facebook tracking Disorders of the biliary tract without complications cost in Florida: 5 hospitals compared (DRG 446)

Disorders of the biliary tract without complications in Florida

What 5 hospitals in Florida charged and were paid for a Medicare hospital stay for disorders of the biliary tract without complications (DRG 446), from 2024 Medicare claims.

DRG 446 Inpatient 2024 Medicare data
Average charge $71,909 Hospital list price billed
Average payment $7,780 Medicare + patient + other payers
Medicare paid $5,273 Average per stay
State rank #1 of 2 1 = lowest average payment

Hospitals in Florida billed an average of $71,909 for disorders of the biliary tract without complications, about 9.2 times the average total payment of $7,780. That payment is 2% above the U.S. average of $7,604.

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 $7,780Billed $71,909

About 11¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: disorders of the biliary tract without 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 22 $82,788 $8,691 $5,005
Sarasota Memorial HospitalSarasota 21 $58,102 $6,404 $4,711
Orlando Regional HealthcareOrlando 12 $87,557 $8,823 $6,602
Mount Sinai Medical CenterMiami Beach 12 $43,734 $8,155 $5,324
Ocala Regional Medical CenterOcala 12 $88,653 $7,098 $5,365
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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

Sarasota Memorial HospitalSarasota, FL$6,404
Ocala Regional Medical CenterOcala, FL$7,098
Mount Sinai Medical CenterMiami Beach, FL$8,155
Adventhealth OrlandoOrlando, FL$8,691
Orlando Regional HealthcareOrlando, FL$8,823

Highest

Orlando Regional HealthcareOrlando, FL$8,823
Adventhealth OrlandoOrlando, FL$8,691
Mount Sinai Medical CenterMiami Beach, FL$8,155
Ocala Regional Medical CenterOcala, FL$7,098
Sarasota Memorial HospitalSarasota, FL$6,404

Disorders of the biliary tract without complications in other states

Questions

How much does disorders of the biliary tract without complications cost in Florida?

In 2024 Medicare data, a hospital stay for disorders of the biliary tract without complications (DRG 446) at 5 hospitals in Florida was billed at $71,909 on average, while the average total payment was $7,780, of which Medicare paid $5,273. 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 9.2 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.