facebook tracking Back and neck procedures except spinal fusion without complications cost in Florida: 5 hospitals compared (DRG 520)

Back and neck procedures except spinal fusion without complications in Florida

What 5 hospitals in Florida charged and were paid for a Medicare hospital stay for back and neck procedures except spinal fusion without complications (DRG 520), from 2024 Medicare claims.

DRG 520 Inpatient 2024 Medicare data
Average charge $79,104 Hospital list price billed
Average payment $11,377 Medicare + patient + other payers
Medicare paid $9,009 Average per stay
State rank #1 of 7 1 = lowest average payment

Hospitals in Florida billed an average of $79,104 for back and neck procedures except spinal fusion without complications, about 7.0 times the average total payment of $11,377. That payment is 23% below the U.S. average of $14,856.

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 $11,377Billed $79,104

About 14¢ 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 without 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
Sarasota Memorial HospitalSarasota 32 $76,761 $10,851 $9,293
Baptist Medical CenterJacksonville 20 $78,148 $11,641 $9,399
Adventhealth Daytona BeachDaytona Beach 17 $64,584 $12,743 $7,708
Adventhealth OrlandoOrlando 16 $92,986 $11,543 $9,728
Gulf Coast Medical Center Lee HealthFort Myers 11 $89,903 $10,076 $8,438
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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

Gulf Coast Medical Center Lee HealthFort Myers, FL$10,076
Sarasota Memorial HospitalSarasota, FL$10,851
Adventhealth OrlandoOrlando, FL$11,543
Baptist Medical CenterJacksonville, FL$11,641
Adventhealth Daytona BeachDaytona Beach, FL$12,743

Highest

Adventhealth Daytona BeachDaytona Beach, FL$12,743
Baptist Medical CenterJacksonville, FL$11,641
Adventhealth OrlandoOrlando, FL$11,543
Sarasota Memorial HospitalSarasota, FL$10,851
Gulf Coast Medical Center Lee HealthFort Myers, FL$10,076

Back and neck procedures except spinal fusion without complications in other states

Questions

How much does back and neck procedures except spinal fusion without complications cost in Florida?

In 2024 Medicare data, a hospital stay for back and neck procedures except spinal fusion without complications (DRG 520) at 5 hospitals in Florida was billed at $79,104 on average, while the average total payment was $11,377, of which Medicare paid $9,009. 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 7.0 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.