25/100
#2,013 nationally
Adventhealth Sebring
4200 Sun N Lake Blvd, Sebring, FL 33872 · (863) 314-4466
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Adventhealth Sebring billed $6.77 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
- 6.8x
- volume-weighted across all its priced work
- Procedures priced
- 96
- inpatient and outpatient combined
- Rank in FL
- #63
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 20% of U.S. hospitals.
Better than 20% of U.S. hospitals.
Better than 29% of U.S. hospitals.
Better than 42% 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 |
455 | $90,709 | $14,747 | +39% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
384 | $24,972 | $2,461 | +29% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
272 | $62,490 | $12,361 | about average |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
153 | $3,958 | $617 | +26% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
152 | $16,865 | $1,452 | +67% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
149 | $30,562 | $2,956 | +21% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
128 | $97,013 | $9,957 | +43% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
117 | $16,887 | $1,836 | +31% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
115 | $44,087 | $7,168 | about average |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
105 | $41,656 | $5,177 | +20% |
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 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$43,986 | $2,832 | +142% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$23,397 | $2,111 | +99% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
$84,672 | $6,765 | +90% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$31,498 | $2,574 | +78% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$89,093 | $9,274 | +73% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$65,440 | $7,584 | +73% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$16,865 | $1,452 | +67% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$159,438 | $17,611 | +67% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Acute Myocardial Infarction, Expired with Major Complications
MS-DRG 283 · Inpatient stay |
$66,127 | $14,960 | -22% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$32,436 | $7,168 | -20% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
$26,906 | $5,379 | -20% |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
$57,903 | $12,677 | -19% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$25,537 | $6,222 | -17% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$21,817 | $4,896 | -13% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$48,285 | $9,945 | -9% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$71,607 | $13,541 | -6% |
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.