Extracranial procedures with complications in Florida
What 13 hospitals in Florida charged and were paid for a Medicare hospital stay for extracranial procedures with complications (DRG 038), from 2024 Medicare claims.
Average charge
$96,101
Hospital list price billed
Average payment
$13,782
Medicare + patient + other payers
Medicare paid
$10,597
Average per stay
State rank
#13 of 29
1 = lowest average payment
Hospitals in Florida billed an average of $96,101 for extracranial procedures with complications, about 7.0 times the average total payment of $13,782. That payment is 8% below the U.S. average of $14,903.
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 $13,782Billed $96,101
About 14¢ was paid for every $1 hospitals in Florida billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Florida:
Florida hospitals: extracranial procedures 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 |
|---|---|---|---|---|
| Indian River Medical CenterVero Beach | 29 | $46,250 | $11,596 | $9,607 |
| Adventhealth OrlandoOrlando | 28 | $122,860 | $18,529 | $10,257 |
| Holmes Regional Medical CenterMelbourne | 26 | $98,602 | $11,794 | $10,713 |
| Ocala Regional Medical CenterOcala | 26 | $208,479 | $12,693 | $11,198 |
| Naples Community HospitalNaples | 23 | $54,039 | $11,937 | $10,600 |
| Sacred Heart HospitalPensacola | 19 | $66,430 | $13,195 | $11,742 |
| Martin Memorial Health SystemsStuart | 18 | $66,325 | $11,531 | $8,763 |
| Sarasota Memorial HospitalSarasota | 18 | $73,643 | $13,162 | $10,096 |
| Mayo ClinicJacksonville | 17 | $72,249 | $20,363 | $10,258 |
| Baptist Medical CenterJacksonville | 16 | $115,574 | $13,712 | $10,757 |
| Shands Hospital at the University of FloridaGainesville | 16 | $69,994 | $16,675 | $12,627 |
| Adventhealth OcalaOcala | 15 | $162,303 | $11,742 | $10,545 |
| Lakeland Regional Medical CenterLakeland | 12 | $71,068 | $12,887 | $11,539 |
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
| Martin Memorial Health SystemsStuart, FL | $11,531 |
|---|---|
| Indian River Medical CenterVero Beach, FL | $11,596 |
| Adventhealth OcalaOcala, FL | $11,742 |
| Holmes Regional Medical CenterMelbourne, FL | $11,794 |
| Naples Community HospitalNaples, FL | $11,937 |
Highest
| Mayo ClinicJacksonville, FL | $20,363 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $18,529 |
| Shands Hospital at the University of FloridaGainesville, FL | $16,675 |
| Baptist Medical CenterJacksonville, FL | $13,712 |
| Sacred Heart HospitalPensacola, FL | $13,195 |
Extracranial procedures with complications in other states
Questions
How much does extracranial procedures with complications cost in Florida?
In 2024 Medicare data, a hospital stay for extracranial procedures with complications (DRG 038) at 13 hospitals in Florida was billed at $96,101 on average, while the average total payment was $13,782, of which Medicare paid $10,597. 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 7.0 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.