Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Florida
What 18 hospitals in Florida charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.
Average charge
$317,299
Hospital list price billed
Average payment
$44,435
Medicare + patient + other payers
Medicare paid
$38,734
Average per stay
State rank
#5 of 33
1 = lowest average payment
Hospitals in Florida billed an average of $317,299 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 7.1 times the average total payment of $44,435. That payment is 20% below the U.S. average of $55,508.
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 $44,435Billed $317,299
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: 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 |
|---|---|---|---|---|
| Sarasota Memorial HospitalSarasota | 67 | $325,045 | $38,877 | $37,126 |
| Morton Plant HospitalClearwater | 55 | $249,433 | $39,825 | $34,247 |
| Adventhealth OrlandoOrlando | 42 | $380,402 | $44,103 | $38,247 |
| Mayo ClinicJacksonville | 42 | $193,811 | $64,254 | $35,463 |
| Holmes Regional Medical CenterMelbourne | 39 | $360,823 | $40,594 | $39,101 |
| Naples Community HospitalNaples | 38 | $197,762 | $38,429 | $35,154 |
| Shands Hospital at the University of FloridaGainesville | 35 | $250,548 | $54,142 | $49,185 |
| Baptist Medical CenterJacksonville | 23 | $322,673 | $46,746 | $38,220 |
| Orlando Regional HealthcareOrlando | 22 | $534,935 | $42,771 | $41,179 |
| Adventhealth Daytona BeachDaytona Beach | 20 | $256,644 | $37,401 | $35,851 |
| Lee Memorial HospitalFort Myers | 17 | $341,822 | $42,813 | $41,349 |
| Tampa General HospitalTampa | 16 | $483,560 | $49,858 | $46,720 |
| Baptist Hospital of Miami INCMiami | 15 | $426,465 | $50,651 | $49,182 |
| Winter Haven HospitalWinter Haven | 14 | $173,446 | $38,601 | $36,983 |
| Jfk Medical CenterAtlantis | 14 | $483,042 | $39,717 | $37,960 |
| North Florida Regional Medical CenterGainesville | 14 | $566,188 | $49,878 | $38,306 |
| St Joseph's HospitalTampa | 13 | $305,573 | $41,815 | $40,106 |
| Baptist HospitalPensacola | 12 | $223,920 | $38,017 | $36,929 |
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 | $37,401 |
|---|---|
| Baptist HospitalPensacola, FL | $38,017 |
| Naples Community HospitalNaples, FL | $38,429 |
| Winter Haven HospitalWinter Haven, FL | $38,601 |
| Sarasota Memorial HospitalSarasota, FL | $38,877 |
Highest
| Mayo ClinicJacksonville, FL | $64,254 |
|---|---|
| Shands Hospital at the University of FloridaGainesville, FL | $54,142 |
| Baptist Hospital of Miami INCMiami, FL | $50,651 |
| North Florida Regional Medical CenterGainesville, FL | $49,878 |
| Tampa General HospitalTampa, FL | $49,858 |
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 220) at 18 hospitals in Florida was billed at $317,299 on average, while the average total payment was $44,435, of which Medicare paid $38,734. 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 7.1 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.