Florida / Adventhealth Wesley Chapel

CMS certification 100319 · Wesley Chapel, FL · 2 entries in CMS's price-transparency list

Adventhealth Wesley Chapel: charges and Medicare payments

Adventhealth Wesley Chapel reported 1,836 Medicare inpatient stays across 59 DRGs in 2024. Across them it charged 6.79 times what it was paid — mid-range in Florida, number 83 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: 224 stays at an average charge of $93,272, 3% above the national average. It also billed 1,914 outpatient services, charging 14.73 times what Medicare paid.

1Medicare inpatient stays 1,836
2Charge ÷ paid, inpatient 6.79×
3Rank in FL (highest ratio = 1) 83 of 159
4CMS price-transparency actions 2

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

Inpatient stays

For the 59 DRGs that can be compared with the national average, Adventhealth Wesley Chapel charged more than the national average in 51 (86%). 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	224	$93,272	+3%	$14,705
280 Acute Myocardial Infarction, Discharged Alive with MCC	87	$76,271	+1%	$11,527
291 Heart Failure and Shock with MCC	83	$58,351	+3%	$9,512
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	73	$54,177	+35%	$7,114
690 Kidney and Urinary Tract Infections without MCC	71	$42,970	+14%	$7,198
193 Simple Pneumonia and Pleurisy with MCC	62	$74,067	+24%	$10,310
689 Kidney and Urinary Tract Infections with MCC	62	$55,753	+9%	$8,975
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	50	$61,966	+26%	$9,874
177 Respiratory Infections and Inflammations with MCC	46	$84,538	+20%	$11,705
190 Chronic Obstructive Pulmonary Disease with MCC	45	$59,560	+18%	$9,012
312 Syncope and Collapse	39	$47,438	+4%	$6,673
378 Gastrointestinal Hemorrhage with CC	39	$73,472	+51%	$8,083
698 Other Kidney and Urinary Tract Diagnoses with MCC	38	$93,698	+28%	$11,475
853 Infectious and Parasitic Diseases with O.R. Procedures with...	37	$232,470	+2%	$32,237
189 Pulmonary Edema and Respiratory Failure	35	$72,898	+27%	$10,667
603 Cellulitis without MCC	34	$40,664	+9%	$6,663
281 Acute Myocardial Infarction, Discharged Alive with CC	33	$60,621	+20%	$6,981
552 Medical Back Problems without MCC	32	$50,908	+4%	$8,549
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	32	$55,861	-7%	$10,504
287 Circulatory Disorders except AMI, with Cardiac...	31	$72,471	+13%	$8,839
377 Gastrointestinal Hemorrhage with MCC	30	$107,392	+26%	$16,596
682 Renal Failure with MCC	30	$68,360	+4%	$10,907
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	26	$66,383	+19%	$7,337
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	26	$62,083	+2%	$11,298
309 Cardiac Arrhythmia and Conduction Disorders with CC	25	$44,125	+22%	$6,263
321 Percutaneous Cardiovascular Procedures with Intraluminal...	25	$211,151	+29%	$28,770
322 Percutaneous Cardiovascular Procedures with Intraluminal...	24	$138,513	+21%	$15,863
683 Renal Failure with CC	24	$50,527	+24%	$8,164
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	23	$103,132	+53%	$13,218
699 Other Kidney and Urinary Tract Diagnoses with CC	22	$53,590	+13%	$8,767
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	21	$106,205	+6%	$17,248
194 Simple Pneumonia and Pleurisy with CC	19	$57,991	+51%	$6,975
305 Hypertension without MCC	19	$37,451	-7%	$6,879
313 Chest Pain	19	$37,117	-7%	$7,596
389 Gastrointestinal Obstruction with CC	18	$48,461	+24%	$6,572
454 Combined Anterior and Posterior Spinal Fusion with CC	18	$444,450	+59%	$75,482
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	17	$94,165	+45%	$12,311
481 Hip and Femur Procedures except Major Joint with CC	17	$147,916	+47%	$14,260
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	17	$39,866	+8%	$5,946
308 Cardiac Arrhythmia and Conduction Disorders with MCC	16	$77,497	+37%	$8,834
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	16	$140,788	+38%	$15,052
470 Major Hip and Knee Joint Replacement or Reattachment of...	15	$159,117	+71%	$12,470
101 Seizures without MCC	14	$50,176	+3%	$8,683
394 Other Digestive System Diagnoses with CC	14	$68,066	+45%	$8,924
460 Spinal Fusion except Cervical without MCC	14	$279,431	+64%	$25,369
472 Cervical Spinal Fusion with CC	14	$237,177	+66%	$30,112
638 Diabetes with CC	14	$40,816	-2%	$8,033
659 Kidney and Ureter Procedures for Non-Neoplasm with MCC	14	$170,099	+42%	$22,868
202 Bronchitis and Asthma with CC/MCC	13	$62,222	+35%	$7,332
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	13	$347,984	+71%	$69,330
637 Diabetes with MCC	13	$50,664	-24%	$14,264
178 Respiratory Infections and Inflammations with CC	12	$46,719	+3%	$7,544
314 Other Circulatory System Diagnoses with MCC	12	$58,022	-39%	$14,192
393 Other Digestive System Diagnoses with MCC	12	$74,796	-3%	$18,754
661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC	12	$72,994	+29%	$15,158
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	12	$200,648	-7%	$38,602
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	11	$34,741	+21%	$4,511
445 Disorders of The Biliary Tract with CC	11	$84,746	+46%	$8,221
812 Red Blood Cell Disorders without MCC	11	$57,055	+29%	$8,014

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	522	$32,512	$2,453
Level 5 Musculoskeletal Procedures	223	$120,937	$11,768
Level 1 Endovascular Procedures	123	$34,013	$2,939
Level 1 Laparoscopy and Related Services	118	$92,391	$5,193
Level 2 Excision/ Biopsy/ Incision and Drainage	115	$18,661	$1,448
Level 4 Musculoskeletal Procedures	64	$96,172	$6,480
Level 2 Upper GI Procedures	63	$34,102	$1,724
Level 3 Excision/ Biopsy/ Incision and Drainage	60	$26,804	$2,574
Level 6 Musculoskeletal Procedures	59	$157,809	$16,845
Level 5 Airway Endoscopy	55	$86,872	$6,200
Level 3 Urology and Related Services	54	$27,757	$1,845
Level 3 Endovascular Procedures	49	$99,633	$9,957
Level 4 Urology and Related Services	40	$51,080	$3,158
Level 4 Airway Endoscopy	36	$42,245	$3,392
Level 3 Musculoskeletal Procedures	34	$54,597	$2,863
Level 3 Airway Endoscopy	26	$27,421	$1,537
Level 5 Urology and Related Services	26	$58,809	$4,687
Level 1 Nerve Procedures	24	$37,008	$1,713
Level 2 Musculoskeletal Procedures	23	$34,102	$1,405
Level 2 Vascular Procedures	23	$19,146	$1,451
Level 2 Endovascular Procedures	22	$58,108	$5,178
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	20	$92,603	$3,134
Level 1 Breast/Lymphatic Surgery and Related Procedures	18	$48,132	$3,453
Level 3 Vascular Procedures	18	$33,211	$2,887
Level 3 Extraocular, Repair, and Plastic Eye Procedures	18	$27,739	$2,117

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Wesley Chapel charged $93,272 on average, 17% less than the Florida average of $112,838, and was paid $14,705 against a state average of $15,663. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Adventhealth Wesley Chapel charged $76,271 on average, 18% less than the Florida average of $93,403, and was paid $11,527 against a state average of $12,779. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Wesley Chapel charged $58,351 on average, 14% less than the Florida average of $67,659, and was paid $9,512 against a state average of $10,715. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Adventhealth Wesley Chapel charged $54,177 on average, 1% more than the Florida average of $53,444, and was paid $7,114 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,512 was 14% above the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $120,937 was 13% above the state average of $106,979. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $34,013 was 19% below the state average of $41,880. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $92,391 was 35% above the state average of $68,202.

Price-transparency record

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

Met Requirements — 2024-02-08 (CMS case 822)
Met Requirements — 2025-07-16 (CMS case 5787)

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.