Adventhealth Sebring
AdventHealth Sebring, a nonprofit hospital in Sebring, FL, charges 7.8x the Medicare reimbursement rate across 60 analyzed procedures.
Sebring, FL 33872 · Acute Care Hospitals · CMS Rating: 3/5
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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Pricing grade
D
High
Avg markup vs Medicare
7.84x
Charge / Medicare rate
Max markup
12.3x
Worst procedure
Procedures analyzed
60
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $135,251 | $67,625 | — | 12.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $133,207 | $66,604 | — | 10.9x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $175,375 | $87,688 | — | 10.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $48,494 | $24,247 | — | 10.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $193,695 | $96,848 | — | 10.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $26,006 | $13,003 | — | 10.5x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $151,302 | $75,651 | — | 10.1x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $134,706 | $67,353 | — | 9.9x |
| SYNCOPE AND COLLAPSE | 312 | $42,812 | $21,406 | — | 9.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $56,338 | $28,169 | — | 9.5x |
| RENAL FAILURE WITH CC | 683 | $47,213 | $23,606 | — | 9.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $49,968 | $24,984 | — | 9.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $70,471 | $35,236 | — | 9.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $49,678 | $24,839 | — | 9.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $38,619 | $19,310 | — | 9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $37,202 | $18,601 | — | 8.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $34,057 | $17,029 | — | 8.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $111,635 | $55,817 | — | 8.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $40,650 | $20,325 | — | 8.8x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $75,515 | $37,757 | — | 8.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $48,889 | $24,444 | — | 8.7x |
| DIABETES WITH CC | 638 | $43,042 | $21,521 | — | 8.6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $120,974 | $60,487 | — | 8.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $43,307 | $21,654 | — | 8.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $106,324 | $53,162 | — | 8.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $164,540 | $82,270 | — | 8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $45,731 | $22,866 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $154,558 | $77,279 | — | 7.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $46,822 | $23,411 | — | 7.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $226,978 | $113,489 | — | 7.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $60,785 | $30,392 | — | 7.7x |
| CELLULITIS WITHOUT MCC | 603 | $38,546 | $19,273 | — | 7.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $38,658 | $19,329 | — | 7.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $98,714 | $49,357 | — | 7.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $46,921 | $23,461 | — | 7.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $29,986 | $14,993 | — | 7.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $61,453 | $30,727 | — | 7.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $152,614 | $76,307 | — | 7.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $73,225 | $36,612 | — | 7.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $48,992 | $24,496 | — | 7.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $128,845 | $64,422 | — | 7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $51,431 | $25,715 | — | 7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $28,971 | $14,486 | — | 6.9x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $35,461 | $17,731 | — | 6.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $80,410 | $40,205 | — | 6.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $80,021 | $40,011 | — | 6.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $266,162 | $133,081 | — | 6.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $29,026 | $14,513 | — | 6.3x |
| DIABETES WITH MCC | 637 | $52,412 | $26,206 | — | 6.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $45,117 | $22,558 | — | 6.1x |
Showing 50 of 60 procedures
How ADVENTHEALTH SEBRING 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.
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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