facebook tracking Level 2 ICD and Similar Procedures cost in Florida: 111 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Florida

What 111 hospitals in Florida charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $193,333 Hospital list price billed
Average allowed $29,493 Medicare's payment + patient's share
Medicare paid $27,859 Average per service
State rank #22 of 47 1 = lowest average payment

Hospitals in Florida billed an average of $193,333 for level 2 icd and similar procedures, about 6.6 times the average medicare-allowed amount of $29,493. That payment is 5% below the U.S. average of $31,009.

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 $29,493Billed $193,333

About 15¢ was paid for every $1 hospitals in Florida billed for this service.

Florida hospitals: level 2 icd and similar procedures

Every Florida hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Sarasota Memorial HospitalSarasota 124 $228,368 $29,570 $27,937
Adventhealth OrlandoOrlando 93 $213,932 $29,108 $27,476
Baptist Medical CenterJacksonville 89 $120,316 $29,397 $27,765
Naples Community HospitalNaples 66 $89,985 $29,712 $28,079
Jfk Medical CenterAtlantis 54 $263,397 $29,712 $28,080
Mayo ClinicJacksonville 50 $137,754 $29,151 $27,519
Tampa General HospitalTampa 48 $147,979 $29,712 $28,080
Palm Beach Gardens Medical CenterPalm Beach Gardens 48 $340,164 $28,542 $26,906
Shands Hospital at the University of FloridaGainesville 47 $171,376 $29,712 $28,080
Holmes Regional Medical CenterMelbourne 42 $121,908 $29,712 $28,079
Baptist HospitalPensacola 40 $122,426 $29,712 $28,080
Lee Memorial HospitalFort Myers 37 $211,366 $29,712 $28,080
St Vincent's Medical CenterJacksonville 37 $260,539 $29,712 $28,079
Morton Plant HospitalClearwater 37 $124,198 $28,953 $27,321
Lakeland Regional Medical CenterLakeland 37 $207,023 $28,953 $27,314
Physicians Regional Medical Center - Pine RidgeNaples 36 $332,797 $29,712 $28,080
Tallahassee Memorial HealthcareTallahassee 34 $199,499 $29,712 $28,080
Cleveland Clinic HospitalWeston 33 $76,055 $29,712 $28,080
Bay Medical CenterPanama City 31 $219,504 $29,713 $28,060
Boca Raton Regional HospitalBoca Raton 29 $208,472 $29,712 $28,077
Manatee Memorial HospitalBradenton 28 $275,367 $29,712 $28,080
Fawcett Memorial HospitalPort Charlotte 28 $149,476 $29,712 $28,080
Florida Hospital WatermanEustis 27 $181,239 $29,712 $28,080
Sarasota Memorial Hospital - VeniceNorth Venice 27 $200,500 $29,695 $28,063
Adventhealth TampaTampa 26 $221,014 $29,712 $28,080
Adventhealth Daytona BeachDaytona Beach 25 $219,450 $29,712 $28,080
HCA Florida Lawnwood HospitalFort Pierce 25 $239,702 $29,712 $28,071
Jupiter Medical CenterJupiter 25 $174,425 $29,712 $28,080
Mount Sinai Medical CenterMiami Beach 24 $109,909 $28,581 $26,940
Baptist Hospital of Miami INCMiami 23 $172,547 $29,712 $28,080
Indian River Medical CenterVero Beach 23 $108,635 $29,712 $28,080
Gulf Coast Medical CenterPanama City 23 $234,866 $28,491 $26,859
Martin Memorial Health SystemsStuart 22 $135,252 $29,712 $28,072
Winter Haven HospitalWinter Haven 22 $126,932 $29,712 $28,080
Orlando Regional HealthcareOrlando 21 $343,569 $29,712 $28,080
South Miami HospitalMiami 21 $155,968 $29,712 $28,080
Adventhealth OcalaOcala 20 $266,299 $29,712 $28,080
Orlando Health Rockledge HospitalRockledge 20 $222,043 $28,308 $26,664
St Joseph's HospitalTampa 19 $141,426 $29,712 $28,080
Adventhealth Port CharlottePort Charlotte 17 $211,717 $29,712 $28,078
Leesburg Regional Medical CenterLeesburg 16 $182,082 $29,712 $28,080
Adventhealth SebringSebring 16 $240,970 $29,712 $28,080
Cape Canaveral HospitalCocoa Beach 16 $142,948 $29,712 $28,080
Delray Medical CenterDelray Beach 16 $453,396 $29,712 $28,080
Sacred Heart HospitalPensacola 15 $179,235 $26,141 $24,509
Holy Cross Hospital INCFort Lauderdale 15 $131,769 $29,712 $28,080
Flagler HospitalSt Augustine 15 $195,810 $31,819 $30,187
Florida Hospital ZephyrhillsZephyrhills 14 $184,654 $29,712 $28,080
Villages Regional Hospital theLady Lake 14 $167,648 $29,712 $28,080
Gulf Breeze HospitalGulf Breeze 13 $104,839 $29,713 $28,062
Shands Jacksonville Medical CenterJacksonville 12 $115,168 $29,712 $28,080
Orange Park Medical CenterOrange Park 12 $327,107 $29,712 $28,080
Bethesda Memorial HospitalBoynton Beach 11 $158,696 $27,266 $25,634
Halifax Health Medical CenterDaytona Beach 11 $120,312 $29,712 $28,080
Citrus Memorial HospitalInverness 11 $387,521 $29,712 $28,080
Northside HospitalSt Petersburg 11 $360,932 $29,712 $28,079
Englewood Community HospitalEnglewood 11 $116,615 $29,712 $28,080
Adventhealth New Smyrna BeachNew Smyrna Beach – – – –
Jackson Health SystemMiami – – – –
Parrish Medical CenterTitusville – – – –
North Shore Medical CenterMiami – – – –
Bayfront Medical Center INCSt Petersburg – – – –
Memorial Regional HospitalHollywood – – – –
Broward General Medical CenterFort Lauderdale – – – –
Palm Springs General HospitalHialeah – – – –
South Lake HospitalClermont – – – –
Morton Plant North Bay HospitalNew Port Richey – – – –
St Anthony's HospitalSt Petersburg – – – –
Univ of Miami Hosp & ClinicsMiami – – – –
North Broward Medical CenterPompano Beach – – – –
Osceola Regional Medical CenterKissimmee – – – –
North Okaloosa Medical CenterCrestview – – – –
Palms of Pasadena HospitalSt Petersburg – – – –
Aventura Hospital & Med CenterMiami – – – –
South Florida Baptist HospitalPlant City – – – –
Central Florida Regional HospitalSanford – – – –
Doctors Hospital of SarasotaSarasota – – – –
Plantation General HospitalPlantation – – – –
HCA Florida Memorial HospitalJacksonville – – – –
Palmetto General HospitalHialeah – – – –
Northwest Medical CenterPompano Beach – – – –
HCA Florida Trinity HospitalNew Port Richey – – – –
North Florida Regional Medical CenterGainesville – – – –
Memorial Hospital of TampaTampa – – – –
Ocala Regional Medical CenterOcala – – – –
Blake Medical CenterBradenton – – – –
Sebastian River Medical CenterSebastian – – – –
Gulf Coast Medical Center Lee HealthFort Myers – – – –
Fort Walton Beach Medical CenterFort Walton Beach – – – –
Westside Regional Medical CenterPlantation – – – –
West Florida HospitalPensacola – – – –
Putnam Community Medical CtrPalatka – – – –
Brandon Regional HospitalBrandon – – – –
Largo Medical CenterLargo – – – –
Raulerson HospitalOkeechobee – – – –
Capital Regional Medical CenterTallahassee – – – –
Regional Medical Center Bayonet PointHudson – – – –
Oak Hill HospitalBrooksville – – – –
Mease Countryside HospitalSafety Harbor – – – –
Coral Springs Medical CenterPompano Beach – – – –
Memorial Hospital WestHollywood – – – –
Sacred Heart Hospital on the Emerald CoastMiramar Beach – – – –
Lakewood Ranch Medical CenterBradenton – – – –
St Luke's HospitalJacksonville – – – –
Palm Bay HospitalPalm Bay – – – –
Adventhealth Wesley ChapelWesley Chapel – – – –
Ascension St Vincent's Clay CountyMiddleburg – – – –
Oviedo Medical CenterOviedo – – – –
HCA Florida University HospitalDavie – – – –
Baycare Hospital Wesley ChapelWesley Chapel – – – –
Adventhealth Palm Coast ParkwayPalm Coast – – – –
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Lowest and highest allowed amounts in Florida

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Sacred Heart HospitalPensacola, FL$26,141
Bethesda Memorial HospitalBoynton Beach, FL$27,266
Orlando Health Rockledge HospitalRockledge, FL$28,308
Gulf Coast Medical CenterPanama City, FL$28,491
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL$28,542

Highest

Flagler HospitalSt Augustine, FL$31,819
Bay Medical CenterPanama City, FL$29,713
Gulf Breeze HospitalGulf Breeze, FL$29,713
HCA Florida Lawnwood HospitalFort Pierce, FL$29,712
Martin Memorial Health SystemsStuart, FL$29,712

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Florida?

In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 111 hospitals in Florida was billed at $193,333 on average, while the average medicare-allowed amount was $29,493, of which Medicare paid $27,859. 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 service in Florida, average charges were 6.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.