Adventhealth Fish Memorial
AdventHealth Fish Memorial in Orange City, FL charges 7.1x the Medicare reimbursement rate across 56 analyzed procedures at this nonprofit-religious hospital.
Orange City, FL 32763 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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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
7.14x
Charge / Medicare rate
Max markup
12.7x
Worst procedure
Procedures analyzed
56
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $24,202 | $12,101 | — | 12.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $46,984 | $23,492 | — | 10.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $41,444 | $20,722 | — | 10.8x |
| DYSEQUILIBRIUM | 149 | $33,828 | $16,914 | — | 10.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $43,020 | $21,510 | — | 9.8x |
| HYPERTENSION WITHOUT MCC | 305 | $39,848 | $19,924 | — | 9.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $37,488 | $18,744 | — | 9.5x |
| DIABETES WITH MCC | 637 | $80,412 | $40,206 | — | 9.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $34,790 | $17,395 | — | 9.2x |
| CHEST PAIN | 313 | $30,750 | $15,375 | — | 9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $77,539 | $38,770 | — | 9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $44,272 | $22,136 | — | 8.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $29,837 | $14,919 | — | 8.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $33,682 | $16,841 | — | 8.3x |
| SYNCOPE AND COLLAPSE | 312 | $35,957 | $17,978 | — | 8.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $111,480 | $55,740 | — | 8.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,571 | $16,286 | — | 8.1x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $36,930 | $18,465 | — | 8.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $30,729 | $15,365 | — | 7.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $43,815 | $21,907 | — | 7.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $36,208 | $18,104 | — | 7.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $58,752 | $29,376 | — | 7.4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $58,036 | $29,018 | — | 7.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $68,891 | $34,446 | — | 7.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $40,387 | $20,194 | — | 7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $95,546 | $47,773 | — | 6.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $99,374 | $49,687 | — | 6.9x |
| RENAL FAILURE WITH CC | 683 | $30,258 | $15,129 | — | 6.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $50,875 | $25,437 | — | 6.8x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $68,847 | $34,424 | — | 6.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $54,861 | $27,431 | — | 6.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $48,223 | $24,112 | — | 6.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $36,830 | $18,415 | — | 6.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $37,357 | $18,679 | — | 6.4x |
| CELLULITIS WITHOUT MCC | 603 | $22,561 | $11,281 | — | 6.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $41,354 | $20,677 | — | 6.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $46,911 | $23,455 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $39,499 | $19,750 | — | 6.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $183,740 | $91,870 | — | 6.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $39,224 | $19,612 | — | 6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $64,910 | $32,455 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $65,119 | $32,560 | — | 5.9x |
| COAGULATION DISORDERS | 813 | $48,692 | $24,346 | — | 5.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $41,814 | $20,907 | — | 5.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $64,172 | $32,086 | — | 5.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $28,658 | $14,329 | — | 5.7x |
| RENAL FAILURE WITH MCC | 682 | $41,765 | $20,883 | — | 5.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $56,255 | $28,128 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $53,063 | $26,532 | — | 5.3x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $46,155 | $23,077 | — | 5x |
Showing 50 of 56 procedures
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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