Interstitial lung disease with major complications in Florida
What 17 hospitals in Florida charged and were paid for a Medicare hospital stay for interstitial lung disease with major complications (DRG 196), from 2024 Medicare claims.
Average charge
$95,055
Hospital list price billed
Average payment
$16,442
Medicare + patient + other payers
Medicare paid
$12,956
Average per stay
State rank
#3 of 29
1 = lowest average payment
Hospitals in Florida billed an average of $95,055 for interstitial lung disease with major complications, about 5.8 times the average total payment of $16,442. That payment is 22% below the U.S. average of $21,088.
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 $16,442Billed $95,055
About 17¢ 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: interstitial lung disease 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 |
|---|---|---|---|---|
| Mayo ClinicJacksonville | 34 | $68,011 | $25,087 | $14,005 |
| Sarasota Memorial HospitalSarasota | 28 | $80,187 | $13,779 | $11,772 |
| Adventhealth OrlandoOrlando | 24 | $99,707 | $15,454 | $10,955 |
| Naples Community HospitalNaples | 22 | $64,494 | $13,288 | $11,755 |
| Tampa General HospitalTampa | 22 | $160,188 | $21,489 | $16,846 |
| Bethesda Memorial HospitalBoynton Beach | 14 | $61,940 | $13,726 | $12,267 |
| Lee Memorial HospitalFort Myers | 14 | $79,822 | $15,059 | $13,885 |
| Baptist Medical CenterJacksonville | 14 | $85,571 | $14,866 | $12,002 |
| HCA Florida Memorial HospitalJacksonville | 14 | $124,917 | $16,111 | $11,430 |
| Physicians Regional Medical Center - Pine RidgeNaples | 14 | $140,509 | $12,628 | $11,229 |
| Villages Regional Hospital theLady Lake | 14 | $55,623 | $12,559 | $11,514 |
| North Florida Regional Medical CenterGainesville | 13 | $172,825 | $16,554 | $13,511 |
| Ocala Regional Medical CenterOcala | 13 | $62,765 | $14,255 | $13,024 |
| Martin Memorial Health SystemsStuart | 12 | $50,015 | $12,494 | $11,522 |
| Shands Hospital at the University of FloridaGainesville | 11 | $82,428 | $18,881 | $15,284 |
| Lakeland Regional Medical CenterLakeland | 11 | $88,468 | $16,143 | $14,782 |
| Memorial Hospital WestHollywood | 11 | $179,725 | $16,917 | $15,273 |
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 | $12,494 |
|---|---|
| Villages Regional Hospital theLady Lake, FL | $12,559 |
| Physicians Regional Medical Center - Pine RidgeNaples, FL | $12,628 |
| Naples Community HospitalNaples, FL | $13,288 |
| Bethesda Memorial HospitalBoynton Beach, FL | $13,726 |
Highest
| Mayo ClinicJacksonville, FL | $25,087 |
|---|---|
| Tampa General HospitalTampa, FL | $21,489 |
| Shands Hospital at the University of FloridaGainesville, FL | $18,881 |
| Memorial Hospital WestHollywood, FL | $16,917 |
| North Florida Regional Medical CenterGainesville, FL | $16,554 |
Interstitial lung disease with major complications in other states
Questions
How much does interstitial lung disease with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for interstitial lung disease with major complications (DRG 196) at 17 hospitals in Florida was billed at $95,055 on average, while the average total payment was $16,442, of which Medicare paid $12,956. 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 5.8 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.