Orlando Health South Lake Hospital
Orlando Health South Lake Hospital in Clermont, FL charges 10.4x the Medicare reimbursement rate across 89 analyzed procedures, representing typical pricing for a government-owned facility.
Clermont, FL 34711 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
No credit card required. Results in 60 seconds.
Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
F
Very high
Avg markup vs Medicare
10.45x
Charge / Medicare rate
Max markup
17.7x
Worst procedure
Procedures analyzed
89
With pricing data
Outlier procedures
2.2%
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $60,865 | $30,433 | — | 17.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $122,451 | $61,226 | — | 17.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $183,618 | $91,809 | — | 16x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $216,941 | $108,471 | — | 15.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $141,854 | $70,927 | — | 14.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $257,543 | $128,771 | — | 14.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $58,326 | $29,163 | — | 13.7x |
| DYSEQUILIBRIUM | 149 | $53,446 | $26,723 | — | 13.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $69,461 | $34,730 | — | 13.1x |
| CHEST PAIN | 313 | $50,718 | $25,359 | — | 13x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $138,847 | $69,424 | — | 12.9x |
| HYPERTENSION WITHOUT MCC | 305 | $51,516 | $25,758 | — | 12.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $37,169 | $18,584 | — | 12.5x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $58,257 | $29,128 | — | 12.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $61,671 | $30,836 | — | 12.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $71,018 | $35,509 | — | 12.3x |
| TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | 713 | $93,830 | $46,915 | — | 12.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $241,983 | $120,991 | — | 11.9x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $64,048 | $32,024 | — | 11.8x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $126,558 | $63,279 | — | 11.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $75,040 | $37,520 | — | 11.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $132,219 | $66,110 | — | 11.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $50,249 | $25,124 | — | 11.7x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $35,489 | $17,745 | — | 11.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $143,751 | $71,875 | — | 11.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $46,961 | $23,480 | — | 11.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $50,368 | $25,184 | — | 11.4x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $48,979 | $24,489 | — | 11.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $62,716 | $31,358 | — | 11.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $65,714 | $32,857 | — | 11.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $134,715 | $67,358 | — | 11.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $62,747 | $31,374 | — | 11.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $63,890 | $31,945 | — | 11.1x |
| DIABETES WITH CC | 638 | $52,671 | $26,335 | — | 11x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $74,744 | $37,372 | — | 10.8x |
| CELLULITIS WITH MCC | 602 | $89,792 | $44,896 | — | 10.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $142,992 | $71,496 | — | 10.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $101,750 | $50,875 | — | 10.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $82,137 | $41,069 | — | 10.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $47,298 | $23,649 | — | 10.4x |
| CELLULITIS WITHOUT MCC | 603 | $50,321 | $25,161 | — | 10.3x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $63,632 | $31,816 | — | 10.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $59,621 | $29,811 | — | 10.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $67,641 | $33,820 | — | 10.2x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $53,101 | $26,551 | — | 10.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $80,849 | $40,425 | — | 10.1x |
| SYNCOPE AND COLLAPSE | 312 | $49,469 | $24,735 | — | 10.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $57,326 | $28,663 | — | 9.9x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $217,779 | $108,890 | — | 9.9x |
| RENAL FAILURE WITH CC | 683 | $49,424 | $24,712 | — | 9.9x |
Showing 50 of 89 procedures
Got a bill from ORLANDO HEALTH SOUTH LAKE HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — government hospital billing
How do government hospital billing rates compare to Medicare benchmarks?
Why do government hospitals charge above Medicare rates if they're publicly owned?
What should I expect when reviewing a government hospital bill?
Are there potential billing differences between government hospitals and other facility types?
Related pricing data
Got a bill from Orlando Health South Lake Hospital?
Free guides to help you take action
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