9/100
#2,407 nationally
Adventhealth Ocala
1500 Sw 1St Ave, Ocala, FL 34474 · (352) 351-7200
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Adventhealth Ocala billed $9.80 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
- 132
- inpatient and outpatient combined
- Rank in FL
- #101
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 7% of U.S. hospitals.
Better than 13% of U.S. hospitals.
Better than 3% 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 |
718 | $19,957 | $2,474 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
378 | $39,194 | $2,934 | +55% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
285 | $98,027 | $14,138 | +50% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
217 | $54,346 | $9,561 | +25% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
131 | $12,935 | $1,442 | +51% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
128 | $73,677 | $3,158 | +257% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
121 | $124,987 | $9,957 | +85% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
112 | $70,138 | $11,396 | +14% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
101 | $49,051 | $2,887 | +157% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
97 | $87,009 | $11,665 | +58% |
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 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$63,440 | $1,749 | +459% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$78,574 | $2,544 | +374% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$93,111 | $2,932 | +357% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$47,932 | $1,456 | +327% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$101,666 | $4,648 | +270% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$41,641 | $1,537 | +265% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$73,677 | $3,158 | +257% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$139,075 | $6,411 | +249% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$42,113 | $12,619 | -51% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$33,943 | $11,663 | -32% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
$53,262 | $13,074 | -19% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$30,302 | $6,788 | -18% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$32,979 | $7,393 | -16% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
$28,326 | $6,104 | -16% |
|
Peripheral Vascular Disorders without Complications/mcc
MS-DRG 301 · Inpatient stay |
$29,343 | $5,551 | -15% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
$28,804 | $6,514 | -14% |
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.