Florida / Orlando Health Rockledge Hospital
CMS certification 100092 · Rockledge, FL
Orlando Health Rockledge Hospital: charges and Medicare payments
Orlando Health Rockledge Hospital reported 842 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 6.96 times what it was paid — mid-range in Florida, number 81 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: 140 stays at an average charge of $105,324, 17% above the national average. It also billed 999 outpatient services, charging 13.13 times what Medicare paid.
- 1Medicare inpatient stays 842
- 2Charge ÷ paid, inpatient 6.96×
- 3Rank in FL (highest ratio = 1) 81 of 159
- 4CMS price-transparency actions 0
Inpatient stays
For the 29 DRGs that can be compared with the national average, Orlando Health Rockledge Hospital charged more than the national average in 19 (66%). 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 | 140 | $105,324 | +17% | $14,289 |
| 291 Heart Failure and Shock with MCC | 72 | $55,321 | -2% | $9,816 |
| 193 Simple Pneumonia and Pleurisy with MCC | 60 | $69,170 | +16% | $9,958 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 46 | $74,895 | -1% | $12,018 |
| 177 Respiratory Infections and Inflammations with MCC | 36 | $69,245 | -2% | $11,994 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 32 | $33,360 | -8% | $6,036 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 31 | $61,053 | +21% | $8,239 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 25 | $31,290 | +9% | $4,690 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $155,438 | +36% | $13,532 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $47,771 | +26% | $6,432 |
| 683 Renal Failure with CC | 24 | $43,392 | +7% | $7,116 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $52,424 | +2% | $9,048 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 24 | $87,290 | +19% | $13,439 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $44,655 | +11% | $6,288 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $187,886 | +15% | $20,864 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $58,166 | -4% | $9,782 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $40,322 | +9% | $6,268 |
| 682 Renal Failure with MCC | 21 | $60,725 | -8% | $11,237 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $44,193 | +15% | $6,633 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $55,145 | +9% | $8,271 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 18 | $77,862 | +37% | $9,756 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $285,487 | +25% | $33,878 |
| 603 Cellulitis without MCC | 17 | $40,874 | +10% | $7,010 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $60,448 | +5% | $10,878 |
| 312 Syncope and Collapse | 15 | $38,892 | -15% | $6,873 |
| 313 Chest Pain | 14 | $39,555 | -1% | $5,960 |
| 389 Gastrointestinal Obstruction with CC | 13 | $72,528 | +86% | $6,579 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $81,925 | -4% | $13,280 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 11 | $261,364 | -19% | $47,680 |
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Orlando Health Rockledge Hospital charged $105,324 on average, 7% less than the Florida average of $112,838, and was paid $14,289 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Orlando Health Rockledge Hospital charged $55,321 on average, 18% less than the Florida average of $67,659, and was paid $9,816 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Orlando Health Rockledge Hospital charged $69,170 on average, 12% less than the Florida average of $78,292, and was paid $9,958 against a state average of $10,939. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Orlando Health Rockledge Hospital charged $74,895 on average, 20% less than the Florida average of $93,403, and was paid $12,018 against a state average of $12,779. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,703 was 1% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $38,821 was 7% below the state average of $41,880. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,860 was 21% below the state average of $18,929. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $40,052 was 36% above the state average of $29,367.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.