Level 3 Lower GI Procedures in Florida
What 143 hospitals in Florida charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$30,272
Hospital list price billed
Average allowed
$2,502
Medicare's payment + patient's share
Medicare paid
$2,004
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in Florida billed an average of $30,272 for level 3 lower gi procedures, about 12.1 times the average medicare-allowed amount of $2,502. That payment is 7% below the U.S. average of $2,703.
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 $2,502Billed $30,272
About 8¢ was paid for every $1 hospitals in Florida billed for this service.
Florida hospitals: level 3 lower gi 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 |
|---|---|---|---|---|
| Adventhealth OrlandoOrlando | 173 | $29,949 | $2,512 | $2,012 |
| Mayo ClinicJacksonville | 129 | $17,520 | $2,512 | $2,003 |
| Orlando Regional HealthcareOrlando | 121 | $44,396 | $2,516 | $2,024 |
| Sarasota Memorial HospitalSarasota | 120 | $25,252 | $2,543 | $2,062 |
| Baptist Medical CenterJacksonville | 106 | $19,387 | $2,543 | $2,048 |
| Shands Hospital at the University of FloridaGainesville | 90 | $18,025 | $2,520 | $2,027 |
| Cleveland Clinic HospitalWeston | 85 | $14,474 | $2,495 | $2,018 |
| Boca Raton Regional HospitalBoca Raton | 77 | $21,917 | $2,543 | $2,043 |
| Lee Memorial HospitalFort Myers | 64 | $19,012 | $2,424 | $1,955 |
| Physicians Regional Medical Center - Pine RidgeNaples | 62 | $37,674 | $2,461 | $1,966 |
| Adventhealth Daytona BeachDaytona Beach | 60 | $19,750 | $2,543 | $2,048 |
| Univ of Miami Hosp & ClinicsMiami | 52 | $33,960 | $2,465 | $1,964 |
| Tampa General HospitalTampa | 49 | $42,747 | $2,543 | $2,040 |
| Gulf Coast Medical Center Lee HealthFort Myers | 48 | $26,961 | $2,420 | $1,910 |
| Holy Cross Hospital INCFort Lauderdale | 46 | $19,423 | $2,542 | $2,083 |
| Bayfront Medical Center INCSt Petersburg | 38 | $47,284 | $2,543 | $2,031 |
| Palm Beach Gardens Medical CenterPalm Beach Gardens | 37 | $53,041 | $2,379 | $1,847 |
| Naples Community HospitalNaples | 36 | $20,321 | $2,542 | $2,072 |
| St Anthony's HospitalSt Petersburg | 36 | $14,936 | $2,543 | $2,026 |
| North Florida Regional Medical CenterGainesville | 35 | $51,179 | $2,543 | $2,066 |
| West Florida HospitalPensacola | 35 | $56,015 | $2,543 | $2,024 |
| Mount Sinai Medical CenterMiami Beach | 33 | $16,121 | $2,504 | $2,015 |
| St Vincent's Medical CenterJacksonville | 33 | $21,756 | $2,543 | $2,034 |
| H Lee Moffitt Cancer CenterTampa | 33 | $14,246 | $2,482 | $1,977 |
| Indian River Medical CenterVero Beach | 32 | $18,425 | $2,543 | $2,050 |
| Delray Medical CenterDelray Beach | 32 | $57,000 | $2,417 | $1,898 |
| Good Samaritan Medical CenterWest Palm Beach | 32 | $63,262 | $2,227 | $1,704 |
| Martin Memorial Health SystemsStuart | 31 | $23,066 | $2,436 | $1,951 |
| Adventhealth TampaTampa | 31 | $40,250 | $2,477 | $1,994 |
| Doctors Hospital of SarasotaSarasota | 27 | $33,940 | $2,543 | $2,043 |
| Jackson Health SystemMiami | 26 | $7,893 | $2,543 | $2,031 |
| Morton Plant HospitalClearwater | 26 | $16,543 | $2,543 | $2,034 |
| Baptist HospitalPensacola | 25 | $43,049 | $2,543 | $2,031 |
| Ocala Regional Medical CenterOcala | 25 | $67,958 | $2,462 | $1,945 |
| Lakewood Ranch Medical CenterBradenton | 25 | $36,043 | $2,543 | $2,026 |
| Palm Bay HospitalPalm Bay | 23 | $33,428 | $2,543 | $2,026 |
| South Miami HospitalMiami | 22 | $27,284 | $2,543 | $2,031 |
| St Joseph's HospitalTampa | 20 | $17,542 | $2,442 | $1,923 |
| Orlando Health Rockledge HospitalRockledge | 19 | $30,285 | $2,542 | $2,073 |
| Lakeland Regional Medical CenterLakeland | 19 | $26,868 | $2,543 | $2,033 |
| Adventhealth OcalaOcala | 18 | $78,574 | $2,544 | $2,015 |
| Baptist Medical Center - NassauFernandina Beach | 18 | $19,662 | $2,542 | $2,083 |
| Tallahassee Memorial HealthcareTallahassee | 17 | $21,447 | $2,543 | $2,026 |
| Sacred Heart HospitalPensacola | 16 | $18,928 | $2,544 | $2,003 |
| Leesburg Regional Medical CenterLeesburg | 16 | $18,264 | $2,460 | $1,944 |
| Wuesthoff Medical Center - MelbourneMelbourne | 16 | $26,021 | $2,542 | $2,098 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 16 | $25,021 | $2,543 | $2,042 |
| Parrish Medical CenterTitusville | 14 | $18,620 | $1,657 | $1,176 |
| Jfk Medical CenterAtlantis | 14 | $99,045 | $2,399 | $1,868 |
| Memorial Hospital of TampaTampa | 14 | $44,874 | $2,543 | $2,044 |
| Florida Hospital WatermanEustis | 13 | $26,568 | $2,446 | $1,948 |
| Adventhealth Palm CoastPalm Coast | 13 | $16,861 | $2,541 | $2,124 |
| St Luke's HospitalJacksonville | 13 | $29,558 | $2,543 | $2,046 |
| Winter Haven HospitalWinter Haven | 12 | $12,914 | $2,543 | $2,021 |
| Orange Park Medical CenterOrange Park | 12 | $55,977 | $2,542 | $2,069 |
| Gulf Coast Medical CenterPanama City | 12 | $39,846 | $2,543 | $2,020 |
| Shands Jacksonville Medical CenterJacksonville | 11 | $29,962 | $2,543 | $2,049 |
| Bethesda Memorial HospitalBoynton Beach | 11 | $28,582 | $2,543 | $2,025 |
| Manatee Memorial HospitalBradenton | 11 | $57,074 | $2,359 | $1,842 |
| Florida Hospital DelandDeland | 11 | $28,495 | $2,543 | $2,038 |
| University Community Hospital at CarrollwoodTampa | 11 | $40,005 | $2,543 | $2,038 |
| North Okaloosa Medical CenterCrestview | 11 | $51,651 | $2,359 | $1,842 |
| Heart of Florida Reg Med CtrDavenport | 11 | $99,933 | $2,543 | $2,026 |
| HCA Florida Memorial HospitalJacksonville | 11 | $61,323 | $2,347 | $1,842 |
| Gulf Breeze HospitalGulf Breeze | 11 | $41,604 | $2,543 | $2,026 |
| Memorial Hospital WestHollywood | 11 | $26,533 | $2,543 | $2,026 |
| Baptist Hospital of Miami INCMiami | – | – | – | – |
| Adventhealth New Smyrna BeachNew Smyrna Beach | – | – | – | – |
| Holmes Regional Medical CenterMelbourne | – | – | – | – |
| Citrus Memorial HospitalInverness | – | – | – | – |
| Bay Medical CenterPanama City | – | – | – | – |
| Health CentralOcoee | – | – | – | – |
| Memorial Regional HospitalHollywood | – | – | – | – |
| Broward General Medical CenterFort Lauderdale | – | – | – | – |
| Mease Hospital DunedinDunedin | – | – | – | – |
| Shorepoint Health Punta GordaPunta Gorda | – | – | – | – |
| Highlands Regional Medical CenterSebring | – | – | – | – |
| South Lake HospitalClermont | – | – | – | – |
| Twin Cities HospitalNiceville | – | – | – | – |
| Adventhealth North PinellasTarpon Springs | – | – | – | – |
| Morton Plant North Bay HospitalNew Port Richey | – | – | – | – |
| Brooksville Regional HospitalBrooksville | – | – | – | – |
| Adventhealth Port CharlottePort Charlotte | – | – | – | – |
| North Broward Medical CenterPompano Beach | – | – | – | – |
| Flagler HospitalSt Augustine | – | – | – | – |
| Lake Wales Medical CenterLake Wales | – | – | – | – |
| Lehigh Regional Medical CenterLehigh Acres | – | – | – | – |
| Adventhealth SebringSebring | – | – | – | – |
| Osceola Regional Medical CenterKissimmee | – | – | – | – |
| Baptist Medical Center BeachesJacksonville Beach | – | – | – | – |
| Santa Rosa Medical CenterMilton | – | – | – | – |
| Homestead HospitalHomestead | – | – | – | – |
| Palms of Pasadena HospitalSt Petersburg | – | – | – | – |
| South Florida Baptist HospitalPlant City | – | – | – | – |
| Jackson HospitalMarianna | – | – | – | – |
| Lower Keys Medical CenterKey West | – | – | – | – |
| Lake City Medical CenterLake City | – | – | – | – |
| Central Florida Regional HospitalSanford | – | – | – | – |
| Plantation General HospitalPlantation | – | – | – | – |
| Desoto Memorial HospitalArcadia | – | – | – | – |
| Cape Canaveral HospitalCocoa Beach | – | – | – | – |
| St Petersburg General HospitalSt Petersburg | – | – | – | – |
| Palmetto General HospitalHialeah | – | – | – | – |
| Northwest Medical CenterPompano Beach | – | – | – | – |
| HCA Florida Trinity HospitalNew Port Richey | – | – | – | – |
| Kendall Regional Medical CenterMiami | – | – | – | – |
| Blake Medical CenterBradenton | – | – | – | – |
| Sebastian River Medical CenterSebastian | – | – | – | – |
| Fort Walton Beach Medical CenterFort Walton Beach | – | – | – | – |
| University Hospital & Medical CenterTamarac | – | – | – | – |
| Westside Regional Medical CenterPlantation | – | – | – | – |
| Putnam Community Medical CtrPalatka | – | – | – | – |
| Fawcett Memorial HospitalPort Charlotte | – | – | – | – |
| Brandon Regional HospitalBrandon | – | – | – | – |
| Cape Coral HospitalCape Coral | – | – | – | – |
| Largo Medical CenterLargo | – | – | – | – |
| Tampa General Hospital Crystal RiverCrystal River | – | – | – | – |
| Raulerson HospitalOkeechobee | – | – | – | – |
| Jupiter Medical CenterJupiter | – | – | – | – |
| Capital Regional Medical CenterTallahassee | – | – | – | – |
| Regional Medical Center Bayonet PointHudson | – | – | – | – |
| South Bay HospitalGreater Sun Center | – | – | – | – |
| St Lucie Medical CenterPort St Lucie | – | – | – | – |
| Oak Hill HospitalBrooksville | – | – | – | – |
| Mease Countryside HospitalSafety Harbor | – | – | – | – |
| Englewood Community HospitalEnglewood | – | – | – | – |
| Palms West HospitalLoxahatchee | – | – | – | – |
| Wellington Regional Medical CenterWellington | – | – | – | – |
| Coral Springs Medical CenterPompano Beach | – | – | – | – |
| Memorial Hospital MiramarMiramar | – | – | – | – |
| Villages Regional Hospital theLady Lake | – | – | – | – |
| Sacred Heart Hospital on the Emerald CoastMiramar Beach | – | – | – | – |
| Sacred Heart Hospital on the GulfPort St Joe | – | – | – | – |
| West Kendall Baptist HospitalMiami | – | – | – | – |
| Viera HospitalMelbourne | – | – | – | – |
| Adventhealth Wesley ChapelWesley Chapel | – | – | – | – |
| HCA Florida Poinciana HospitalKissimmee | – | – | – | – |
| Ascension St Vincent's Clay CountyMiddleburg | – | – | – | – |
| Oviedo Medical CenterOviedo | – | – | – | – |
| HCA Florida University HospitalDavie | – | – | – | – |
| Ascension St Vincent's St Johns CountySt. Johns | – | – | – | – |
| Baycare Hospital Wesley ChapelWesley Chapel | – | – | – | – |
| Adventhealth Palm Coast ParkwayPalm Coast | – | – | – | – |
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
| Parrish Medical CenterTitusville, FL | $1,657 |
|---|---|
| Good Samaritan Medical CenterWest Palm Beach, FL | $2,227 |
| HCA Florida Memorial HospitalJacksonville, FL | $2,347 |
| Manatee Memorial HospitalBradenton, FL | $2,359 |
| North Okaloosa Medical CenterCrestview, FL | $2,359 |
Highest
| Sacred Heart HospitalPensacola, FL | $2,544 |
|---|---|
| Adventhealth OcalaOcala, FL | $2,544 |
| Gulf Coast Medical CenterPanama City, FL | $2,543 |
| Winter Haven HospitalWinter Haven, FL | $2,543 |
| West Florida HospitalPensacola, FL | $2,543 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Florida?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 143 hospitals in Florida was billed at $30,272 on average, while the average medicare-allowed amount was $2,502, of which Medicare paid $2,004. 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 12.1 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.