facebook tracking Cardiac defibrillator implant without major complications cost in Florida: 4 hospitals compared (DRG 277)

Cardiac defibrillator implant without major complications in Florida

What 4 hospitals in Florida charged and were paid for a Medicare hospital stay for cardiac defibrillator implant without major complications (DRG 277), from 2024 Medicare claims.

DRG 277 Inpatient 2024 Medicare data
Average charge $290,670 Hospital list price billed
Average payment $42,543 Medicare + patient + other payers
Medicare paid $33,116 Average per stay
State rank #3 of 6 1 = lowest average payment

Hospitals in Florida billed an average of $290,670 for cardiac defibrillator implant without major complications, about 6.8 times the average total payment of $42,543. That payment is 13% below the U.S. average of $48,982.

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 $42,543Billed $290,670

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: cardiac defibrillator implant 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
Sarasota Memorial HospitalSarasota 21 $265,945 $34,595 $33,560
Orlando Regional HealthcareOrlando 18 $379,362 $46,455 $32,700
Adventhealth OrlandoOrlando 17 $325,264 $50,628 $29,607
Mount Sinai Medical CenterMiami Beach 13 $162,567 $39,393 $37,561
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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

Sarasota Memorial HospitalSarasota, FL$34,595
Mount Sinai Medical CenterMiami Beach, FL$39,393
Orlando Regional HealthcareOrlando, FL$46,455
Adventhealth OrlandoOrlando, FL$50,628

Highest

Adventhealth OrlandoOrlando, FL$50,628
Orlando Regional HealthcareOrlando, FL$46,455
Mount Sinai Medical CenterMiami Beach, FL$39,393
Sarasota Memorial HospitalSarasota, FL$34,595

Cardiac defibrillator implant without major complications in other states

Questions

How much does cardiac defibrillator implant without major complications cost in Florida?

In 2024 Medicare data, a hospital stay for cardiac defibrillator implant without major complications (DRG 277) at 4 hospitals in Florida was billed at $290,670 on average, while the average total payment was $42,543, of which Medicare paid $33,116. 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.