facebook tracking Concomitant left atrial appendage closure and cardiac ablation cost in Florida: 2 hospitals compared (DRG 317)

Concomitant left atrial appendage closure and cardiac ablation in Florida

What 2 hospitals in Florida charged and were paid for a Medicare hospital stay for concomitant left atrial appendage closure and cardiac ablation (DRG 317), from 2024 Medicare claims.

DRG 317 Inpatient 2024 Medicare data
Average charge $370,978 Hospital list price billed
Average payment $52,136 Medicare + patient + other payers
Medicare paid $50,799 Average per stay
Volume 50 Medicare hospital stays

Hospitals in Florida billed an average of $370,978 for concomitant left atrial appendage closure and cardiac ablation, about 7.1 times the average total payment of $52,136. That payment is 9% below the U.S. average of $57,530.

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 $52,136Billed $370,978

About 14¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: concomitant left atrial appendage closure and cardiac ablation

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 38 $362,257 $51,071 $49,828
South Miami HospitalMiami 12 $398,596 $55,508 $53,873
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Concomitant left atrial appendage closure and cardiac ablation in other states

Questions

How much does concomitant left atrial appendage closure and cardiac ablation cost in Florida?

In 2024 Medicare data, a hospital stay for concomitant left atrial appendage closure and cardiac ablation (DRG 317) at 2 hospitals in Florida was billed at $370,978 on average, while the average total payment was $52,136, of which Medicare paid $50,799. 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.