Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications in Florida
What 10 hospitals in Florida charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications (DRG 562), from 2024 Medicare claims.
Average charge
$76,176
Hospital list price billed
Average payment
$11,054
Medicare + patient + other payers
Medicare paid
$9,407
Average per stay
State rank
#1 of 12
1 = lowest average payment
Hospitals in Florida billed an average of $76,176 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications, about 6.9 times the average total payment of $11,054. That payment is 24% below the U.S. average of $14,612.
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 $11,054Billed $76,176
About 15¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh 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 | 39 | $82,332 | $11,949 | $10,018 |
| Sarasota Memorial HospitalSarasota | 31 | $57,947 | $10,875 | $9,461 |
| Naples Community HospitalNaples | 23 | $52,425 | $10,764 | $9,190 |
| Martin Memorial Health SystemsStuart | 23 | $49,932 | $9,604 | $8,162 |
| Orlando Regional HealthcareOrlando | 18 | $72,693 | $12,434 | $10,554 |
| Delray Medical CenterDelray Beach | 16 | $116,358 | $8,412 | $6,536 |
| North Florida Regional Medical CenterGainesville | 14 | $150,914 | $12,892 | $10,975 |
| Holmes Regional Medical CenterMelbourne | 12 | $53,614 | $10,670 | $9,426 |
| Baptist Medical CenterJacksonville | 12 | $60,218 | $10,881 | $9,439 |
| Ocala Regional Medical CenterOcala | 12 | $102,056 | $11,817 | $10,311 |
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
| Delray Medical CenterDelray Beach, FL | $8,412 |
|---|---|
| Martin Memorial Health SystemsStuart, FL | $9,604 |
| Holmes Regional Medical CenterMelbourne, FL | $10,670 |
| Naples Community HospitalNaples, FL | $10,764 |
| Sarasota Memorial HospitalSarasota, FL | $10,875 |
Highest
| North Florida Regional Medical CenterGainesville, FL | $12,892 |
|---|---|
| Orlando Regional HealthcareOrlando, FL | $12,434 |
| Adventhealth OrlandoOrlando, FL | $11,949 |
| Ocala Regional Medical CenterOcala, FL | $11,817 |
| Baptist Medical CenterJacksonville, FL | $10,881 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications in other states
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications (DRG 562) at 10 hospitals in Florida was billed at $76,176 on average, while the average total payment was $11,054, of which Medicare paid $9,407. 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 6.9 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.