CostGrade
C

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.

Inpatient charge markup 11.6/35

Better than 33% of U.S. hospitals.

Outpatient charge markup 13.3/25

Better than 53% of U.S. hospitals.

Price level vs national median 14.7/30

Better than 49% of U.S. hospitals.

Price consistency 7.5/10

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.