Adventhealth Daytona Beach
ADVENTHEALTH DAYTONA BEACH in Daytona Beach, FL charges 6.8x the Medicare reimbursement rate across 134 analyzed procedures at this nonprofit-religious hospital.
Daytona Beach, FL 32117 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
6.82x
Charge / Medicare rate
Max markup
13.02x
Worst procedure
Procedures analyzed
134
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $40,115 | $20,057 | — | 13x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $67,028 | $33,514 | — | 11.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $48,328 | $24,164 | — | 10.9x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $49,995 | $24,997 | — | 10.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $32,403 | $16,201 | — | 10.1x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $43,206 | $21,603 | — | 9.4x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $36,745 | $18,372 | — | 9.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $37,323 | $18,662 | — | 9.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,568 | $11,284 | — | 9.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $44,526 | $22,263 | — | 8.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $37,868 | $18,934 | — | 8.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $91,157 | $45,579 | — | 8.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $94,445 | $47,223 | — | 8.6x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $94,394 | $47,197 | — | 8.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $89,540 | $44,770 | — | 8.5x |
| DYSEQUILIBRIUM | 149 | $28,494 | $14,247 | — | 8.4x |
| HYPERTENSION WITHOUT MCC | 305 | $30,957 | $15,479 | — | 8.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $40,981 | $20,491 | — | 8.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $44,101 | $22,050 | — | 8.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $71,015 | $35,507 | — | 8.2x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $143,210 | $71,605 | — | 8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $40,295 | $20,148 | — | 8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $44,662 | $22,331 | — | 7.9x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $80,855 | $40,427 | — | 7.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $62,539 | $31,270 | — | 7.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $38,897 | $19,449 | — | 7.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $164,913 | $82,457 | — | 7.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $30,741 | $15,370 | — | 7.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $129,709 | $64,855 | — | 7.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $43,426 | $21,713 | — | 7.7x |
| CELLULITIS WITHOUT MCC | 603 | $33,509 | $16,755 | — | 7.7x |
| RENAL FAILURE WITH CC | 683 | $36,480 | $18,240 | — | 7.6x |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $161,091 | $80,546 | — | 7.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $30,546 | $15,273 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $138,934 | $69,467 | — | 7.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $32,012 | $16,006 | — | 7.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $90,309 | $45,154 | — | 7.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $43,083 | $21,542 | — | 7.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $42,389 | $21,195 | — | 7.5x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $116,750 | $58,375 | — | 7.4x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $101,719 | $50,860 | — | 7.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $31,414 | $15,707 | — | 7.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $30,403 | $15,201 | — | 7.3x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $87,803 | $43,901 | — | 7.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $41,155 | $20,577 | — | 7.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $48,532 | $24,266 | — | 7.2x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $148,358 | $74,179 | — | 7.2x |
| SEIZURES WITH MCC | 100 | $72,303 | $36,151 | — | 7.2x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $166,948 | $83,474 | — | 7.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $34,941 | $17,470 | — | 7.1x |
Showing 50 of 134 procedures
How ADVENTHEALTH DAYTONA BEACH compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — nonprofit-religious hospital billing
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use