facebook tracking Digestive malignancy with complications cost in Florida: 17 hospitals compared (DRG 375)

Digestive malignancy with complications in Florida

What 17 hospitals in Florida charged and were paid for a Medicare hospital stay for digestive malignancy with complications (DRG 375), from 2024 Medicare claims.

DRG 375 Inpatient 2024 Medicare data
Average charge $68,887 Hospital list price billed
Average payment $10,796 Medicare + patient + other payers
Medicare paid $8,322 Average per stay
State rank #5 of 20 1 = lowest average payment

Hospitals in Florida billed an average of $68,887 for digestive malignancy with complications, about 6.4 times the average total payment of $10,796. That payment is 18% below the U.S. average of $13,131.

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 $10,796Billed $68,887

About 16¢ 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: digestive malignancy 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 40 $87,965 $11,775 $7,848
Sarasota Memorial HospitalSarasota 22 $67,948 $8,994 $7,451
Tampa General HospitalTampa 22 $83,236 $12,642 $10,008
Gulf Coast Medical Center Lee HealthFort Myers 22 $59,412 $8,598 $7,239
Orlando Regional HealthcareOrlando 21 $99,090 $11,280 $10,082
Shands Hospital at the University of FloridaGainesville 20 $54,093 $13,938 $10,933
Baptist Medical CenterJacksonville 17 $60,956 $9,751 $8,250
Mayo ClinicJacksonville 17 $40,156 $18,210 $6,970
Boca Raton Regional HospitalBoca Raton 17 $39,535 $8,646 $7,158
St Joseph's HospitalTampa 16 $57,620 $10,040 $9,060
Morton Plant HospitalClearwater 14 $47,598 $9,132 $7,771
Ocala Regional Medical CenterOcala 14 $104,974 $9,969 $8,820
Naples Community HospitalNaples 13 $51,070 $9,162 $7,864
Holmes Regional Medical CenterMelbourne 13 $44,246 $9,023 $7,756
Lee Memorial HospitalFort Myers 12 $60,504 $9,735 $8,429
North Florida Regional Medical CenterGainesville 12 $139,521 $10,945 $9,276
Martin Memorial Health SystemsStuart 11 $42,715 $7,680 $5,532
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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

Highest

Mayo ClinicJacksonville, FL$18,210
Shands Hospital at the University of FloridaGainesville, FL$13,938
Tampa General HospitalTampa, FL$12,642
Adventhealth OrlandoOrlando, FL$11,775
Orlando Regional HealthcareOrlando, FL$11,280

Digestive malignancy with complications in other states

Questions

How much does digestive malignancy with complications cost in Florida?

In 2024 Medicare data, a hospital stay for digestive malignancy with complications (DRG 375) at 17 hospitals in Florida was billed at $68,887 on average, while the average total payment was $10,796, of which Medicare paid $8,322. 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 6.4 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.