Florida / Orlando Health Orlando Regional Medical Center

CMS certification 100006 · Orlando, FL · 5 entries in CMS's price-transparency list

Orlando Health Orlando Regional Medical Center: charges and Medicare payments

Orlando Health Orlando Regional Medical Center reported 11,297 Medicare inpatient stays across 241 DRGs in 2024. Across them it charged 8.53 times what it was paid — mid-range in Florida, number 58 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: 922 stays at an average charge of $140,416, 56% above the national average. It also billed 6,394 outpatient services, charging 16.77 times what Medicare paid.

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  1. 1Medicare inpatient stays 11,297
  2. 2Charge ÷ paid, inpatient 8.53×
  3. 3Rank in FL (highest ratio = 1) 58 of 159
  4. 4CMS price-transparency actions 5
DRG 871$140,416DRG 470$155,265DRG 291$85,351DRG 280$121,213DRG 392$59,765DRG 274$227,308DRG 853$370,050DRG 309$60,220DRG 552$65,577DRG 872$78,066
Average charge per stay at Orlando Health Orlando Regional Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 241 DRGs that can be compared with the national average, Orlando Health Orlando Regional Medical Center charged more than the national average in 235 (98%). 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 MCC922$140,416+56%$16,443
470 Major Hip and Knee Joint Replacement or Reattachment of...444$155,265+67%$17,776
291 Heart Failure and Shock with MCC376$85,351+51%$11,680
280 Acute Myocardial Infarction, Discharged Alive with MCC221$121,213+60%$14,196
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...192$59,765+49%$8,227
274 Percutaneous and Other Intracardiac Procedures without MCC185$227,308+45%$28,548
853 Infectious and Parasitic Diseases with O.R. Procedures with...169$370,050+62%$39,055
309 Cardiac Arrhythmia and Conduction Disorders with CC161$60,220+67%$8,349
552 Medical Back Problems without MCC153$65,577+34%$9,818
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC152$78,066+59%$10,299
064 Intracranial Hemorrhage or Cerebral Infarction with MCC145$147,479+48%$16,323
312 Syncope and Collapse141$58,981+30%$8,987
177 Respiratory Infections and Inflammations with MCC128$95,848+36%$13,908
287 Circulatory Disorders except AMI, with Cardiac...128$88,231+38%$10,975
189 Pulmonary Edema and Respiratory Failure127$95,992+67%$11,592
690 Kidney and Urinary Tract Infections without MCC120$61,196+62%$8,420
698 Other Kidney and Urinary Tract Diagnoses with MCC117$117,054+59%$14,133
378 Gastrointestinal Hemorrhage with CC116$82,826+71%$9,743
481 Hip and Femur Procedures except Major Joint with CC112$199,441+98%$17,265
467 Revision of Hip or Knee Replacement with CC109$258,156+64%$26,815
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...101$61,618+66%$7,692
483 Major Joint or Limb Reattachment Procedures of Upper...100$206,490+64%$20,968
193 Simple Pneumonia and Pleurisy with MCC98$75,485+26%$11,772
603 Cellulitis without MCC96$60,886+63%$9,017
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...96$81,929+36%$11,835
689 Kidney and Urinary Tract Infections with MCC96$70,545+37%$10,784
313 Chest Pain95$55,544+39%$7,910
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC92$47,343+65%$6,769
305 Hypertension without MCC89$51,451+28%$8,237
322 Percutaneous Cardiovascular Procedures with Intraluminal...89$187,911+64%$20,151
682 Renal Failure with MCC87$90,519+37%$13,490
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...86$92,464+66%$9,783
267 Endovascular Cardiac Valve Replacement and Supplement...86$305,438+38%$40,425
377 Gastrointestinal Hemorrhage with MCC86$141,082+65%$15,180
480 Hip and Femur Procedures except Major Joint with MCC79$250,170+80%$23,814
281 Acute Myocardial Infarction, Discharged Alive with CC76$79,999+58%$9,881
308 Cardiac Arrhythmia and Conduction Disorders with MCC75$92,670+64%$11,699
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...74$99,852+64%$11,685
683 Renal Failure with CC74$56,707+39%$9,403
460 Spinal Fusion except Cervical without MCC71$313,382+84%$34,491
069 Transient Ischemia without Thrombolytic66$77,434+54%$8,206
812 Red Blood Cell Disorders without MCC66$74,591+68%$9,870
468 Revision of Hip or Knee Replacement without CC/MCC64$208,551+68%$22,953
638 Diabetes with CC62$67,486+62%$8,944
884 Organic Disturbances and Intellectual Disability62$60,660-3%$13,209
522 Hip Replacement with Principal Diagnosis of Hip Fracture...61$202,400+98%$18,193
057 Degenerative Nervous System Disorders without MCC60$70,385+24%$11,964
165 Major Chest Procedures without CC/MCC58$204,467+98%$16,500
330 Major Small and Large Bowel Procedures with CC58$282,416+137%$23,827
286 Circulatory Disorders except AMI, with Cardiac...57$146,611+31%$17,977
321 Percutaneous Cardiovascular Procedures with Intraluminal...57$323,057+97%$29,744
393 Other Digestive System Diagnoses with MCC55$94,885+24%$13,891
190 Chronic Obstructive Pulmonary Disease with MCC54$69,087+37%$9,930
314 Other Circulatory System Diagnoses with MCC53$95,1360%$16,970
091 Other Disorders of Nervous System with MCC52$106,446+29%$14,701
270 Other Major Cardiovascular Procedures with MCC51$408,053+57%$47,418
329 Major Small and Large Bowel Procedures with MCC51$422,938+97%$39,717
394 Other Digestive System Diagnoses with CC51$77,455+65%$9,520
699 Other Kidney and Urinary Tract Diagnoses with CC51$71,178+50%$9,491
092 Other Disorders of Nervous System with CC50$69,407+35%$10,278

Showing the 60 most frequent of 241 DRGs.

Outpatient services

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Orlando Health Orlando Regional Medical Center charged $140,416 on average, 24% more than the Florida average of $112,838, and was paid $16,443 against a state average of $15,663. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Orlando Health Orlando Regional Medical Center charged $155,265 on average, 10% more than the Florida average of $141,193, and was paid $17,776 against a state average of $15,521. For Heart Failure and Shock with MCC (DRG 291), Orlando Health Orlando Regional Medical Center charged $85,351 on average, 26% more than the Florida average of $67,659, and was paid $11,680 against a state average of $10,715. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Orlando Health Orlando Regional Medical Center charged $121,213 on average, 30% more than the Florida average of $93,403, and was paid $14,196 against a state average of $12,779. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $34,231 was 20% above the state average of $28,431. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $26,321 was 39% above the state average of $18,929. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $147,473 was 38% above the state average of $106,979. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $31,080 was 26% below the state average of $41,880.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Orlando Health Orlando Regional Medical Center in Orlando, 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.