facebook tracking Headaches without major complications cost in Florida: 13 hospitals compared (DRG 103)

Headaches without major complications in Florida

What 13 hospitals in Florida charged and were paid for a Medicare hospital stay for headaches without major complications (DRG 103), from 2024 Medicare claims.

DRG 103 Inpatient 2024 Medicare data
Average charge $58,705 Hospital list price billed
Average payment $8,062 Medicare + patient + other payers
Medicare paid $5,166 Average per stay
State rank #2 of 16 1 = lowest average payment

Hospitals in Florida billed an average of $58,705 for headaches without major complications, about 7.3 times the average total payment of $8,062. That payment is 22% below the U.S. average of $10,322.

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 $8,062Billed $58,705

About 14¢ 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: headaches without 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 64 $64,910 $9,949 $4,882
Sarasota Memorial HospitalSarasota 43 $43,047 $6,910 $4,907
Tampa General HospitalTampa 28 $54,647 $9,514 $6,757
North Florida Regional Medical CenterGainesville 25 $102,081 $7,855 $5,471
Baptist Medical CenterJacksonville 22 $46,500 $7,630 $4,878
Ocala Regional Medical CenterOcala 19 $80,399 $7,246 $5,493
Naples Community HospitalNaples 18 $48,962 $6,496 $4,845
Gulf Coast Medical Center Lee HealthFort Myers 16 $49,795 $7,662 $4,299
Martin Memorial Health SystemsStuart 15 $36,795 $5,823 $4,290
Orlando Regional HealthcareOrlando 13 $58,220 $9,024 $5,861
Morton Plant HospitalClearwater 13 $44,980 $8,332 $4,999
HCA Florida Memorial HospitalJacksonville 12 $77,737 $7,237 $5,782
Adventhealth Daytona BeachDaytona Beach 11 $37,310 $6,265 $4,781
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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

Martin Memorial Health SystemsStuart, FL$5,823
Adventhealth Daytona BeachDaytona Beach, FL$6,265
Naples Community HospitalNaples, FL$6,496
Sarasota Memorial HospitalSarasota, FL$6,910
HCA Florida Memorial HospitalJacksonville, FL$7,237

Highest

Adventhealth OrlandoOrlando, FL$9,949
Tampa General HospitalTampa, FL$9,514
Orlando Regional HealthcareOrlando, FL$9,024
Morton Plant HospitalClearwater, FL$8,332
North Florida Regional Medical CenterGainesville, FL$7,855

Headaches without major complications in other states

Questions

How much does headaches without major complications cost in Florida?

In 2024 Medicare data, a hospital stay for headaches without major complications (DRG 103) at 13 hospitals in Florida was billed at $58,705 on average, while the average total payment was $8,062, of which Medicare paid $5,166. 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 7.3 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.