facebook tracking Extensive operating room procedures unrelated to principal diagnosis with major complications cost in Florida: 47 hospitals compared (DRG 981)

Extensive operating room procedures unrelated to principal diagnosis with major complications in Florida

What 47 hospitals in Florida charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.

DRG 981 Inpatient 2024 Medicare data
Average charge $258,138 Hospital list price billed
Average payment $38,790 Medicare + patient + other payers
Medicare paid $34,039 Average per stay
State rank #12 of 42 1 = lowest average payment

Hospitals in Florida billed an average of $258,138 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 6.7 times the average total payment of $38,790. That payment is 18% below the U.S. average of $47,051.

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 $38,790Billed $258,138

About 15¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: extensive operating room procedures unrelated to principal diagnosis 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 110 $315,263 $43,363 $32,082
Baptist Medical CenterJacksonville 67 $229,765 $36,522 $34,860
Sarasota Memorial HospitalSarasota 58 $235,827 $33,479 $31,106
Delray Medical CenterDelray Beach 47 $468,896 $28,841 $27,518
Mayo ClinicJacksonville 40 $175,928 $54,205 $41,599
Shands Hospital at the University of FloridaGainesville 39 $247,110 $54,488 $48,577
Orlando Regional HealthcareOrlando 38 $335,870 $34,969 $28,220
Gulf Coast Medical Center Lee HealthFort Myers 34 $215,418 $31,557 $30,407
St Joseph's HospitalTampa 33 $191,022 $29,303 $28,204
Memorial Regional HospitalHollywood 31 $372,620 $46,297 $39,926
Lakeland Regional Medical CenterLakeland 31 $131,248 $29,970 $27,688
Holmes Regional Medical CenterMelbourne 30 $224,357 $33,525 $31,924
Naples Community HospitalNaples 28 $165,482 $31,712 $29,971
Morton Plant HospitalClearwater 28 $178,400 $32,660 $29,543
Tampa General HospitalTampa 27 $472,284 $65,570 $57,165
Florida Hospital WatermanEustis 24 $149,836 $31,433 $30,754
Boca Raton Regional HospitalBoca Raton 24 $212,987 $38,317 $35,842
Lee Memorial HospitalFort Myers 23 $183,322 $31,328 $30,216
Baptist Hospital of Miami INCMiami 22 $379,674 $59,610 $55,320
Jackson Health SystemMiami 22 $197,819 $54,684 $48,497
Manatee Memorial HospitalBradenton 22 $360,259 $34,319 $32,359
Palm Beach Gardens Medical CenterPalm Beach Gardens 22 $384,842 $29,150 $28,298
Adventhealth Daytona BeachDaytona Beach 19 $192,325 $32,005 $30,996
Tallahassee Memorial HealthcareTallahassee 19 $189,590 $32,381 $30,512
Sacred Heart HospitalPensacola 18 $139,978 $35,116 $33,264
Martin Memorial Health SystemsStuart 17 $145,318 $37,059 $25,733
Holy Cross Hospital INCFort Lauderdale 17 $128,131 $35,888 $29,967
Villages Regional Hospital theLady Lake 17 $171,743 $29,136 $27,552
St Anthony's HospitalSt Petersburg 16 $130,389 $29,495 $28,382
Adventhealth TampaTampa 15 $369,564 $37,877 $36,708
Bethesda Memorial HospitalBoynton Beach 13 $306,526 $38,115 $36,144
Halifax Health Medical CenterDaytona Beach 13 $213,074 $32,196 $30,225
Mount Sinai Medical CenterMiami Beach 13 $233,914 $41,589 $38,436
Baptist HospitalPensacola 13 $167,015 $33,492 $32,236
North Broward Medical CenterPompano Beach 12 $147,339 $32,957 $30,505
Flagler HospitalSt Augustine 12 $231,298 $43,532 $42,444
HCA Florida Lawnwood HospitalFort Pierce 12 $335,735 $44,957 $29,668
Adventhealth Wesley ChapelWesley Chapel 12 $200,648 $38,602 $26,451
Shands Jacksonville Medical CenterJacksonville 11 $261,863 $50,084 $44,609
Broward General Medical CenterFort Lauderdale 11 $304,363 $51,945 $31,968
Winter Haven HospitalWinter Haven 11 $145,644 $32,699 $31,261
Adventhealth OcalaOcala 11 $420,510 $69,804 $35,422
Osceola Regional Medical CenterKissimmee 11 $417,522 $42,750 $40,446
South Miami HospitalMiami 11 $253,747 $37,746 $35,767
West Florida HospitalPensacola 11 $285,860 $28,750 $26,783
Wellington Regional Medical CenterWellington 11 $293,712 $34,267 $32,968
Memorial Hospital WestHollywood 11 $341,773 $37,222 $34,527
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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

West Florida HospitalPensacola, FL$28,750
Delray Medical CenterDelray Beach, FL$28,841
Villages Regional Hospital theLady Lake, FL$29,136
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL$29,150
St Joseph's HospitalTampa, FL$29,303

Highest

Extensive operating room procedures unrelated to principal diagnosis with major complications in other states

Questions

How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Florida?

In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 47 hospitals in Florida was billed at $258,138 on average, while the average total payment was $38,790, of which Medicare paid $34,039. 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.