	+34%	$10,597
038 Extracranial Procedures with CC	17	$168,269	+92%	$12,450
069 Transient Ischemia without Thrombolytic	17	$83,553	+66%	$6,739
208 Respiratory System Diagnosis with Ventilator Support <=96...	17	$152,432	+12%	$21,097
811 Red Blood Cell Disorders with MCC	17	$116,549	+71%	$13,183
100 Seizures with MCC	16	$140,679	+49%	$14,462
236 Coronary Bypass without Cardiac Catheterization without MCC	16	$474,807	+125%	$46,842
305 Hypertension without MCC	16	$62,608	+56%	$6,262
330 Major Small and Large Bowel Procedures with CC	16	$226,060	+90%	$20,778
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$99,821	+64%	$10,240
481 Hip and Femur Procedures except Major Joint with CC	16	$167,357	+66%	$16,579
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	16	$175,990	+72%	$15,629
603 Cellulitis without MCC	16	$61,872	+66%	$7,215
854 Infectious and Parasitic Diseases with O.R. Procedures with...	16	$114,244	+16%	$16,708
242 Permanent Cardiac Pacemaker Implant with MCC	15	$231,937	+44%	$25,085
432 Cirrhosis and Alcoholic Hepatitis with MCC	15	$164,537	+72%	$16,441
252 Other Vascular Procedures with MCC	14	$261,050	+53%	$27,142
313 Chest Pain	14	$62,908	+58%	$5,790
552 Medical Back Problems without MCC	14	$71,200	+46%	$7,935
164 Major Chest Procedures with CC	13	$266,342	+109%	$21,566
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	13	$61,288	+41%	$5,808
812 Red Blood Cell Disorders without MCC	13	$56,181	+27%	$7,269
813 Coagulation Disorders	13	$75,475	-6%	$12,645
196 Interstitial Lung Disease with MCC	12	$96,140	+12%	$14,642
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	12	$747,389	+87%	$78,525
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	12	$49,979	+74%	$4,570
467 Revision of Hip or Knee Replacement with CC	12	$284,908	+81%	$28,939

Showing the 60 most frequent of 72 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	335	$53,487	$2,931
Comprehensive Observation Services	214	$51,314	$2,440
Level 5 Musculoskeletal Procedures	152	$135,231	$11,711
Level 3 Endovascular Procedures	101	$145,303	$9,773
Level 1 Laparoscopy and Related Services	97	$64,844	$5,143
Level 3 Electrophysiologic Procedures	81	$150,686	$21,152
Level 4 Urology and Related Services	73	$50,107	$3,179
Level 4 Musculoskeletal Procedures	70	$63,117	$6,412
Level 2 Urology and Related Services	62	$3,695	$623
Level 5 Urology and Related Services	57	$53,396	$4,520
Level 2 Upper GI Procedures	53	$23,522	$1,709
Level 2 ICD and Similar Procedures	51	$332,310	$29,906
Level 6 Musculoskeletal Procedures	47	$222,940	$16,649
Level 3 Pacemaker and Similar Procedures	42	$82,156	$9,536
Level 3 Vascular Procedures	40	$69,597	$2,848
Level 2 Excision/ Biopsy/ Incision and Drainage	39	$23,369	$1,428
Level 4 Vascular Procedures	29	$135,128	$5,010
Level 3 Musculoskeletal Procedures	26	$37,637	$2,951
Level 3 Urology and Related Services	24	$32,489	$1,857
Level 4 Endovascular Procedures	17	$172,780	$13,139
Level 2 Endovascular Procedures	13	$84,052	$5,211
Level 3 Lower GI Procedures	13	$42,472	$2,560
Level 2 Pacemaker and Similar Procedures	12	$73,791	$7,232
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	12	$60,319	$3,155

Against the Georgia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Redmond charged $130,875 on average, 53% more than the Georgia average of $85,396, and was paid $14,995 against a state average of $17,147. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Adventhealth Redmond charged $109,957 on average, 45% more than the Georgia average of $76,091, and was paid $12,500 against a state average of $13,912. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Redmond charged $84,534 on average, 60% more than the Georgia average of $52,781, and was paid $10,590 against a state average of $12,005. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Adventhealth Redmond charged $218,600 on average, 57% more than the Georgia average of $139,191, and was paid $25,382 against a state average of $26,112. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $53,487 was 99% above the state average of $26,927. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $51,314 was 146% above the state average of $20,900. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $135,231 was 66% above the state average of $81,545. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $145,303 was 87% above the state average of $77,753.

Price-transparency record

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

Met Requirements — 2024-03-20 (CMS case 1515)
Met Requirements — 2025-07-16 (CMS case 5780)

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.