Florida / Oviedo Medical Center
CMS certification 100329 · Oviedo, FL · 3 entries in CMS's price-transparency list
Oviedo Medical Center: charges and Medicare payments
Oviedo Medical Center reported 406 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 8.59 times what it was paid — mid-range in Florida, number 56 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 193, Simple Pneumonia and Pleurisy with MCC: 46 stays at an average charge of $79,846, 34% above the national average. It also billed 305 outpatient services, charging 21.36 times what Medicare paid.
- 1Medicare inpatient stays 406
- 2Charge ÷ paid, inpatient 8.59×
- 3Rank in FL (highest ratio = 1) 56 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 19 DRGs that can be compared with the national average, Oviedo Medical Center charged more than the national average in 19 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 193 Simple Pneumonia and Pleurisy with MCC | 46 | $79,846 | +34% | $10,206 |
| 291 Heart Failure and Shock with MCC | 46 | $79,533 | +41% | $10,100 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 40 | $120,348 | +33% | $14,428 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $64,697 | +61% | $6,725 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $87,588 | +24% | $12,058 |
| 682 Renal Failure with MCC | 24 | $86,854 | +32% | $11,804 |
| 189 Pulmonary Edema and Respiratory Failure | 22 | $80,230 | +39% | $9,753 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $61,488 | +63% | $7,344 |
| 312 Syncope and Collapse | 18 | $57,774 | +27% | $8,093 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $96,002 | +27% | $11,105 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $89,853 | +22% | $12,379 |
| 683 Renal Failure with CC | 15 | $50,764 | +25% | $7,568 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $197,377 | +93% | $15,672 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $59,603 | +61% | $6,680 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 13 | $185,760 | +175% | $10,624 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $188,696 | +102% | $18,085 |
| 552 Medical Back Problems without MCC | 12 | $82,342 | +69% | $7,835 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $63,463 | +24% | $9,399 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $48,408 | +2% | $8,496 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 128 | $36,257 | $2,450 |
| Level 5 Musculoskeletal Procedures | 63 | $166,758 | $11,417 |
| Level 1 Laparoscopy and Related Services | 24 | $134,163 | $5,227 |
| Level 2 Laparoscopy and Related Services | 19 | $157,789 | $8,914 |
| Level 5 Urology and Related Services | 18 | $125,347 | $4,687 |
| Level 3 Musculoskeletal Procedures | 14 | $79,587 | $2,932 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 13 | $82,307 | $3,453 |
| Level 4 Musculoskeletal Procedures | 13 | $129,514 | $6,480 |
| Level 4 Urology and Related Services | 13 | $80,770 | $2,964 |
Against the Florida average
For Simple Pneumonia and Pleurisy with MCC (DRG 193), Oviedo Medical Center charged $79,846 on average, 2% more than the Florida average of $78,292, and was paid $10,206 against a state average of $10,939. For Heart Failure and Shock with MCC (DRG 291), Oviedo Medical Center charged $79,533 on average, 18% more than the Florida average of $67,659, and was paid $10,100 against a state average of $10,715. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Oviedo Medical Center charged $120,348 on average, 7% more than the Florida average of $112,838, and was paid $14,428 against a state average of $15,663. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Oviedo Medical Center charged $64,697 on average, 21% more than the Florida average of $53,444, and was paid $6,725 against a state average of $7,095. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,257 was 28% above the state average of $28,431. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $166,758 was 56% above the state average of $106,979. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $134,163 was 97% above the state average of $68,202. For Level 2 Laparoscopy and Related Services (outpatient APC 5362), its average charge of $157,789 was 48% above the state average of $106,372.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Oviedo Medical Center in Oviedo, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-29 (CMS case 639)
- Closure Notice — 2023-10-17 (CMS case 639)
- Met Requirements — 2025-04-28 (CMS case 4159)
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.