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.
- 1Medicare inpatient stays 3,251
- 2Charge ÷ paid, inpatient 8.72×
- 3Rank in FL (highest ratio = 1) 54 of 159
- 4CMS price-transparency actions 0
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.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 516 | $108,270 | +20% | $13,476 |
| 291 Heart Failure and Shock with MCC | 189 | $79,946 | +42% | $9,116 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 135 | $69,083 | +41% | $8,381 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 111 | $59,998 | +49% | $6,365 |
| 690 Kidney and Urinary Tract Infections without MCC | 74 | $49,870 | +32% | $6,175 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 73 | $51,533 | +43% | $5,966 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 71 | $107,850 | +42% | $11,199 |
| 177 Respiratory Infections and Inflammations with MCC | 67 | $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 CC | 60 | $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 MCC | 54 | $85,858 | +17% | $10,822 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 51 | $46,720 | +63% | $4,625 |
| 312 Syncope and Collapse | 51 | $52,759 | +16% | $6,786 |
| 552 Medical Back Problems without MCC | 50 | $61,120 | +25% | $7,096 |
| 189 Pulmonary Edema and Respiratory Failure | 46 | $77,581 | +35% | $9,058 |
| 603 Cellulitis without MCC | 46 | $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 MCC | 44 | $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 Pain | 42 | $51,948 | +30% | $5,693 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 40 | $61,993 | +23% | $8,015 |
| 683 Renal Failure with CC | 40 | $58,487 | +44% | $6,753 |
| 689 Kidney and Urinary Tract Infections with MCC | 38 | $60,726 | +18% | $8,161 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 36 | $80,035 | +41% | $8,937 |
| 377 Gastrointestinal Hemorrhage with MCC | 35 | $112,021 | +31% | $12,739 |
| 069 Transient Ischemia without Thrombolytic | 34 | $64,641 | +28% | $6,377 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 34 | $64,602 | +28% | $7,468 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $84,896 | +39% | $9,427 |
| 389 Gastrointestinal Obstruction with CC | 32 | $50,877 | +31% | $6,100 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 30 | $130,027 | +16% | $15,309 |
| 682 Renal Failure with MCC | 28 | $86,966 | +32% | $10,193 |
| 638 Diabetes with CC | 26 | $58,900 | +41% | $7,305 |
| 481 Hip and Femur Procedures except Major Joint with CC | 24 | $149,326 | +48% | $14,597 |
| 637 Diabetes with MCC | 24 | $72,142 | +8% | $8,925 |
| 305 Hypertension without MCC | 23 | $54,554 | +36% | $5,872 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 23 | $86,815 | +29% | $9,959 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 22 | $78,314 | -22% | $13,864 |
| 071 Other Cerebrovascular Disorders with CC | 22 | $60,823 | +21% | $7,385 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $62,554 | +63% | $6,204 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $234,654 | +43% | $22,302 |
| 812 Red Blood Cell Disorders without MCC | 22 | $68,998 | +55% | $7,432 |
| 884 Organic Disturbances and Intellectual Disability | 22 | $51,100 | -18% | $10,356 |
| 460 Spinal Fusion except Cervical without MCC | 21 | $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 MCC | 21 | $57,580 | +51% | $6,216 |
| 314 Other Circulatory System Diagnoses with MCC | 20 | $109,515 | +15% | $15,148 |
| 811 Red Blood Cell Disorders with MCC | 20 | $91,053 | +34% | $10,283 |
| 149 Dysequilibrium | 19 | $68,396 | +54% | $5,975 |
| 057 Degenerative Nervous System Disorders without MCC | 18 | $71,933 | +27% | $9,215 |
| 178 Respiratory Infections and Inflammations with CC | 18 | $58,202 | +28% | $7,065 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 17 | $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/MCC | 16 | $66,163 | +43% | $7,309 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $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 MCC | 16 | $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.