Back and neck procedures except spinal fusion with major complications or disc device or neurostimulator in Florida
What 2 hospitals in Florida charged and were paid for a Medicare hospital stay for back and neck procedures except spinal fusion with major complications or disc device or neurostimulator (DRG 518), from 2024 Medicare claims.
Average charge
$167,251
Hospital list price billed
Average payment
$41,547
Medicare + patient + other payers
Medicare paid
$24,177
Average per stay
Volume
23
Medicare hospital stays
Hospitals in Florida billed an average of $167,251 for back and neck procedures except spinal fusion with major complications or disc device or neurostimulator, about 4.0 times the average total payment of $41,547. That payment is 7% above the U.S. average of $38,704.
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 $41,547Billed $167,251
About 25¢ 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 major complications or disc device or neurostimulator
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 | 12 | $224,211 | $44,996 | $21,193 |
| Mayo ClinicJacksonville | 11 | $105,112 | $37,785 | $27,432 |
Back and neck procedures except spinal fusion with major complications or disc device or neurostimulator in other states
Questions
How much does back and neck procedures except spinal fusion with major complications or disc device or neurostimulator cost in Florida?
In 2024 Medicare data, a hospital stay for back and neck procedures except spinal fusion with major complications or disc device or neurostimulator (DRG 518) at 2 hospitals in Florida was billed at $167,251 on average, while the average total payment was $41,547, of which Medicare paid $24,177. 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 4.0 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.