facebook tracking Major bladder procedures with complications cost in Florida: 6 hospitals compared (DRG 654)

Major bladder procedures with complications in Florida

What 6 hospitals in Florida charged and were paid for a Medicare hospital stay for major bladder procedures with complications (DRG 654), from 2024 Medicare claims.

DRG 654 Inpatient 2024 Medicare data
Average charge $175,601 Hospital list price billed
Average payment $29,282 Medicare + patient + other payers
Medicare paid $20,822 Average per stay
State rank #1 of 7 1 = lowest average payment

Hospitals in Florida billed an average of $175,601 for major bladder procedures with complications, about 6.0 times the average total payment of $29,282. That payment is 12% below the U.S. average of $33,454.

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 $29,282Billed $175,601

About 17¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: major bladder procedures 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
Mayo ClinicJacksonville 31 $148,348 $32,212 $20,575
Shands Hospital at the University of FloridaGainesville 17 $148,374 $27,412 $24,481
Adventhealth OrlandoOrlando 16 $242,865 $35,032 $16,482
Mount Sinai Medical CenterMiami Beach 16 $103,773 $23,729 $22,011
Baptist Hospital of Miami INCMiami 12 $288,878 $35,436 $24,873
Sarasota Memorial HospitalSarasota 12 $177,384 $17,945 $16,431
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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$17,945
Mount Sinai Medical CenterMiami Beach, FL$23,729
Shands Hospital at the University of FloridaGainesville, FL$27,412
Mayo ClinicJacksonville, FL$32,212
Adventhealth OrlandoOrlando, FL$35,032

Highest

Baptist Hospital of Miami INCMiami, FL$35,436
Adventhealth OrlandoOrlando, FL$35,032
Mayo ClinicJacksonville, FL$32,212
Shands Hospital at the University of FloridaGainesville, FL$27,412
Mount Sinai Medical CenterMiami Beach, FL$23,729

Major bladder procedures with complications in other states

Questions

How much does major bladder procedures with complications cost in Florida?

In 2024 Medicare data, a hospital stay for major bladder procedures with complications (DRG 654) at 6 hospitals in Florida was billed at $175,601 on average, while the average total payment was $29,282, of which Medicare paid $20,822. 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 6.0 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.