facebook tracking Hernia procedures except inguinal and femoral without complications cost in Florida: 6 hospitals compared (DRG 355)

Hernia procedures except inguinal and femoral without complications in Florida

What 6 hospitals in Florida charged and were paid for a Medicare hospital stay for hernia procedures except inguinal and femoral without complications (DRG 355), from 2024 Medicare claims.

DRG 355 Inpatient 2024 Medicare data
Average charge $103,713 Hospital list price billed
Average payment $11,746 Medicare + patient + other payers
Medicare paid $8,255 Average per stay
State rank #2 of 6 1 = lowest average payment

Hospitals in Florida billed an average of $103,713 for hernia procedures except inguinal and femoral without complications, about 8.8 times the average total payment of $11,746. That payment is 12% below the U.S. average of $13,407.

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 $11,746Billed $103,713

About 11¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: hernia procedures except inguinal and femoral without 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 20 $147,033 $13,554 $8,087
Sarasota Memorial HospitalSarasota 15 $65,446 $10,268 $8,623
Orlando Regional HealthcareOrlando 12 $152,646 $14,933 $8,401
Physicians Regional Medical Center - Pine RidgeNaples 12 $112,361 $9,686 $6,901
Adventhealth Daytona BeachDaytona Beach 11 $51,807 $9,830 $8,347
Holy Cross Hospital INCFort Lauderdale 11 $66,218 $11,159 $9,281
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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

Physicians Regional Medical Center - Pine RidgeNaples, FL$9,686
Adventhealth Daytona BeachDaytona Beach, FL$9,830
Sarasota Memorial HospitalSarasota, FL$10,268
Holy Cross Hospital INCFort Lauderdale, FL$11,159
Adventhealth OrlandoOrlando, FL$13,554

Highest

Orlando Regional HealthcareOrlando, FL$14,933
Adventhealth OrlandoOrlando, FL$13,554
Holy Cross Hospital INCFort Lauderdale, FL$11,159
Sarasota Memorial HospitalSarasota, FL$10,268
Adventhealth Daytona BeachDaytona Beach, FL$9,830

Hernia procedures except inguinal and femoral without complications in other states

Questions

How much does hernia procedures except inguinal and femoral without complications cost in Florida?

In 2024 Medicare data, a hospital stay for hernia procedures except inguinal and femoral without complications (DRG 355) at 6 hospitals in Florida was billed at $103,713 on average, while the average total payment was $11,746, of which Medicare paid $8,255. 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 8.8 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.