Florida / Orlando Health South Lake Hospital

CMS certification 100051 · Clermont, FL

Orlando Health South Lake Hospital: charges and Medicare payments

Orlando Health South Lake Hospital reported 3,251 Medicare inpatient stays across 87 DRGs in 2024. Across them it charged 8.72 times what it was paid — mid-range in Florida, number 54 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: 516 stays at an average charge of $108,270, 20% above the national average. It also billed 2,636 outpatient services, charging 14.25 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 3,251
  2. 2Charge ÷ paid, inpatient 8.72×
  3. 3Rank in FL (highest ratio = 1) 54 of 159
  4. 4CMS price-transparency actions 0
DRG 871$108,270DRG 291$79,946DRG 872$69,083DRG 392$59,998DRG 690$49,870DRG 309$51,533DRG 280$107,850DRG 177$85,685DRG 853$249,074DRG 378$76,890
Average charge per stay at Orlando Health South Lake Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 87 DRGs that can be compared with the national average, Orlando Health South Lake Hospital charged more than the national average in 83 (95%). 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 MCC516$108,270+20%$13,476
291 Heart Failure and Shock with MCC189$79,946+42%$9,116
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC135$69,083+41%$8,381
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...111$59,998+49%$6,365
690 Kidney and Urinary Tract Infections without MCC74$49,870+32%$6,175
309 Cardiac Arrhythmia and Conduction Disorders with CC73$51,533+43%$5,966
280 Acute Myocardial Infarction, Discharged Alive with MCC71$107,850+42%$11,199
177 Respiratory Infections and Inflammations with MCC67$85,685+21%$11,646
853 Infectious and Parasitic Diseases with O.R. Procedures with...66$249,074+9%$31,546
378 Gastrointestinal Hemorrhage with CC60$76,890+58%$7,651
287 Circulatory Disorders except AMI, with Cardiac...57$84,482+32%$9,133
698 Other Kidney and Urinary Tract Diagnoses with MCC54$85,858+17%$10,822
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC51$46,720+63%$4,625
312 Syncope and Collapse51$52,759+16%$6,786
552 Medical Back Problems without MCC50$61,120+25%$7,096
189 Pulmonary Edema and Respiratory Failure46$77,581+35%$9,058
603 Cellulitis without MCC46$61,015+64%$6,931
470 Major Hip and Knee Joint Replacement or Reattachment of...45$149,521+60%$14,896
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...44$73,295+32%$6,977
193 Simple Pneumonia and Pleurisy with MCC44$72,491+21%$9,488
322 Percutaneous Cardiovascular Procedures with Intraluminal...43$182,452+59%$13,544
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...43$77,782+29%$9,539
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...43$58,397+58%$6,447
313 Chest Pain42$51,948+30%$5,693
190 Chronic Obstructive Pulmonary Disease with MCC40$61,993+23%$8,015
683 Renal Failure with CC40$58,487+44%$6,753
689 Kidney and Urinary Tract Infections with MCC38$60,726+18%$8,161
308 Cardiac Arrhythmia and Conduction Disorders with MCC36$80,035+41%$8,937
377 Gastrointestinal Hemorrhage with MCC35$112,021+31%$12,739
069 Transient Ischemia without Thrombolytic34$64,641+28%$6,377
281 Acute Myocardial Infarction, Discharged Alive with CC34$64,602+28%$7,468
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...33$84,896+39%$9,427
389 Gastrointestinal Obstruction with CC32$50,877+31%$6,100
286 Circulatory Disorders except AMI, with Cardiac...30$130,027+16%$15,309
682 Renal Failure with MCC28$86,966+32%$10,193
638 Diabetes with CC26$58,900+41%$7,305
481 Hip and Femur Procedures except Major Joint with CC24$149,326+48%$14,597
637 Diabetes with MCC24$72,142+8%$8,925
305 Hypertension without MCC23$54,554+36%$5,872
660 Kidney and Ureter Procedures for Non-Neoplasm with CC23$86,815+29%$9,959
064 Intracranial Hemorrhage or Cerebral Infarction with MCC22$78,314-22%$13,864
071 Other Cerebrovascular Disorders with CC22$60,823+21%$7,385
194 Simple Pneumonia and Pleurisy with CC22$62,554+63%$6,204
321 Percutaneous Cardiovascular Procedures with Intraluminal...22$234,654+43%$22,302
812 Red Blood Cell Disorders without MCC22$68,998+55%$7,432
884 Organic Disturbances and Intellectual Disability22$51,100-18%$10,356
460 Spinal Fusion except Cervical without MCC21$252,367+48%$24,881
854 Infectious and Parasitic Diseases with O.R. Procedures with...21$120,814+23%$14,443
948 Signs and Symptoms without MCC21$57,580+51%$6,216
314 Other Circulatory System Diagnoses with MCC20$109,515+15%$15,148
811 Red Blood Cell Disorders with MCC20$91,053+34%$10,283
149 Dysequilibrium19$68,396+54%$5,975
057 Degenerative Nervous System Disorders without MCC18$71,933+27%$9,215
178 Respiratory Infections and Inflammations with CC18$58,202+28%$7,065
661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC17$72,309+28%$7,816
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...17$53,923+45%$6,436
202 Bronchitis and Asthma with CC/MCC16$66,163+43%$7,309
480 Hip and Femur Procedures except Major Joint with MCC16$222,141+60%$20,164
522 Hip Replacement with Principal Diagnosis of Hip Fracture...16$184,643+80%$14,689
536 Fractures of Hip and Pelvis without MCC16$44,423+18%$5,945

Showing the 60 most frequent of 87 DRGs.

Outpatient services

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Orlando Health South Lake Hospital charged $108,270 on average, 4% less than the Florida average of $112,838, and was paid $13,476 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), Orlando Health South Lake Hospital charged $79,946 on average, 18% more than the Florida average of $67,659, and was paid $9,116 against a state average of $10,715. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Orlando Health South Lake Hospital charged $69,083 on average, 10% more than the Florida average of $62,885, and was paid $8,381 against a state average of $8,998. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Orlando Health South Lake Hospital charged $59,998 on average, 12% more than the Florida average of $53,444, and was paid $6,365 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $34,388 was 21% above the state average of $28,431. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $24,709 was 3% above the state average of $23,896. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $53,034 was 3% above the state average of $51,337. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,367 was 12% above the state average of $14,597.

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.