47/100
#1,336 nationally
Adventhealth Fish Memorial
1055 Saxon Blvd, Orange City, FL 32763 · (386) 917-5000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Adventhealth Fish Memorial billed $5.02 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.0x
- volume-weighted across all its priced work
- Procedures priced
- 72
- inpatient and outpatient combined
- Rank in FL
- #11
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 33% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 49% of U.S. hospitals.
Better than 75% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
428 | $71,129 | $14,454 | +9% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
143 | $48,405 | $9,689 | +12% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
133 | $60,442 | $11,906 | -3% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
105 | $26,450 | $2,461 | +36% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
88 | $8,273 | $1,457 | -18% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
82 | $20,850 | $2,956 | -17% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
55 | $49,726 | $12,475 | -10% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
51 | $51,059 | $9,646 | +5% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
48 | $62,029 | $11,825 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
46 | $47,713 | $10,080 | about average |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$16,267 | $1,363 | +45% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$26,450 | $2,461 | +36% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$25,232 | $2,932 | +24% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$50,870 | $8,299 | +23% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$38,396 | $6,901 | +23% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$14,367 | $1,637 | +22% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$37,233 | $7,481 | +22% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$49,001 | $8,956 | +20% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$42,230 | $11,732 | -38% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,483 | $1,451 | -36% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$176,756 | $44,216 | -34% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$95,805 | $23,469 | -33% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$58,699 | $15,450 | -33% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$28,645 | $7,473 | -27% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
$41,281 | $10,031 | -26% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$35,523 | $9,456 | -25% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.