Orlando Health Melbourne Hospital
Orlando Health Melbourne Hospital, a nonprofit-private facility in Melbourne, FL, charges 10.7x the Medicare reimbursement rate across 25 analyzed procedures.
Melbourne, FL 32935 · Acute Care Hospitals · CMS Rating: 2/5
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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Pricing grade
F
Very high
Avg markup vs Medicare
10.65x
Charge / Medicare rate
Max markup
18.69x
Worst procedure
Procedures analyzed
25
With pricing data
Outlier procedures
32%
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 JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $257,933 | $128,966 | — | 18.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $178,309 | $89,155 | — | 16.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $240,229 | $120,114 | — | 16.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $289,411 | $144,706 | — | 15.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $329,570 | $164,785 | — | 14.9x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $373,611 | $186,806 | — | 14.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $167,850 | $83,925 | — | 14.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $152,399 | $76,199 | — | 13x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $460,760 | $230,380 | — | 12x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $42,333 | $21,167 | — | 10.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $53,644 | $26,822 | — | 10.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $42,464 | $21,232 | — | 10.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $66,005 | $33,002 | — | 10.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $80,393 | $40,197 | — | 9.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $42,998 | $21,499 | — | 9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $29,754 | $14,877 | — | 8.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $81,777 | $40,889 | — | 8.3x |
| RENAL FAILURE WITH CC | 683 | $37,501 | $18,751 | — | 8.2x |
| CELLULITIS WITHOUT MCC | 603 | $33,834 | $16,917 | — | 7.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $48,888 | $24,444 | — | 7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $43,169 | $21,585 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $40,837 | $20,418 | — | 6.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $32,811 | $16,406 | — | 5.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $53,553 | $26,776 | — | 5.2x |
| RENAL FAILURE WITH MCC | 682 | $40,901 | $20,450 | — | 5.1x |
How ORLANDO HEALTH MELBOURNE HOSPITAL 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