facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Florida: 24 hospitals compared (DRG 219)

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Florida

What 24 hospitals in Florida charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.

DRG 219 Inpatient 2024 Medicare data
Average charge $448,384 Hospital list price billed
Average payment $67,295 Medicare + patient + other payers
Medicare paid $58,188 Average per stay
State rank #8 of 37 1 = lowest average payment

Hospitals in Florida billed an average of $448,384 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 6.7 times the average total payment of $67,295. That payment is 20% below the U.S. average of $83,705.

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 $67,295Billed $448,384

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: cardiac valve and other major cardiothoracic procedures without cardiac catheterization

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 96 $493,914 $76,578 $55,014
Shands Hospital at the University of FloridaGainesville 94 $342,284 $76,989 $69,224
Sarasota Memorial HospitalSarasota 76 $356,984 $52,694 $51,081
Cleveland Clinic HospitalWeston 36 $195,631 $61,229 $51,415
Orlando Regional HealthcareOrlando 35 $635,181 $61,087 $55,566
Lee Memorial HospitalFort Myers 35 $417,893 $64,164 $62,713
Tampa General HospitalTampa 33 $637,862 $93,207 $73,303
Morton Plant HospitalClearwater 24 $313,263 $52,417 $51,018
Naples Community HospitalNaples 22 $304,829 $63,728 $52,852
Jfk Medical CenterAtlantis 22 $655,002 $68,416 $47,978
Mayo ClinicJacksonville 22 $301,947 $83,877 $74,039
Martin Memorial Health SystemsStuart 21 $258,190 $51,156 $44,080
Mount Sinai Medical CenterMiami Beach 20 $287,896 $67,480 $56,098
Holmes Regional Medical CenterMelbourne 19 $458,442 $64,823 $63,834
Largo Medical CenterLargo 18 $1,047,627 $73,983 $61,538
Adventhealth Daytona BeachDaytona Beach 16 $421,319 $63,837 $62,511
North Florida Regional Medical CenterGainesville 16 $679,379 $56,465 $54,345
Delray Medical CenterDelray Beach 15 $960,270 $54,730 $53,416
Jupiter Medical CenterJupiter 14 $300,574 $51,900 $50,850
Baptist Hospital of Miami INCMiami 13 $622,721 $87,038 $85,777
Baptist Medical CenterJacksonville 13 $444,547 $85,571 $52,151
Baptist HospitalPensacola 12 $242,013 $50,744 $49,520
St Joseph's HospitalTampa 11 $333,636 $59,959 $58,521
Palm Beach Gardens Medical CenterPalm Beach Gardens 11 $800,981 $42,093 $40,757
Advertisement

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

Palm Beach Gardens Medical CenterPalm Beach Gardens, FL$42,093
Baptist HospitalPensacola, FL$50,744
Martin Memorial Health SystemsStuart, FL$51,156
Jupiter Medical CenterJupiter, FL$51,900
Morton Plant HospitalClearwater, FL$52,417

Highest

Tampa General HospitalTampa, FL$93,207
Baptist Hospital of Miami INCMiami, FL$87,038
Baptist Medical CenterJacksonville, FL$85,571
Mayo ClinicJacksonville, FL$83,877
Shands Hospital at the University of FloridaGainesville, FL$76,989

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states

Questions

How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Florida?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 24 hospitals in Florida was billed at $448,384 on average, while the average total payment was $67,295, of which Medicare paid $58,188. 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.