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Dental and oral diseases with complications in Florida

What 3 hospitals in Florida charged and were paid for a Medicare hospital stay for dental and oral diseases with complications (DRG 158), from 2024 Medicare claims.

DRG 158 Inpatient 2024 Medicare data
Average charge $56,348 Hospital list price billed
Average payment $8,468 Medicare + patient + other payers
Medicare paid $6,431 Average per stay
State rank #1 of 1 1 = lowest average payment

Hospitals in Florida billed an average of $56,348 for dental and oral diseases with complications, about 6.7 times the average total payment of $8,468. That payment is 21% below the U.S. average of $10,651.

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 $8,468Billed $56,348

About 15¢ 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: dental and oral diseases 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 17 $65,792 $8,084 $6,531
Gulf Coast Medical Center Lee HealthFort Myers 17 $41,641 $6,939 $5,578
Tampa General HospitalTampa 13 $63,229 $10,967 $7,415
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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

Gulf Coast Medical Center Lee HealthFort Myers, FL$6,939
Adventhealth OrlandoOrlando, FL$8,084
Tampa General HospitalTampa, FL$10,967

Highest

Tampa General HospitalTampa, FL$10,967
Adventhealth OrlandoOrlando, FL$8,084
Gulf Coast Medical Center Lee HealthFort Myers, FL$6,939

Dental and oral diseases with complications in other states

Questions

How much does dental and oral diseases with complications cost in Florida?

In 2024 Medicare data, a hospital stay for dental and oral diseases with complications (DRG 158) at 3 hospitals in Florida was billed at $56,348 on average, while the average total payment was $8,468, of which Medicare paid $6,431. 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.