Orlando Health Sebastian River Hospital
13695 US HWY 1, Sebastian, FL 32958
Orlando Health Sebastian River Hospital in Sebastian, FL has an average Medicare payment of $18,408 and a Value Score of C (60/100). Compare prices for 13 procedures. Based on CMS inpatient data.
About Orlando Health Sebastian River Hospital
Orlando Health Sebastian River Hospital holds a CMS 3-star quality rating — the middle of the federal scale, indicating performance close to the national average. Outcome measures lean positive: 1 mortality, 1 safety, and 0 readmission measures rate better than the federal benchmark, with a small number rating worse.
On payment metrics, Orlando Health Sebastian River Hospital runs expensive: average Medicare payment across documented procedures is $18,408, in the upper bracket of U.S. hospitals. The combined value score — quality versus cost — works out to 60/100, an above-average showing.
Ownership is non-profit, the dominant pattern in U.S. acute care. Non-profit hospitals generally reinvest operating margins rather than distribute them; the federal CMS measure set treats them identically to other ownership categories for reporting purposes. The CMS payment record for Orlando Health Sebastian River Hospital lists 13 distinct DRG codes — a mid-range procedure mix, including Cardiac Arrhythmia and Conduction Disorders with MCC, Major Hip and Knee Joint Replacement, Nutritional and Misc Metabolic Disorders with MCC. The facility operates a 24-hour emergency department.
Source: CMS Provider Data Catalog — Hospital Compare quality measures, CMS Inpatient Payment data files.
Procedure Prices
| Procedure (DRG) | Total Payment |
|---|---|
Cardiac Arrhythmia and Conduction Disorders with MCC DRG 308 · Cardiac | $10,879 |
Major Hip and Knee Joint Replacement DRG 470 · Orthopedic | $29,154 |
Nutritional and Misc Metabolic Disorders with MCC DRG 641 · Metabolic | $10,370 |
Septicemia or Severe Sepsis without Ventilator DRG 871 · Infectious | $19,523 |
Signs and Symptoms without MCC DRG 948 · Other | $6,703 |
Simple Pneumonia and Pleurisy with MCC DRG 193 · Respiratory | $10,218 |
Cervical Spinal Fusion without CC/MCC DRG 473 · Orthopedic | $20,383 |
GI Hemorrhage with MCC DRG 378 · Digestive | $17,431 |
Percutaneous Cardiovascular Procedure with Drug-Eluting Stent DRG 247 · Cardiac | $17,732 |
Heart Failure and Shock with MCC DRG 291 · Cardiac | $13,917 |
Spinal Fusion (Non-Cervical) with MCC DRG 460 · Orthopedic | $55,574 |
Transient Ischemia DRG 069 · Neurological | $9,403 |
Hip and Femur Procedures Except Major Joint with MCC DRG 480 · Orthopedic | $18,021 |
Pricing data from CMS Hospital Price Transparency. Quality ratings from CMS Hospital Compare.
How Orlando Health Sebastian River Hospital Compares
Orlando Health Sebastian River Hospital has an average Medicare payment of $18,408, 9% above the Florida state average of $16,859. That is 16% higher than the national hospital average of $15,878. Most of its procedures fall under Orthopedic, where the typical payment is $26,891 (32% below this hospital's average). Its Value Score of C (60/100) reflects a blend of price percentile, CMS quality rating, and patient outcome measures.
Orlando Health Sebastian River Hospital Cost & Quality FAQ
Orlando Health Sebastian River Hospital has an average payment of $18,408 across 13 priced procedures. Costs vary significantly by procedure, compare individual prices in the procedure table above.
Orlando Health Sebastian River Hospital has a CMS star rating of 3 out of 5. Quality measures include mortality rates, safety incidents, and readmission rates from Medicare data.
Orlando Health Sebastian River Hospital has a Value Score of C (60/100). This score combines cost efficiency, quality ratings, and patient outcomes to help compare hospitals. Voluntary non-profit - Private facilities like this one are acute care hospitals.
Yes, Orlando Health Sebastian River Hospital offers emergency services. The hospital is located at 13695 US HWY 1, Sebastian, FL 32958. Phone: (772) 589-3187.
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Explore Hospital Cost Data
Hospital payment data reflects Medicare inpatient claims. Value Scores combine cost efficiency, CMS star ratings, and patient outcome measures. Actual out-of-pocket costs may vary based on insurance and individual circumstances.