facebook tracking Digestive malignancy with major complications cost in Florida: 17 hospitals compared (DRG 374)

Digestive malignancy with major complications in Florida

What 17 hospitals in Florida charged and were paid for a Medicare hospital stay for digestive malignancy with major complications (DRG 374), from 2024 Medicare claims.

DRG 374 Inpatient 2024 Medicare data
Average charge $101,316 Hospital list price billed
Average payment $19,175 Medicare + patient + other payers
Medicare paid $14,455 Average per stay
State rank #10 of 28 1 = lowest average payment

Hospitals in Florida billed an average of $101,316 for digestive malignancy with major complications, about 5.3 times the average total payment of $19,175. That payment is 17% below the U.S. average of $23,203.

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 $19,175Billed $101,316

About 19¢ 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 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 63 $151,268 $26,525 $13,996
Mayo ClinicJacksonville 36 $64,090 $21,407 $15,325
Baptist Hospital of Miami INCMiami 24 $114,594 $17,758 $16,440
Orlando Regional HealthcareOrlando 23 $138,688 $16,766 $15,397
Baptist Medical CenterJacksonville 23 $93,932 $16,264 $13,606
Shands Hospital at the University of FloridaGainesville 17 $77,260 $20,788 $17,058
Tampa General HospitalTampa 17 $91,313 $19,941 $14,904
Gulf Coast Medical Center Lee HealthFort Myers 17 $70,255 $15,536 $11,916
Naples Community HospitalNaples 16 $83,152 $14,754 $13,605
Sarasota Memorial HospitalSarasota 16 $68,587 $14,571 $13,281
Boca Raton Regional HospitalBoca Raton 16 $75,742 $15,212 $13,829
Martin Memorial Health SystemsStuart 14 $42,049 $12,920 $9,305
St Joseph's HospitalTampa 14 $70,934 $14,914 $13,697
Jackson Health SystemMiami 12 $90,899 $29,681 $24,822
Tallahassee Memorial HealthcareTallahassee 12 $61,117 $16,194 $13,430
North Florida Regional Medical CenterGainesville 11 $214,118 $14,674 $12,822
Physicians Regional Medical Center - Pine RidgeNaples 11 $113,754 $14,508 $11,745
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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.

Highest

Jackson Health SystemMiami, FL$29,681
Adventhealth OrlandoOrlando, FL$26,525
Mayo ClinicJacksonville, FL$21,407
Shands Hospital at the University of FloridaGainesville, FL$20,788
Tampa General HospitalTampa, FL$19,941

Digestive malignancy with major complications in other states

Questions

How much does digestive malignancy with major complications cost in Florida?

In 2024 Medicare data, a hospital stay for digestive malignancy with major complications (DRG 374) at 17 hospitals in Florida was billed at $101,316 on average, while the average total payment was $19,175, of which Medicare paid $14,455. 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 5.3 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.