Lower extremity and humerus procedures except hip, foot and femur with major complications in Florida
What 8 hospitals in Florida charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with major complications (DRG 492), from 2024 Medicare claims.
Average charge
$204,818
Hospital list price billed
Average payment
$27,000
Medicare + patient + other payers
Medicare paid
$23,953
Average per stay
State rank
#1 of 13
1 = lowest average payment
Hospitals in Florida billed an average of $204,818 for lower extremity and humerus procedures except hip, foot and femur with major complications, about 7.6 times the average total payment of $27,000. That payment is 21% below the U.S. average of $34,208.
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 $27,000Billed $204,818
About 13¢ 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 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 |
|---|---|---|---|---|
| Gulf Coast Medical Center Lee HealthFort Myers | 32 | $153,272 | $23,387 | $21,605 |
| Orlando Regional HealthcareOrlando | 24 | $220,815 | $25,755 | $23,878 |
| Ocala Regional Medical CenterOcala | 17 | $362,943 | $27,396 | $25,496 |
| Shands Hospital at the University of FloridaGainesville | 15 | $172,849 | $35,482 | $30,006 |
| Holmes Regional Medical CenterMelbourne | 13 | $244,906 | $29,460 | $28,413 |
| Adventhealth OrlandoOrlando | 12 | $225,891 | $31,924 | $19,963 |
| Sarasota Memorial HospitalSarasota | 12 | $150,017 | $22,563 | $21,327 |
| St Joseph's HospitalTampa | 11 | $108,510 | $24,609 | $22,257 |
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
| Sarasota Memorial HospitalSarasota, FL | $22,563 |
|---|---|
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $23,387 |
| St Joseph's HospitalTampa, FL | $24,609 |
| Orlando Regional HealthcareOrlando, FL | $25,755 |
| Ocala Regional Medical CenterOcala, FL | $27,396 |
Highest
| Shands Hospital at the University of FloridaGainesville, FL | $35,482 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $31,924 |
| Holmes Regional Medical CenterMelbourne, FL | $29,460 |
| Ocala Regional Medical CenterOcala, FL | $27,396 |
| Orlando Regional HealthcareOrlando, FL | $25,755 |
Lower extremity and humerus procedures except hip, foot and femur with major complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with major complications (DRG 492) at 8 hospitals in Florida was billed at $204,818 on average, while the average total payment was $27,000, of which Medicare paid $23,953. 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 7.6 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.