Florida / Adventhealth Sebring
CMS certification 100109 · Sebring, FL · 2 entries in CMS's price-transparency list
Adventhealth Sebring: charges and Medicare payments
Adventhealth Sebring reported 2,693 Medicare inpatient stays across 66 DRGs in 2024. Across them it charged 6.08 times what it was paid — mid-range in Florida, number 96 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: 455 stays at an average charge of $90,709, 0% below the national average. It also billed 2,042 outpatient services, charging 11.44 times what Medicare paid.
- 1Medicare inpatient stays 2,693
- 2Charge ÷ paid, inpatient 6.08×
- 3Rank in FL (highest ratio = 1) 96 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 66 DRGs that can be compared with the national average, Adventhealth Sebring charged more than the national average in 27 (41%). 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 | 455 | $90,709 | 0% | $14,747 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 272 | $62,490 | -18% | $12,361 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 115 | $44,087 | -13% | $7,168 |
| 177 Respiratory Infections and Inflammations with MCC | 99 | $69,703 | -1% | $12,989 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 80 | $52,689 | +7% | $8,009 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 75 | $179,005 | -22% | $33,855 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 66 | $132,534 | +16% | $15,775 |
| 689 Kidney and Urinary Tract Infections with MCC | 65 | $48,425 | -6% | $9,308 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 65 | $85,185 | +16% | $13,898 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 63 | $49,368 | -2% | $8,634 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 56 | $57,774 | -4% | $10,200 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 53 | $180,636 | +10% | $22,852 |
| 193 Simple Pneumonia and Pleurisy with MCC | 50 | $48,896 | -18% | $10,234 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 48 | $54,944 | -14% | $8,346 |
| 291 Heart Failure and Shock with MCC | 48 | $60,056 | +7% | $10,015 |
| 377 Gastrointestinal Hemorrhage with MCC | 48 | $89,500 | +5% | $13,474 |
| 378 Gastrointestinal Hemorrhage with CC | 47 | $56,882 | +17% | $7,683 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 43 | $53,381 | +33% | $6,990 |
| 690 Kidney and Urinary Tract Infections without MCC | 43 | $40,650 | +7% | $7,187 |
| 481 Hip and Femur Procedures except Major Joint with CC | 40 | $113,427 | +13% | $17,824 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 35 | $71,607 | -28% | $13,541 |
| 389 Gastrointestinal Obstruction with CC | 35 | $36,144 | -7% | $6,996 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 34 | $55,504 | 0% | $7,889 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 33 | $38,594 | -11% | $6,510 |
| 069 Transient Ischemia without Thrombolytic | 32 | $57,723 | +14% | $6,526 |
| 682 Renal Failure with MCC | 30 | $48,285 | -27% | $9,945 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 30 | $39,512 | -17% | $7,583 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $36,377 | -2% | $6,515 |
| 603 Cellulitis without MCC | 26 | $43,981 | +18% | $8,236 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $116,394 | +14% | $16,729 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $57,646 | 0% | $10,683 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 24 | $315,161 | -3% | $48,971 |
| 683 Renal Failure with CC | 23 | $44,567 | +9% | $7,375 |
| 637 Diabetes with MCC | 22 | $62,826 | -6% | $10,644 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $25,537 | -29% | $6,222 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $56,013 | -8% | $10,219 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 20 | $107,433 | +9% | $19,462 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 19 | $21,817 | -24% | $4,896 |
| 312 Syncope and Collapse | 19 | $36,013 | -21% | $6,261 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 18 | $156,887 | -2% | $26,374 |
| 390 Gastrointestinal Obstruction without CC/MCC | 18 | $31,314 | +12% | $4,456 |
| 552 Medical Back Problems without MCC | 18 | $40,793 | -17% | $7,948 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $147,893 | +7% | $20,574 |
| 638 Diabetes with CC | 16 | $38,005 | -9% | $7,256 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $39,843 | -12% | $7,605 |
| 313 Chest Pain | 14 | $26,906 | -33% | $5,379 |
| 329 Major Small and Large Bowel Procedures with MCC | 14 | $285,896 | +33% | $36,867 |
| 330 Major Small and Large Bowel Procedures with CC | 14 | $139,152 | +17% | $17,703 |
| 811 Red Blood Cell Disorders with MCC | 14 | $85,461 | +25% | $12,971 |
| 101 Seizures without MCC | 13 | $32,436 | -33% | $7,168 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $57,314 | -12% | $10,868 |
| 252 Other Vascular Procedures with MCC | 13 | $194,124 | +14% | $21,666 |
| 314 Other Circulatory System Diagnoses with MCC | 13 | $110,969 | +17% | $17,181 |
| 388 Gastrointestinal Obstruction with MCC | 13 | $55,622 | -19% | $12,088 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $91,738 | -2% | $17,609 |
| 812 Red Blood Cell Disorders without MCC | 13 | $40,807 | -8% | $8,486 |
| 253 Other Vascular Procedures with CC | 12 | $152,085 | +15% | $18,697 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $46,161 | -18% | $9,412 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 12 | $117,792 | +26% | $12,644 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $110,602 | -18% | $19,685 |
Showing the 60 most frequent of 66 DRGs.
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Sebring charged $90,709 on average, 20% less than the Florida average of $112,838, and was paid $14,747 against a state average of $15,663. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Adventhealth Sebring charged $62,490 on average, 33% less than the Florida average of $93,403, and was paid $12,361 against a state average of $12,779. For Acute Myocardial Infarction, Discharged Alive with CC (DRG 281), Adventhealth Sebring charged $44,087 on average, 35% less than the Florida average of $67,562, and was paid $7,168 against a state average of $8,050. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventhealth Sebring charged $69,703 on average, 18% less than the Florida average of $85,454, and was paid $12,989 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,972 was 12% below the state average of $28,431. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,958 was 1% above the state average of $3,903. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,865 was 16% above the state average of $14,597. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,562 was 27% below the state average of $41,880.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventhealth Sebring in Sebring, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-11 (CMS case 3021)
- Closure Notice — 2025-05-14 (CMS case 3021)
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.