Hernia procedures except inguinal and femoral with major complications in Florida
What 1 hospital in Florida charged and were paid for a Medicare hospital stay for hernia procedures except inguinal and femoral with major complications (DRG 353), from 2024 Medicare claims.
Average charge
$243,581
Hospital list price billed
Average payment
$22,939
Medicare + patient + other payers
Medicare paid
$20,367
Average per stay
Volume
18
Medicare hospital stays
Hospitals in Florida billed an average of $243,581 for hernia procedures except inguinal and femoral with major complications, about 10.6 times the average total payment of $22,939. That payment is 35% below the U.S. average of $35,368.
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 $22,939Billed $243,581
About 9¢ 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: hernia procedures except inguinal and femoral 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 | 18 | $243,581 | $22,939 | $20,367 |
Hernia procedures except inguinal and femoral with major complications in other states
Questions
How much does hernia procedures except inguinal and femoral with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for hernia procedures except inguinal and femoral with major complications (DRG 353) at 1 hospital in Florida was billed at $243,581 on average, while the average total payment was $22,939, of which Medicare paid $20,367. 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 10.6 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.