Florida / Adventhealth Zephyrhills
CMS certification 100046 · Zephyrhills, FL · 2 entries in CMS's price-transparency list
Adventhealth Zephyrhills: charges and Medicare payments
Adventhealth Zephyrhills reported 1,524 Medicare inpatient stays across 55 DRGs in 2024. Across them it charged 6.94 times what it was paid — mid-range in Florida, number 82 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: 168 stays at an average charge of $99,362, 10% above the national average. It also billed 1,305 outpatient services, charging 12.84 times what Medicare paid.
- 1Medicare inpatient stays 1,524
- 2Charge ÷ paid, inpatient 6.94×
- 3Rank in FL (highest ratio = 1) 82 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 55 DRGs that can be compared with the national average, Adventhealth Zephyrhills charged more than the national average in 40 (73%). 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 | 168 | $99,362 | +10% | $14,475 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 112 | $80,676 | +6% | $12,543 |
| 291 Heart Failure and Shock with MCC | 87 | $56,562 | 0% | $10,479 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 60 | $72,094 | -2% | $11,363 |
| 193 Simple Pneumonia and Pleurisy with MCC | 58 | $60,791 | +2% | $11,192 |
| 177 Respiratory Infections and Inflammations with MCC | 50 | $74,272 | +5% | $11,555 |
| 690 Kidney and Urinary Tract Infections without MCC | 49 | $44,441 | +18% | $6,779 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 47 | $61,781 | +22% | $8,346 |
| 689 Kidney and Urinary Tract Infections with MCC | 41 | $57,385 | +12% | $8,459 |
| 189 Pulmonary Edema and Respiratory Failure | 39 | $62,977 | +9% | $9,334 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 39 | $60,490 | +51% | $6,784 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 38 | $54,954 | +12% | $7,828 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 29 | $224,605 | -2% | $32,202 |
| 312 Syncope and Collapse | 28 | $52,675 | +16% | $6,771 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $85,504 | +40% | $10,786 |
| 378 Gastrointestinal Hemorrhage with CC | 25 | $85,972 | +77% | $8,462 |
| 552 Medical Back Problems without MCC | 25 | $56,701 | +16% | $7,325 |
| 603 Cellulitis without MCC | 24 | $42,906 | +15% | $6,757 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $143,479 | +25% | $17,370 |
| 389 Gastrointestinal Obstruction with CC | 23 | $56,098 | +44% | $6,880 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $104,347 | +22% | $14,588 |
| 659 Kidney and Ureter Procedures for Non-Neoplasm with MCC | 22 | $163,113 | +36% | $18,856 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 21 | $134,258 | +99% | $12,060 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 19 | $72,415 | +13% | $8,094 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $49,018 | +36% | $5,898 |
| 682 Renal Failure with MCC | 19 | $70,182 | +6% | $10,616 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 18 | $86,273 | -14% | $13,230 |
| 252 Other Vascular Procedures with MCC | 18 | $154,740 | -9% | $31,260 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $53,392 | -11% | $9,619 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $60,087 | +8% | $9,504 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 17 | $46,527 | -8% | $6,811 |
| 313 Chest Pain | 17 | $47,375 | +19% | $5,771 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 16 | $150,517 | +36% | $16,378 |
| 070 Other Cerebrovascular Disorders with MCC | 15 | $80,052 | +5% | $12,320 |
| 394 Other Digestive System Diagnoses with CC | 15 | $53,196 | +13% | $7,355 |
| 683 Renal Failure with CC | 15 | $61,157 | +50% | $8,277 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $53,456 | +13% | $7,591 |
| 100 Seizures with MCC | 14 | $45,537 | -52% | $11,680 |
| 305 Hypertension without MCC | 14 | $30,106 | -25% | $6,524 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $70,533 | +25% | $9,136 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $149,192 | +48% | $15,527 |
| 069 Transient Ischemia without Thrombolytic | 13 | $73,806 | +46% | $6,282 |
| 101 Seizures without MCC | 13 | $44,145 | -9% | $8,320 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $38,194 | 0% | $6,495 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 13 | $156,916 | -2% | $24,623 |
| 638 Diabetes with CC | 13 | $33,920 | -19% | $8,283 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $49,601 | +34% | $6,099 |
| 812 Red Blood Cell Disorders without MCC | 13 | $57,674 | +30% | $7,094 |
| 202 Bronchitis and Asthma with CC/MCC | 12 | $55,434 | +20% | $7,482 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $197,841 | +21% | $21,124 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 12 | $70,627 | +25% | $8,362 |
| 811 Red Blood Cell Disorders with MCC | 12 | $98,297 | +44% | $10,577 |
| 253 Other Vascular Procedures with CC | 11 | $185,148 | +40% | $30,705 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 11 | $69,326 | -20% | $12,806 |
| 637 Diabetes with MCC | 11 | $64,805 | -3% | $11,448 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 397 | $30,855 | $2,470 |
| Level 2 Urology and Related Services | 225 | $4,338 | $619 |
| Level 1 Endovascular Procedures | 134 | $32,789 | $2,957 |
| Level 3 Urology and Related Services | 98 | $18,365 | $1,845 |
| Level 3 Endovascular Procedures | 79 | $87,460 | $9,957 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 71 | $17,523 | $1,452 |
| Level 4 Urology and Related Services | 42 | $44,112 | $3,158 |
| Level 3 Vascular Procedures | 36 | $30,166 | $2,887 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 34 | $25,585 | $2,574 |
| Level 5 Urology and Related Services | 34 | $60,956 | $4,467 |
| Level 3 Pacemaker and Similar Procedures | 30 | $79,526 | $9,666 |
| Level 2 Endovascular Procedures | 21 | $54,567 | $5,178 |
| Level 4 Vascular Procedures | 18 | $56,454 | $4,978 |
| Level 6 Urology and Related Services | 16 | $78,056 | $7,924 |
| Level 3 Musculoskeletal Procedures | 15 | $52,782 | $2,932 |
| Level 2 Upper GI Procedures | 15 | $32,350 | $1,723 |
| Level 2 ICD and Similar Procedures | 14 | $184,654 | $29,712 |
| Level 5 Musculoskeletal Procedures | 13 | $142,477 | $11,116 |
| Level 1 Intraocular Procedures | 13 | $23,754 | $2,111 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Zephyrhills charged $99,362 on average, 12% less than the Florida average of $112,838, and was paid $14,475 against a state average of $15,663. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Adventhealth Zephyrhills charged $80,676 on average, 14% less than the Florida average of $93,403, and was paid $12,543 against a state average of $12,779. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Zephyrhills charged $56,562 on average, 16% less than the Florida average of $67,659, and was paid $10,479 against a state average of $10,715. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Adventhealth Zephyrhills charged $72,094 on average, 20% less than the Florida average of $89,808, and was paid $11,363 against a state average of $13,414. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $30,855 was 9% above the state average of $28,431. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $4,338 was 11% above the state average of $3,903. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $32,789 was 22% below the state average of $41,880. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $18,365 was 22% below the state average of $23,471.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventhealth Zephyrhills in Zephyrhills, 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 823)
- Met Requirements — 2025-07-17 (CMS case 5799)
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.