facebook tracking Disorders of the biliary tract with complications cost in Florida: 44 hospitals compared (DRG 445)

Disorders of the biliary tract with complications in Florida

What 44 hospitals in Florida charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.

DRG 445 Inpatient 2024 Medicare data
Average charge $74,945 Hospital list price billed
Average payment $9,492 Medicare + patient + other payers
Medicare paid $7,380 Average per stay
State rank #11 of 40 1 = lowest average payment

Hospitals in Florida billed an average of $74,945 for disorders of the biliary tract with complications, about 7.9 times the average total payment of $9,492. That payment is 14% below the U.S. average of $10,996.

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 $9,492Billed $74,945

About 13¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: disorders of the biliary tract 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 84 $92,924 $11,453 $6,876
Sarasota Memorial HospitalSarasota 41 $63,038 $8,526 $7,216
Boca Raton Regional HospitalBoca Raton 33 $79,240 $8,394 $6,814
Gulf Coast Medical Center Lee HealthFort Myers 29 $62,595 $7,759 $6,620
Lee Memorial HospitalFort Myers 28 $50,075 $9,373 $7,670
Martin Memorial Health SystemsStuart 28 $41,779 $7,421 $5,460
Ocala Regional Medical CenterOcala 28 $99,921 $9,274 $7,768
Mease Countryside HospitalSafety Harbor 27 $49,221 $8,672 $6,121
North Florida Regional Medical CenterGainesville 26 $124,639 $10,056 $8,014
Baptist Medical CenterJacksonville 23 $66,244 $9,311 $7,270
Orlando Regional HealthcareOrlando 22 $119,340 $11,029 $8,958
Jfk Medical CenterAtlantis 22 $111,616 $9,533 $8,302
Lakeland Regional Medical CenterLakeland 21 $56,919 $9,132 $7,920
Mount Sinai Medical CenterMiami Beach 20 $55,184 $9,976 $7,672
Shands Hospital at the University of FloridaGainesville 20 $70,350 $12,669 $9,124
HCA Florida Lawnwood HospitalFort Pierce 20 $96,900 $9,592 $7,371
Bethesda Memorial HospitalBoynton Beach 19 $60,242 $9,332 $7,405
Naples Community HospitalNaples 19 $59,625 $8,514 $5,946
Jupiter Medical CenterJupiter 19 $29,945 $7,419 $6,045
Sacred Heart HospitalPensacola 18 $33,666 $9,548 $8,289
Mayo ClinicJacksonville 18 $58,980 $14,309 $9,900
Delray Medical CenterDelray Beach 17 $133,825 $8,053 $5,271
Doctors Hospital of SarasotaSarasota 16 $94,819 $7,517 $6,071
Cape Coral HospitalCape Coral 16 $40,503 $7,857 $6,470
Physicians Regional Medical Center - Pine RidgeNaples 16 $72,223 $7,433 $6,107
Holmes Regional Medical CenterMelbourne 15 $38,968 $7,778 $7,004
Wellington Regional Medical CenterWellington 15 $82,414 $8,838 $7,323
Sarasota Memorial Hospital - VeniceNorth Venice 15 $42,885 $6,946 $5,531
Baptist Hospital of Miami INCMiami 14 $73,515 $9,773 $8,576
Halifax Health Medical CenterDaytona Beach 14 $45,226 $9,803 $8,297
Florida Hospital WatermanEustis 14 $53,618 $9,141 $6,256
Cleveland Clinic HospitalWeston 14 $31,928 $9,424 $7,225
Jackson Health SystemMiami 13 $50,194 $19,538 $16,475
St Joseph's HospitalTampa 13 $61,458 $9,448 $8,637
Adventhealth TampaTampa 13 $75,488 $10,486 $7,194
Largo Medical CenterLargo 13 $142,847 $11,220 $9,116
Manatee Memorial HospitalBradenton 12 $162,478 $9,486 $7,837
Adventhealth OcalaOcala 12 $62,613 $7,964 $7,148
HCA Florida Trinity HospitalNew Port Richey 12 $140,753 $10,110 $7,858
Adventhealth Port CharlottePort Charlotte 11 $95,195 $7,519 $6,036
Tallahassee Memorial HealthcareTallahassee 11 $47,711 $9,731 $8,245
Cape Canaveral HospitalCocoa Beach 11 $48,949 $8,383 $6,900
Gulf Coast Medical CenterPanama City 11 $121,540 $8,451 $6,967
Adventhealth Wesley ChapelWesley Chapel 11 $84,746 $8,221 $6,866
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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$19,538
Mayo ClinicJacksonville, FL$14,309
Shands Hospital at the University of FloridaGainesville, FL$12,669
Adventhealth OrlandoOrlando, FL$11,453
Largo Medical CenterLargo, FL$11,220

Disorders of the biliary tract with complications in other states

Questions

How much does disorders of the biliary tract with complications cost in Florida?

In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 44 hospitals in Florida was billed at $74,945 on average, while the average total payment was $9,492, of which Medicare paid $7,380. 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 7.9 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.