Florida / Orlando Health Melbourne Hospital
CMS certification 100291 · Melbourne, FL · 1 entry in CMS's price-transparency list
Orlando Health Melbourne Hospital: charges and Medicare payments
Orlando Health Melbourne Hospital reported 549 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 8.65 times what it was paid — mid-range in Florida, number 55 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 66 stays at an average charge of $191,584, 106% above the national average. It also billed 752 outpatient services, charging 18.52 times what Medicare paid.
- 1Medicare inpatient stays 549
- 2Charge ÷ paid, inpatient 8.65×
- 3Rank in FL (highest ratio = 1) 55 of 159
- 4CMS price-transparency actions 1
Inpatient stays
For the 27 DRGs that can be compared with the national average, Orlando Health Melbourne Hospital charged more than the national average in 9 (33%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 66 | $191,584 | +106% | $13,383 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 57 | $73,730 | -18% | $12,767 |
| 291 Heart Failure and Shock with MCC | 46 | $38,499 | -32% | $8,596 |
| 177 Respiratory Infections and Inflammations with MCC | 29 | $70,190 | -1% | $11,129 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $51,388 | -14% | $9,209 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $64,404 | -15% | $10,722 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 22 | $419,096 | +50% | $41,199 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $35,918 | -5% | $5,886 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $181,275 | +80% | $13,852 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $40,393 | -21% | $8,080 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $34,490 | -4% | $5,455 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $47,239 | -22% | $9,127 |
| 467 Revision of Hip or Knee Replacement with CC | 14 | $277,149 | +76% | $22,900 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 14 | $217,515 | +76% | $20,637 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $156,250 | +53% | $14,399 |
| 683 Renal Failure with CC | 14 | $51,463 | +26% | $6,550 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $64,607 | -12% | $11,236 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $38,728 | -23% | $7,813 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $35,518 | -12% | $5,772 |
| 637 Diabetes with MCC | 13 | $60,617 | -9% | $10,098 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $36,223 | -2% | $5,623 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $38,040 | -33% | $8,496 |
| 460 Spinal Fusion except Cervical without MCC | 12 | $265,438 | +56% | $24,110 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $90,175 | -34% | $18,575 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $184,858 | +13% | $19,716 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $112,989 | -1% | $12,698 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $39,298 | -17% | $7,378 |
Outpatient services
Against the Florida average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Orlando Health Melbourne Hospital charged $191,584 on average, 36% more than the Florida average of $141,193, and was paid $13,383 against a state average of $15,521. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Orlando Health Melbourne Hospital charged $73,730 on average, 35% less than the Florida average of $112,838, and was paid $12,767 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Orlando Health Melbourne Hospital charged $38,499 on average, 43% less than the Florida average of $67,659, and was paid $8,596 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), Orlando Health Melbourne Hospital charged $70,190 on average, 18% less than the Florida average of $85,454, and was paid $11,129 against a state average of $13,200. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $172,538 was 61% above the state average of $106,979. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,126 was 5% below the state average of $28,431. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $143,509 was 94% above the state average of $74,087. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $69,799 was 2% above the state average of $68,202.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Orlando Health Melbourne Hospital in Melbourne, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-11 (CMS case 6136)
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.