6/100
#2,473 nationally
Adventhealth Lake Wales
410 S 11Th St, Lake Wales, FL 33853 · (863) 676-1433
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Adventhealth Lake Wales billed $9.82 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
- 9.8x
- volume-weighted across all its priced work
- Procedures priced
- 23
- inpatient and outpatient combined
- Rank in FL
- #119
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 10% of U.S. hospitals.
Better than 2% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 2% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
155 | $41,307 | $2,484 | +113% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
97 | $119,999 | $15,347 | +84% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
59 | $69,525 | $2,125 | +491% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
33 | $26,996 | $1,735 | +130% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
29 | $71,386 | $11,666 | +16% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
29 | $100,672 | $10,758 | +132% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
29 | $57,834 | $6,733 | +94% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
21 | $64,941 | $9,033 | +101% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
21 | $337,468 | $42,108 | +90% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
21 | $43,443 | $1,858 | +236% |
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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$69,525 | $2,125 | +491% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$100,027 | $4,719 | +264% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$43,443 | $1,858 | +236% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$104,974 | $5,262 | +199% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$55,393 | $2,907 | +190% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$28,504 | $1,479 | +183% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$100,672 | $10,758 | +132% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$26,996 | $1,735 | +130% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$71,386 | $11,666 | +16% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$70,906 | $10,279 | +52% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$63,435 | $7,917 | +62% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$50,471 | $6,368 | +65% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$51,218 | $6,590 | +68% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$71,862 | $9,092 | +72% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$119,999 | $15,347 | +84% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$75,392 | $9,400 | +85% |
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.