facebook tracking Back and neck procedures except spinal fusion with complications cost in Florida: 15 hospitals compared (DRG 519)

Back and neck procedures except spinal fusion with complications in Florida

What 15 hospitals in Florida charged and were paid for a Medicare hospital stay for back and neck procedures except spinal fusion with complications (DRG 519), from 2024 Medicare claims.

DRG 519 Inpatient 2024 Medicare data
Average charge $125,650 Hospital list price billed
Average payment $16,860 Medicare + patient + other payers
Medicare paid $13,061 Average per stay
State rank #6 of 26 1 = lowest average payment

Hospitals in Florida billed an average of $125,650 for back and neck procedures except spinal fusion with complications, about 7.5 times the average total payment of $16,860. That payment is 18% below the U.S. average of $20,542.

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 $16,860Billed $125,650

About 13¢ was paid for every $1 hospitals in Florida billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Florida:

Florida hospitals: back and neck procedures except spinal fusion with 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 36 $132,148 $20,413 $12,743
Mayo ClinicJacksonville 24 $68,293 $19,460 $14,652
Sarasota Memorial HospitalSarasota 23 $122,143 $14,408 $12,900
Cape Coral HospitalCape Coral 21 $112,306 $16,296 $12,509
Orlando Regional HealthcareOrlando 18 $138,938 $16,352 $14,812
Baptist Medical CenterJacksonville 18 $96,308 $15,115 $13,525
Gulf Coast Medical Center Lee HealthFort Myers 18 $107,469 $13,902 $12,561
Adventhealth Daytona BeachDaytona Beach 17 $77,248 $13,379 $11,939
University Community Hospital at CarrollwoodTampa 17 $147,208 $21,722 $12,746
Tampa General HospitalTampa 16 $193,542 $20,522 $15,527
Holmes Regional Medical CenterMelbourne 14 $138,552 $14,216 $12,917
Fawcett Memorial HospitalPort Charlotte 14 $301,206 $12,918 $11,402
Naples Community HospitalNaples 13 $71,839 $17,175 $10,881
St Vincent's Medical CenterJacksonville 11 $126,125 $14,713 $12,769
Holy Cross Hospital INCFort Lauderdale 11 $84,365 $16,996 $13,005
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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

Fawcett Memorial HospitalPort Charlotte, FL$12,918
Adventhealth Daytona BeachDaytona Beach, FL$13,379
Gulf Coast Medical Center Lee HealthFort Myers, FL$13,902
Holmes Regional Medical CenterMelbourne, FL$14,216
Sarasota Memorial HospitalSarasota, FL$14,408

Highest

University Community Hospital at CarrollwoodTampa, FL$21,722
Tampa General HospitalTampa, FL$20,522
Adventhealth OrlandoOrlando, FL$20,413
Mayo ClinicJacksonville, FL$19,460
Naples Community HospitalNaples, FL$17,175

Back and neck procedures except spinal fusion with complications in other states

Questions

How much does back and neck procedures except spinal fusion with complications cost in Florida?

In 2024 Medicare data, a hospital stay for back and neck procedures except spinal fusion with complications (DRG 519) at 15 hospitals in Florida was billed at $125,650 on average, while the average total payment was $16,860, of which Medicare paid $13,061. 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 7.5 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.