Adventist Health System-Sunbelt

Sebring, Florida 33872

Data last updated: 2026-02-20

Billing Grade
C
Fairness percentile: P9
Avg Markup
4.1x
CMS Stars
Checking CMS data…
Patient Experience
Not Reported

Adventist Health System-Sunbelt in Sebring, Florida receives a BillKarma billing grade of C based on an average markup of 4.1x Medicare rates across 18 procedures in their published price transparency file. This places it at rank 27 in Florida by markup ratio. The highest individual markups are for Wound Debridement (57.6x Medicare) and Joint Injection (drainage) (29.4x Medicare). This hospital prices above the national average. Review procedure-level costs before scheduling non-emergency care.

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Billing Profile

Last updated: 2026-02-20

Average markup vs Medicare: 4.1x
Cash/self-pay discount avg: None offered
Charity care (% revenue): Not reported
State rank by markup: 27

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 C 4.1x F D C B A
This hospital State avg National avg

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

Common Procedure Prices

Last updated: 2026-02-20

CPT Description Hospital Medicare Markup
11042 Wound Debridement $3213.82 $55.78 57.6x
20610 Joint Injection (drainage) $1167.39 $39.75 29.4x
70553 Mri brain stem w/o & w/dye $6762.90 $316.97 21.3x
70551 Mri brain stem w/o dye $2978.39 $195.40 15.2x
59025 Fetal non-stress test $642.49 $50.44 12.7x
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
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

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 Adventist Health System-Sunbelt at 4200 SUN N LAKE BLVD, Sebring, Florida, 33872. Nearby hospitals within 50 miles include AdventHealth Sebring (0.0 miles), AdventHealth Wauchula (18.3 miles), Adventist Health System Sunbelt (18.3 miles).

Financial Assistance

Ownership: Unknown
Charity care: Not reported

Financial assistance policy: Not listed in current data

How to Dispute a Bill from Adventist Health System-Sunbelt

Last updated: 2026-02-20

ADVENTIST HEALTH SYSTEM-SUNBELT INC currently shows a billing grade of C with an average markup around 4.1x versus Medicare reference rates. In currently loaded benchmark samples, this is below the state average (7.2x) and below 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

AdventHealth Sebring · Sebring · 0.0 miles away · Grade F · 14.9x
AdventHealth Wauchula · Wauchula · 18.3 miles away · Grade C · 4.4x
Adventist Health System Sunbelt · Wauchula · 18.3 miles away · Grade C · 3.9x
Adventhealth Wauchula · Wauchula · 18.3 miles away · Grade C · 4.4x
Adventhealth Lake Wales · Lake Wales · 25.1 miles away · Grade C · 3.7x
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.