AdventHealth Fish Memorial

Orange City, Florida 32763-8468

Data last updated: 2026-02-20

Billing Grade
F
Fairness percentile: P50
Avg Markup
12.1x
CMS Stars
Checking CMS data…
Patient Experience
Not Reported

AdventHealth Fish Memorial in Orange City, Florida receives a BillKarma billing grade of F based on an average markup of 12.1x Medicare rates across 36 procedures in their published price transparency file. This places it among the 10 most expensive hospitals in Florida by markup ratio. The highest individual markups are for Ct abd & pelvis w/o contrast (39.4x Medicare) and Mri neck spine w/o dye (33.6x Medicare). Patients with scheduled procedures at this hospital should review costs and compare nearby alternatives before confirming — charges at D and F grade hospitals are significantly above the national average.

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Billing Profile

Last updated: 2026-02-20

Average markup vs Medicare: 12.1x
Cash/self-pay discount avg: None offered
Charity care (% revenue): Not reported
State rank by markup: 8

Cash discount data sourced from hospital price transparency files. "Not reported" means the hospital did not include this in their posted file.

Billing Grade Position

Grade F 12.1x F D C B A
This hospital State avg National avg

This hospital is currently graded F based on markup vs Medicare.

Common Procedure Prices

Last updated: 2026-02-20

CPT Description Hospital Medicare Markup
74176 Ct abd & pelvis w/o contrast $7218.48 $183.04 39.4x
72141 Mri neck spine w/o dye $6408.25 $190.72 33.6x
73721 Mri jnt of lwr extre w/o dye $5759.61 $204.41 28.2x
73221 Mri joint upr extrem w/o dye $5759.61 $205.08 28.1x
72148 Mri lumbar spine w/o dye $4993.09 $191.72 26.0x
70551 Mri brain stem w/o dye $5035.04 $195.40 25.8x
71046 X-ray exam chest 2 views $837.84 $33.07 25.3x
74177 Ct abd & pelvis w/contrast $7603.29 $300.27 25.3x
71045 X-ray exam chest 1 view $634.47 $25.38 25.0x
20610 Joint Injection (drainage) $925.81 $39.75 23.3x
70553 Mri brain stem w/o & w/dye $6951.34 $316.97 21.9x
11042 Wound Debridement $1135.72 $55.78 20.4x
76856 Us exam pelvic complete $1426.93 $105.21 13.6x
76805 Ob us >/= 14 wks sngl fetus $1518.15 $135.94 11.2x
43239 Egd biopsy single/multiple $1117.00 $123.58 9.0x
10060 Abscess Drainage $690.65 $100.54 6.9x
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
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
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

Color key: green <2x · yellow 2–5x · red >5x Medicare

Location

Grade legend: A <=2x · B 2-3x · C 3-5x · D 5-8x · F 8x+

Map shows AdventHealth Fish Memorial at 1055 SAXON BLVD, Orange City, Florida, 32763-8468. Nearby hospitals within 50 miles include Bert Fish Medical Center (23.1 miles), Adventist Health System-Sunbelt (23.3 miles), AdventHealth Kissimmee (23.9 miles).

Financial Assistance

Ownership: Unknown
Charity care: Not reported

Financial assistance policy: Not listed in current data

How to Dispute a Bill from AdventHealth Fish Memorial

Last updated: 2026-02-20

AdventHealth Fish Memorial currently shows a billing grade of F with an average markup around 12.1x versus Medicare reference rates. In currently loaded benchmark samples, this is above the state average (7.2x) and above the national average (9.2x). 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.

Nearby Hospitals

Bert Fish Medical Center · New Smyrna Beach · 23.1 miles away · Grade C · 4.2x
Adventist Health System-Sunbelt · Apopka · 23.3 miles away · Grade D · 5.4x
AdventHealth Kissimmee · Orlando · 23.9 miles away · Grade F · 13.7x
AdventHealth Daytona Beach · Daytona Beach · 25.5 miles away · Grade F · 20.7x
AdventHealth East Orlando · Orlando · 25.6 miles away · Grade D · 7.1x
How we grade this hospital

BillKarma calculates billing grades by comparing each hospital's gross charges to the 2026 Medicare Outpatient Prospective Payment System (OPPS) rate for the same CPT codes. We download and parse each hospital's CMS-mandated price transparency file, match procedure codes to Medicare benchmarks, calculate a markup ratio for each matched procedure, and average those ratios across all matched procedures to produce the hospital's overall markup.

Grade thresholds: A = 2.0x Medicare or less · B = 2.1x–3.0x · C = 3.1x–5.0x · D = 5.1x–8.0x · F = More than 8.0x Medicare

Data sources: CMS Hospital Price Transparency files (updated annually), CMS OPPS 2026 Final Rule, CMS Hospital Compare (star ratings). Grades are recalculated when hospitals post updated price files. Last file parse date is shown above.

Data Completeness
Billing Grade Procedure Prices CMS Stars Ownership Charity Care Price Transparency PE Ownership Phone
Data sourced from CMS and hospital-published pricing files. Actual charges vary. Not medical, legal, or financial advice.