facebook tracking Cardiac pacemaker revision except device replacement with complications cost in Florida: 1 hospitals compared (DRG 261)

Cardiac pacemaker revision except device replacement with complications in Florida

What 1 hospital in Florida charged and were paid for a Medicare hospital stay for cardiac pacemaker revision except device replacement with complications (DRG 261), from 2024 Medicare claims.

DRG 261 Inpatient 2024 Medicare data
Average charge $103,646 Hospital list price billed
Average payment $16,533 Medicare + patient + other payers
Medicare paid $12,507 Average per stay
Volume 20 Medicare hospital stays

Hospitals in Florida billed an average of $103,646 for cardiac pacemaker revision except device replacement with complications, about 6.3 times the average total payment of $16,533. That payment is 19% below the U.S. average of $20,493.

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 $16,533Billed $103,646

About 16¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: cardiac pacemaker revision except device replacement 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 20 $103,646 $16,533 $12,507
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Cardiac pacemaker revision except device replacement with complications in other states

Questions

How much does cardiac pacemaker revision except device replacement with complications cost in Florida?

In 2024 Medicare data, a hospital stay for cardiac pacemaker revision except device replacement with complications (DRG 261) at 1 hospital in Florida was billed at $103,646 on average, while the average total payment was $16,533, of which Medicare paid $12,507. 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 6.3 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.