Adventhealth Heart of Florida
AdventHealth Heart of Florida in Davenport, FL charges 10.8x the Medicare reimbursement rate across 36 analyzed procedures, with 22% showing significant price variations.
Davenport, FL 33837 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
10.82x
Charge / Medicare rate
Max markup
19.6x
Worst procedure
Procedures analyzed
36
With pricing data
Outlier procedures
22.2%
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 |
|---|---|---|---|---|---|
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $225,190 | $112,595 | — | 19.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $175,517 | $87,758 | — | 15.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $85,168 | $42,584 | — | 15.3x |
| HYPERTENSION WITH MCC | 304 | $96,588 | $48,294 | — | 14x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $47,688 | $23,844 | — | 13.6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $279,549 | $139,775 | — | 12.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $91,895 | $45,948 | — | 12.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $52,598 | $26,299 | — | 12x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $100,695 | $50,347 | — | 12x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $50,338 | $25,169 | — | 11.9x |
| CHEST PAIN | 313 | $48,834 | $24,417 | — | 11.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $120,989 | $60,494 | — | 11.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $45,581 | $22,790 | — | 11.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $350,543 | $175,272 | — | 11.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $77,321 | $38,660 | — | 11.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $127,328 | $63,664 | — | 11x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $63,461 | $31,731 | — | 10.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $126,318 | $63,159 | — | 10.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $46,809 | $23,405 | — | 10.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $68,008 | $34,004 | — | 10.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $59,598 | $29,799 | — | 10.1x |
| HYPERTENSION WITHOUT MCC | 305 | $42,412 | $21,206 | — | 10.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $95,104 | $47,552 | — | 10x |
| RENAL FAILURE WITH CC | 683 | $49,152 | $24,576 | — | 9.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $73,457 | $36,729 | — | 9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $92,884 | $46,442 | — | 8.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $63,140 | $31,570 | — | 8.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $38,640 | $19,320 | — | 8.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $57,701 | $28,851 | — | 8.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $68,450 | $34,225 | — | 8.6x |
| SYNCOPE AND COLLAPSE | 312 | $42,047 | $21,023 | — | 8.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $47,808 | $23,904 | — | 8.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $91,125 | $45,563 | — | 8.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $56,648 | $28,324 | — | 8.3x |
| DIABETES WITH MCC | 637 | $74,914 | $37,457 | — | 8.1x |
| RENAL FAILURE WITH MCC | 682 | $58,818 | $29,409 | — | 6.4x |
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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.
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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