Florida / Adventhealth Waterman

CMS certification 100057 · Tavares, FL · 1 entry in CMS's price-transparency list

Adventhealth Waterman: charges and Medicare payments

Adventhealth Waterman reported 4,499 Medicare inpatient stays across 117 DRGs in 2024. Across them it charged 5.44 times what it was paid — mid-range in Florida, number 106 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: 491 stays at an average charge of $75,232, 17% below the national average. It also billed 2,250 outpatient services, charging 8.46 times what Medicare paid.

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  1. 1Medicare inpatient stays 4,499
  2. 2Charge ÷ paid, inpatient 5.44×
  3. 3Rank in FL (highest ratio = 1) 106 of 159
  4. 4CMS price-transparency actions 1
DRG 871$75,232DRG 291$43,623DRG 280$71,092DRG 177$56,807DRG 193$49,922DRG 189$47,303DRG 392$38,385DRG 312$41,667DRG 641$35,075DRG 698$55,970
Average charge per stay at Adventhealth Waterman, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 117 DRGs that can be compared with the national average, Adventhealth Waterman charged more than the national average in 8 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC491$75,232-17%$13,629
291 Heart Failure and Shock with MCC296$43,623-23%$9,146
280 Acute Myocardial Infarction, Discharged Alive with MCC150$71,092-6%$11,690
177 Respiratory Infections and Inflammations with MCC120$56,807-20%$11,606
193 Simple Pneumonia and Pleurisy with MCC103$49,922-16%$9,643
189 Pulmonary Edema and Respiratory Failure99$47,303-18%$9,432
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...88$38,385-4%$6,575
312 Syncope and Collapse87$41,667-8%$6,679
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...77$35,075-5%$5,833
698 Other Kidney and Urinary Tract Diagnoses with MCC77$55,970-24%$11,786
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC75$40,797-17%$8,058
309 Cardiac Arrhythmia and Conduction Disorders with CC71$34,696-4%$5,744
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...70$59,169+6%$7,810
064 Intracranial Hemorrhage or Cerebral Infarction with MCC67$80,798-19%$13,739
690 Kidney and Urinary Tract Infections without MCC67$34,089-10%$6,012
552 Medical Back Problems without MCC64$43,694-11%$6,981
378 Gastrointestinal Hemorrhage with CC62$48,870+1%$8,032
689 Kidney and Urinary Tract Infections with MCC61$46,996-8%$8,365
853 Infectious and Parasitic Diseases with O.R. Procedures with...59$177,334-23%$36,557
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...57$50,921-16%$10,264
287 Circulatory Disorders except AMI, with Cardiac...55$52,256-18%$9,074
322 Percutaneous Cardiovascular Procedures with Intraluminal...54$102,265-11%$12,989
069 Transient Ischemia without Thrombolytic51$48,959-3%$6,334
190 Chronic Obstructive Pulmonary Disease with MCC51$44,433-12%$8,249
481 Hip and Femur Procedures except Major Joint with CC47$94,525-6%$14,490
281 Acute Myocardial Infarction, Discharged Alive with CC46$42,432-16%$6,740
313 Chest Pain43$32,317-19%$5,467
603 Cellulitis without MCC42$33,075-11%$6,657
377 Gastrointestinal Hemorrhage with MCC41$82,890-3%$12,295
305 Hypertension without MCC39$32,625-19%$6,000
389 Gastrointestinal Obstruction with CC39$36,814-5%$5,965
884 Organic Disturbances and Intellectual Disability39$45,984-26%$11,877
683 Renal Failure with CC37$34,059-16%$6,509
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC36$28,7800%$4,350
056 Degenerative Nervous System Disorders with MCC35$47,462-51%$14,437
057 Degenerative Nervous System Disorders without MCC35$39,829-30%$9,287
267 Endovascular Cardiac Valve Replacement and Supplement...35$213,916-3%$33,546
393 Other Digestive System Diagnoses with MCC35$50,896-34%$11,660
682 Renal Failure with MCC35$58,955-11%$10,780
522 Hip Replacement with Principal Diagnosis of Hip Fracture...34$93,543-9%$14,728
813 Coagulation Disorders33$59,636-26%$11,177
149 Dysequilibrium31$40,771-8%$5,639
308 Cardiac Arrhythmia and Conduction Disorders with MCC31$45,968-19%$8,735
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...31$31,782-25%$6,448
699 Other Kidney and Urinary Tract Diagnoses with CC31$38,542-19%$7,408
194 Simple Pneumonia and Pleurisy with CC30$35,047-9%$6,101
286 Circulatory Disorders except AMI, with Cardiac...30$85,102-24%$15,334
321 Percutaneous Cardiovascular Procedures with Intraluminal...30$149,006-9%$20,372
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...30$55,859-8%$10,787
208 Respiratory System Diagnosis with Ventilator Support <=96...29$91,897-32%$19,131
243 Permanent Cardiac Pacemaker Implant with CC29$87,120-22%$16,021
394 Other Digestive System Diagnoses with CC29$40,119-15%$7,401
460 Spinal Fusion except Cervical without MCC28$148,578-13%$25,299
637 Diabetes with MCC28$70,613+6%$10,322
660 Kidney and Ureter Procedures for Non-Neoplasm with CC26$54,075-20%$10,378
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...24$149,836-31%$31,433
191 Chronic Obstructive Pulmonary Disease with CC23$33,402-16%$7,174
202 Bronchitis and Asthma with CC/MCC23$33,087-28%$8,419
330 Major Small and Large Bowel Procedures with CC23$99,799-16%$18,334
638 Diabetes with CC23$33,501-20%$7,087

Showing the 60 most frequent of 117 DRGs.

Outpatient services

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Waterman charged $75,232 on average, 33% less than the Florida average of $112,838, and was paid $13,629 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Waterman charged $43,623 on average, 36% less than the Florida average of $67,659, and was paid $9,146 against a state average of $10,715. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Adventhealth Waterman charged $71,092 on average, 24% less than the Florida average of $93,403, and was paid $11,690 against a state average of $12,779. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventhealth Waterman charged $56,807 on average, 34% less than the Florida average of $85,454, and was paid $11,606 against a state average of $13,200. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,829 was 6% below the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,969 was 48% below the state average of $41,880. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,278 was 16% below the state average of $14,597. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $74,455 was 30% below the state average of $106,979.

Price-transparency record

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

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.