Biopsies of musculoskeletal system and connective tissue with complications in Florida
What 14 hospitals in Florida charged and were paid for a Medicare hospital stay for biopsies of musculoskeletal system and connective tissue with complications (DRG 478), from 2024 Medicare claims.
Average charge
$132,148
Hospital list price billed
Average payment
$19,616
Medicare + patient + other payers
Medicare paid
$16,239
Average per stay
State rank
#4 of 15
1 = lowest average payment
Hospitals in Florida billed an average of $132,148 for biopsies of musculoskeletal system and connective tissue with complications, about 6.7 times the average total payment of $19,616. That payment is 15% below the U.S. average of $23,170.
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 $19,616Billed $132,148
About 15¢ 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: biopsies of musculoskeletal system and connective tissue 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 | 62 | $157,684 | $22,671 | $15,069 |
| Morton Plant HospitalClearwater | 32 | $83,571 | $16,896 | $15,562 |
| Baptist Hospital of Miami INCMiami | 29 | $141,885 | $20,413 | $19,074 |
| Gulf Coast Medical Center Lee HealthFort Myers | 21 | $104,514 | $16,442 | $15,164 |
| Naples Community HospitalNaples | 18 | $83,597 | $17,168 | $15,671 |
| Orange Park Medical CenterOrange Park | 17 | $263,793 | $22,278 | $19,830 |
| Sarasota Memorial HospitalSarasota | 16 | $119,535 | $17,560 | $16,336 |
| Tampa General HospitalTampa | 15 | $148,619 | $23,938 | $19,837 |
| Adventhealth Daytona BeachDaytona Beach | 12 | $112,739 | $15,517 | $14,157 |
| Baptist Medical CenterJacksonville | 12 | $115,110 | $19,510 | $15,184 |
| Cape Canaveral HospitalCocoa Beach | 12 | $97,739 | $16,785 | $15,697 |
| Orlando Regional HealthcareOrlando | 11 | $179,402 | $21,210 | $16,652 |
| Adventhealth New Smyrna BeachNew Smyrna Beach | 11 | $68,131 | $15,986 | $14,502 |
| Holmes Regional Medical CenterMelbourne | 11 | $122,569 | $20,958 | $15,038 |
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
| Adventhealth Daytona BeachDaytona Beach, FL | $15,517 |
|---|---|
| Adventhealth New Smyrna BeachNew Smyrna Beach, FL | $15,986 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $16,442 |
| Cape Canaveral HospitalCocoa Beach, FL | $16,785 |
| Morton Plant HospitalClearwater, FL | $16,896 |
Highest
| Tampa General HospitalTampa, FL | $23,938 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $22,671 |
| Orange Park Medical CenterOrange Park, FL | $22,278 |
| Orlando Regional HealthcareOrlando, FL | $21,210 |
| Holmes Regional Medical CenterMelbourne, FL | $20,958 |
Biopsies of musculoskeletal system and connective tissue with complications in other states
Questions
How much does biopsies of musculoskeletal system and connective tissue with complications cost in Florida?
In 2024 Medicare data, a hospital stay for biopsies of musculoskeletal system and connective tissue with complications (DRG 478) at 14 hospitals in Florida was billed at $132,148 on average, while the average total payment was $19,616, of which Medicare paid $16,239. 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 6.7 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.