facebook tracking Coronary intravascular lithotripsy with intraluminal device with major complications cost in Florida: 8 hospitals compared (DRG 323)

Coronary intravascular lithotripsy with intraluminal device with major complications in Florida

What 8 hospitals in Florida charged and were paid for a Medicare hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323), from 2024 Medicare claims.

DRG 323 Inpatient 2024 Medicare data
Average charge $281,119 Hospital list price billed
Average payment $36,079 Medicare + patient + other payers
Medicare paid $29,382 Average per stay
State rank #3 of 12 1 = lowest average payment

Hospitals in Florida billed an average of $281,119 for coronary intravascular lithotripsy with intraluminal device with major complications, about 7.8 times the average total payment of $36,079. That payment is 11% below the U.S. average of $40,408.

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 $36,079Billed $281,119

About 13¢ 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: coronary intravascular lithotripsy with intraluminal device with 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
Adventhealth OrlandoOrlando 26 $273,108 $33,809 $27,063
Lee Memorial HospitalFort Myers 24 $250,860 $35,132 $33,671
Mount Sinai Medical CenterMiami Beach 19 $225,120 $61,782 $29,618
North Florida Regional Medical CenterGainesville 19 $499,782 $35,445 $33,724
Orlando Regional HealthcareOrlando 18 $313,483 $33,065 $28,711
Morton Plant HospitalClearwater 17 $223,612 $26,700 $25,491
Gulf Coast Medical Center Lee HealthFort Myers 12 $206,332 $28,673 $27,904
St Vincent's Medical CenterJacksonville 11 $202,607 $27,721 $26,324
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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

Morton Plant HospitalClearwater, FL$26,700
St Vincent's Medical CenterJacksonville, FL$27,721
Gulf Coast Medical Center Lee HealthFort Myers, FL$28,673
Orlando Regional HealthcareOrlando, FL$33,065
Adventhealth OrlandoOrlando, FL$33,809

Highest

Mount Sinai Medical CenterMiami Beach, FL$61,782
North Florida Regional Medical CenterGainesville, FL$35,445
Lee Memorial HospitalFort Myers, FL$35,132
Adventhealth OrlandoOrlando, FL$33,809
Orlando Regional HealthcareOrlando, FL$33,065

Coronary intravascular lithotripsy with intraluminal device with major complications in other states

Questions

How much does coronary intravascular lithotripsy with intraluminal device with major complications cost in Florida?

In 2024 Medicare data, a hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323) at 8 hospitals in Florida was billed at $281,119 on average, while the average total payment was $36,079, of which Medicare paid $29,382. 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 7.8 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.