Adventhealth Lake Wales
Lake Wales, Florida 33853
Billing Grade
F
Relative fairness percentile: P43
Avg Markup
9.6x
CMS Stars
N/A
Patient Experience
Not Reported
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Last updated: 2026-02-18
Average markup vs Medicare: 9.6x
Cash/self-pay discount avg: 0.0%
Charity care (% revenue): N/A
State rank by markup: 21
Billing Grade Position
This hospital marker
State avg marker
National avg marker
This hospital is currently graded F based on markup vs Medicare.
Markup Comparison
Benchmark comparisons are temporarily disabled while Medicare locality validation is in progress.
Common Procedure Prices
Last updated: 2026-02-18
| CPT | Description | Hospital | Medicare | Markup |
|---|---|---|---|---|
| 11042 | Wound Debridement | $3320.57 | $55.78 | 59.5x |
| 70551 | Mri brain stem w/o dye | $11028.31 | $195.40 | 56.4x |
| 20610 | Joint Injection (drainage) | $1235.31 | $39.75 | 31.1x |
| 43239 | Egd biopsy single/multiple | $1117.00 | $123.58 | 9.0x |
| 45378 | Diagnostic colonoscopy | $1004.00 | $164.67 | 6.1x |
| 45385 | Colonoscopy w/lesion removal | $1350.00 | $223.45 | 6.0x |
| 59000 | Amniocentesis diagnostic | $381.00 | $72.81 | 5.2x |
| 27447 | Total Knee Replacement | $4332.00 | $1159.35 | 3.7x |
| 27130 | Total Hip Replacement | $4338.00 | $1162.02 | 3.7x |
| 10060 | Abscess Drainage | $366.00 | $100.54 | 3.6x |
| 23472 | Shoulder Replacement | $4636.00 | $1300.30 | 3.6x |
| 27236 | Hip Fracture Repair | $3808.00 | $1089.87 | 3.5x |
| 22551 | Cervical Spine Fusion | $5577.00 | $1604.91 | 3.5x |
| 22630 | Arthrd pst tq 1ntrspc lum | $5146.00 | $1510.72 | 3.4x |
| 47562 | Laparoscopic cholecystectomy | $2149.00 | $631.95 | 3.4x |
| 70553 | Mri brain stem w/o & w/dye | $1072.00 | $316.97 | 3.4x |
| 44970 | Laparoscopy appendectomy | $1955.00 | $578.17 | 3.4x |
| 49505 | Prp i/hern init reduc >5 yr | $1693.00 | $508.03 | 3.3x |
| 29881 | Knee Arthroscopy | $1706.00 | $515.71 | 3.3x |
| 49650 | Lap ing hernia repair init | $1392.00 | $424.19 | 3.3x |
| 59400 | Obstetrical care | $6887.00 | $2214.48 | 3.1x |
| 59510 | Cesarean delivery | $7673.00 | $2473.34 | 3.1x |
| 71045 | X-ray exam chest 1 view | $76.00 | $25.38 | 3.0x |
| 59025 | Fetal non-stress test | $150.00 | $50.44 | 3.0x |
Color key: green <2x · yellow 2–5x · red >5x Medicare
Financial Assistance
Nonprofit status: Unknown
Financial assistance policy: Not listed in current data
How to Dispute a Bill from Adventhealth Lake Wales
Last updated: 2026-02-18
ADVENTHEALTH LAKE WALES currently shows a billing grade of F with an average markup around 9.6x versus Medicare reference rates. In currently loaded benchmark samples, this is above the state average (9.3x) and above the national average (8.3x). Use that benchmark when asking billing to review line items and justify large gaps.
If you are self-pay or high-deductible, still request the cash/self-pay schedule in writing. If no discount is offered, ask for a supervisor review, payment-plan options, and item-level justification.
Before paying, scan your bill with BillKarma to identify line-item issues and generate a dispute packet.
Related guides:
How to Dispute a Medical Bill
Medical Bill Negotiation Guide
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Data sourced from CMS and hospital-published pricing files. Actual charges vary. Not medical, legal, or financial advice.