Adventhealth Waterman
AdventHealth Waterman in Tavares, FL charges 6.8x the Medicare reimbursement rate across 114 analyzed procedures, reflecting the pricing structure at this nonprofit-religious hospital.
Tavares, FL 32778 · 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
6.81x
Charge / Medicare rate
Max markup
13.9x
Worst procedure
Procedures analyzed
114
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $40,998 | $20,499 | — | 13.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $27,976 | $13,988 | — | 11.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $27,313 | $13,656 | — | 10.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $43,846 | $21,923 | — | 10.2x |
| DYSEQUILIBRIUM | 149 | $36,309 | $18,155 | — | 9.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $37,882 | $18,941 | — | 9.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $50,070 | $25,035 | — | 9.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $35,379 | $17,690 | — | 9.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $97,339 | $48,670 | — | 9.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $35,963 | $17,982 | — | 8.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $42,745 | $21,373 | — | 8.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $48,017 | $24,009 | — | 8.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $45,156 | $22,578 | — | 8.6x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $30,145 | $15,072 | — | 8.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $48,789 | $24,394 | — | 8.4x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $73,619 | $36,809 | — | 8.4x |
| SEIZURES WITHOUT MCC | 101 | $43,574 | $21,787 | — | 8.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $88,819 | $44,409 | — | 8.4x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $30,258 | $15,129 | — | 8.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $69,498 | $34,749 | — | 8.2x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $32,030 | $16,015 | — | 8.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $33,360 | $16,680 | — | 8.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $40,430 | $20,215 | — | 8.1x |
| HYPERTENSION WITHOUT MCC | 305 | $30,085 | $15,043 | — | 8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $36,312 | $18,156 | — | 8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $44,123 | $22,061 | — | 7.9x |
| ENDOCRINE DISORDERS WITH CC | 644 | $42,478 | $21,239 | — | 7.9x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $81,650 | $40,825 | — | 7.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $110,214 | $55,107 | — | 7.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $68,082 | $34,041 | — | 7.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $134,296 | $67,148 | — | 7.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $119,947 | $59,973 | — | 7.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $112,129 | $56,065 | — | 7.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $30,005 | $15,002 | — | 7.7x |
| SYNCOPE AND COLLAPSE | 312 | $33,242 | $16,621 | — | 7.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $31,367 | $15,683 | — | 7.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $84,904 | $42,452 | — | 7.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $38,076 | $19,038 | — | 7.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $101,025 | $50,513 | — | 7.4x |
| DIABETES WITH CC | 638 | $34,630 | $17,315 | — | 7.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $39,724 | $19,862 | — | 7.4x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $160,719 | $80,360 | — | 7.3x |
| OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | 166 | $137,247 | $68,624 | — | 7.2x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $32,884 | $16,442 | — | 7.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $67,429 | $33,715 | — | 7.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $91,846 | $45,923 | — | 7.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $83,615 | $41,807 | — | 7x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $25,599 | $12,799 | — | 6.9x |
| CHEST PAIN | 313 | $23,630 | $11,815 | — | 6.8x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $202,315 | $101,157 | — | 6.8x |
Showing 50 of 114 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