Lower extremity and humerus procedures except hip, foot and femur with complications in Florida
What 45 hospitals in Florida charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$174,756
Hospital list price billed
Average payment
$19,414
Medicare + patient + other payers
Medicare paid
$16,545
Average per stay
State rank
#8 of 40
1 = lowest average payment
Hospitals in Florida billed an average of $174,756 for lower extremity and humerus procedures except hip, foot and femur with complications, about 9.0 times the average total payment of $19,414. That payment is 15% below the U.S. average of $22,820.
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 $19,414Billed $174,756
About 11¢ 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: lower extremity and humerus procedures except hip, foot and femur with 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 |
|---|---|---|---|---|
| Gulf Coast Medical Center Lee HealthFort Myers | 78 | $110,427 | $17,493 | $14,804 |
| Adventhealth OrlandoOrlando | 56 | $182,530 | $23,315 | $15,774 |
| Sarasota Memorial HospitalSarasota | 49 | $130,693 | $18,043 | $15,599 |
| Orlando Regional HealthcareOrlando | 46 | $194,307 | $19,726 | $16,711 |
| Delray Medical CenterDelray Beach | 43 | $283,963 | $15,221 | $13,334 |
| Ocala Regional Medical CenterOcala | 39 | $259,963 | $18,605 | $16,969 |
| Shands Hospital at the University of FloridaGainesville | 37 | $132,715 | $24,740 | $20,653 |
| HCA Florida Lawnwood HospitalFort Pierce | 37 | $251,425 | $17,574 | $15,265 |
| Lakeland Regional Medical CenterLakeland | 27 | $92,478 | $17,859 | $15,832 |
| St Joseph's HospitalTampa | 26 | $123,650 | $19,185 | $17,125 |
| Naples Community HospitalNaples | 25 | $91,259 | $17,448 | $15,795 |
| Baptist HospitalPensacola | 23 | $172,316 | $17,729 | $16,239 |
| Tampa General HospitalTampa | 23 | $174,297 | $22,898 | $17,135 |
| St Mary's Medical CenterWest Palm Beach | 22 | $322,759 | $22,202 | $17,659 |
| Florida Hospital WatermanEustis | 21 | $97,316 | $16,570 | $15,327 |
| Baptist Medical CenterJacksonville | 21 | $112,875 | $20,417 | $15,495 |
| Tallahassee Memorial HealthcareTallahassee | 21 | $121,241 | $19,387 | $16,744 |
| Blake Medical CenterBradenton | 21 | $191,736 | $18,850 | $16,336 |
| Holmes Regional Medical CenterMelbourne | 20 | $160,050 | $17,193 | $15,863 |
| Sacred Heart HospitalPensacola | 20 | $95,836 | $20,583 | $16,585 |
| Lee Memorial HospitalFort Myers | 19 | $105,206 | $18,191 | $16,339 |
| Putnam Community Medical CtrPalatka | 19 | $88,058 | $17,207 | $15,714 |
| Doctors Hospital INCCoral Gables | 19 | $237,008 | $27,972 | $26,380 |
| Fort Walton Beach Medical CenterFort Walton Beach | 17 | $306,613 | $17,613 | $14,657 |
| Bethesda Memorial HospitalBoynton Beach | 16 | $166,907 | $20,131 | $18,054 |
| North Florida Regional Medical CenterGainesville | 16 | $236,014 | $20,350 | $18,424 |
| Orange Park Medical CenterOrange Park | 16 | $314,257 | $21,889 | $19,880 |
| Shands Jacksonville Medical CenterJacksonville | 15 | $124,443 | $28,249 | $22,230 |
| West Florida HospitalPensacola | 15 | $239,161 | $17,671 | $15,965 |
| Bayfront Medical Center INCSt Petersburg | 14 | $168,022 | $20,378 | $18,551 |
| Martin Memorial Health SystemsStuart | 14 | $95,176 | $17,429 | $13,617 |
| Adventhealth Daytona BeachDaytona Beach | 14 | $90,580 | $16,794 | $15,628 |
| Aventura Hospital & Med CenterMiami | 14 | $214,630 | $22,465 | $20,257 |
| Boca Raton Regional HospitalBoca Raton | 14 | $103,044 | $17,959 | $16,149 |
| Physicians Regional Medical Center - Pine RidgeNaples | 14 | $246,471 | $15,745 | $14,113 |
| Kendall Regional Medical CenterMiami | 13 | $337,942 | $23,263 | $21,472 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 13 | $128,855 | $16,047 | $14,543 |
| Adventhealth Port CharlottePort Charlotte | 12 | $190,397 | $16,626 | $15,402 |
| Osceola Regional Medical CenterKissimmee | 12 | $357,184 | $26,826 | $19,484 |
| Mease Countryside HospitalSafety Harbor | 12 | $102,420 | $16,560 | $14,581 |
| St Anthony's HospitalSt Petersburg | 11 | $83,742 | $16,631 | $15,139 |
| North Broward Medical CenterPompano Beach | 11 | $85,536 | $20,889 | $16,790 |
| Fawcett Memorial HospitalPort Charlotte | 11 | $281,862 | $18,291 | $12,738 |
| Jupiter Medical CenterJupiter | 11 | $84,727 | $15,712 | $14,377 |
| Regional Medical Center Bayonet PointHudson | 11 | $301,280 | $20,731 | $18,726 |
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
| Delray Medical CenterDelray Beach, FL | $15,221 |
|---|---|
| Jupiter Medical CenterJupiter, FL | $15,712 |
| Physicians Regional Medical Center - Pine RidgeNaples, FL | $15,745 |
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $16,047 |
| Mease Countryside HospitalSafety Harbor, FL | $16,560 |
Highest
| Shands Jacksonville Medical CenterJacksonville, FL | $28,249 |
|---|---|
| Doctors Hospital INCCoral Gables, FL | $27,972 |
| Osceola Regional Medical CenterKissimmee, FL | $26,826 |
| Shands Hospital at the University of FloridaGainesville, FL | $24,740 |
| Adventhealth OrlandoOrlando, FL | $23,315 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Florida?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 45 hospitals in Florida was billed at $174,756 on average, while the average total payment was $19,414, of which Medicare paid $16,545. 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 9.0 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.