Atherosclerosis without major complications in Florida
What 23 hospitals in Florida charged and were paid for a Medicare hospital stay for atherosclerosis without major complications (DRG 303), from 2024 Medicare claims.
Average charge
$42,301
Hospital list price billed
Average payment
$6,207
Medicare + patient + other payers
Medicare paid
$4,365
Average per stay
State rank
#6 of 15
1 = lowest average payment
Hospitals in Florida billed an average of $42,301 for atherosclerosis without major complications, about 6.8 times the average total payment of $6,207. That payment is 11% below the U.S. average of $7,013.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $6,207Billed $42,301
About 15¢ was paid for every $1 hospitals in Florida billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Florida:
Florida hospitals: atherosclerosis without major complications
Every Florida hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Adventhealth OrlandoOrlando | 65 | $53,580 | $6,637 | $4,207 |
| Lakeland Regional Medical CenterLakeland | 24 | $30,465 | $5,975 | $4,640 |
| Baptist Medical CenterJacksonville | 21 | $46,785 | $5,936 | $4,481 |
| Oak Hill HospitalBrooksville | 21 | $67,765 | $6,096 | $4,439 |
| Orlando Regional HealthcareOrlando | 20 | $73,258 | $7,210 | $6,086 |
| Lee Memorial HospitalFort Myers | 19 | $32,535 | $6,071 | $4,584 |
| Adventhealth Daytona BeachDaytona Beach | 19 | $26,270 | $5,056 | $3,940 |
| Gulf Coast Medical Center Lee HealthFort Myers | 18 | $32,711 | $4,939 | $3,845 |
| Mount Sinai Medical CenterMiami Beach | 17 | $37,967 | $11,970 | $4,653 |
| Leesburg Regional Medical CenterLeesburg | 17 | $25,834 | $4,787 | $3,635 |
| Sarasota Memorial HospitalSarasota | 17 | $26,876 | $5,294 | $4,240 |
| North Florida Regional Medical CenterGainesville | 17 | $60,548 | $5,994 | $4,836 |
| Villages Regional Hospital theLady Lake | 17 | $28,668 | $4,398 | $3,054 |
| Holmes Regional Medical CenterMelbourne | 16 | $27,747 | $5,404 | $4,172 |
| Shands Hospital at the University of FloridaGainesville | 16 | $42,484 | $8,234 | $5,243 |
| Naples Community HospitalNaples | 15 | $29,582 | $5,178 | $3,477 |
| Manatee Memorial HospitalBradenton | 13 | $57,375 | $6,194 | $5,061 |
| Florida Hospital WatermanEustis | 12 | $29,528 | $5,054 | $3,422 |
| Florida Hospital Fish MemorialOrange City | 12 | $30,902 | $5,314 | $4,498 |
| Morton Plant HospitalClearwater | 11 | $25,080 | $5,642 | $4,423 |
| Tampa General HospitalTampa | 11 | $44,247 | $8,517 | $5,349 |
| Lake City Medical CenterLake City | 11 | $47,956 | $6,131 | $5,389 |
| Physicians Regional Medical Center - Pine RidgeNaples | 11 | $53,533 | $5,410 | $2,798 |
Lowest and highest payments in Florida
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Villages Regional Hospital theLady Lake, FL | $4,398 |
|---|---|
| Leesburg Regional Medical CenterLeesburg, FL | $4,787 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $4,939 |
| Florida Hospital WatermanEustis, FL | $5,054 |
| Adventhealth Daytona BeachDaytona Beach, FL | $5,056 |
Highest
| Mount Sinai Medical CenterMiami Beach, FL | $11,970 |
|---|---|
| Tampa General HospitalTampa, FL | $8,517 |
| Shands Hospital at the University of FloridaGainesville, FL | $8,234 |
| Orlando Regional HealthcareOrlando, FL | $7,210 |
| Adventhealth OrlandoOrlando, FL | $6,637 |
Atherosclerosis without major complications in other states
Questions
How much does atherosclerosis without major complications cost in Florida?
In 2024 Medicare data, a hospital stay for atherosclerosis without major complications (DRG 303) at 23 hospitals in Florida was billed at $42,301 on average, while the average total payment was $6,207, of which Medicare paid $4,365. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Florida, average charges were 6.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.