Major chest procedures with complications in Florida
What 30 hospitals in Florida charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.
Average charge
$156,691
Hospital list price billed
Average payment
$21,116
Medicare + patient + other payers
Medicare paid
$17,243
Average per stay
State rank
#12 of 41
1 = lowest average payment
Hospitals in Florida billed an average of $156,691 for major chest procedures with complications, about 7.4 times the average total payment of $21,116. That payment is 17% below the U.S. average of $25,501.
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 $21,116Billed $156,691
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: major chest 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 | 87 | $86,539 | $28,271 | $16,964 |
| Sarasota Memorial HospitalSarasota | 60 | $174,720 | $18,715 | $17,145 |
| Baptist Medical CenterJacksonville | 53 | $154,144 | $21,501 | $17,784 |
| Adventhealth OrlandoOrlando | 49 | $247,530 | $22,551 | $17,472 |
| Orlando Regional HealthcareOrlando | 46 | $224,523 | $22,540 | $19,832 |
| Naples Community HospitalNaples | 36 | $94,612 | $18,741 | $17,302 |
| Tampa General HospitalTampa | 36 | $238,259 | $24,051 | $20,689 |
| Mount Sinai Medical CenterMiami Beach | 29 | $113,830 | $20,626 | $18,368 |
| Martin Memorial Health SystemsStuart | 29 | $86,952 | $14,938 | $13,575 |
| Shands Hospital at the University of FloridaGainesville | 29 | $118,242 | $25,138 | $22,096 |
| Boca Raton Regional HospitalBoca Raton | 27 | $145,922 | $20,421 | $15,562 |
| Adventhealth Daytona BeachDaytona Beach | 26 | $103,642 | $18,734 | $15,304 |
| Jupiter Medical CenterJupiter | 26 | $102,561 | $16,410 | $14,778 |
| St Vincent's Medical CenterJacksonville | 21 | $132,925 | $19,304 | $17,370 |
| Lee Memorial HospitalFort Myers | 20 | $166,863 | $19,702 | $16,754 |
| Indian River Medical CenterVero Beach | 18 | $70,686 | $17,058 | $15,685 |
| Baptist Hospital of Miami INCMiami | 16 | $206,979 | $20,198 | $18,923 |
| Holmes Regional Medical CenterMelbourne | 16 | $162,978 | $21,385 | $15,810 |
| HCA Florida Trinity HospitalNew Port Richey | 16 | $298,979 | $24,784 | $15,849 |
| Physicians Regional Medical Center - Pine RidgeNaples | 16 | $268,475 | $18,376 | $13,276 |
| Bethesda Memorial HospitalBoynton Beach | 13 | $177,812 | $19,978 | $18,082 |
| Holy Cross Hospital INCFort Lauderdale | 13 | $107,321 | $20,554 | $18,505 |
| St Joseph's HospitalTampa | 13 | $169,280 | $19,725 | $18,391 |
| Baptist HospitalPensacola | 13 | $139,483 | $19,030 | $17,492 |
| North Florida Regional Medical CenterGainesville | 13 | $325,693 | $21,855 | $17,904 |
| Good Samaritan Medical CenterWest Palm Beach | 13 | $190,674 | $14,461 | $10,554 |
| Morton Plant HospitalClearwater | 12 | $107,216 | $18,777 | $17,227 |
| Cleveland Clinic HospitalWeston | 12 | $63,618 | $19,703 | $16,887 |
| Sacred Heart HospitalPensacola | 11 | $132,183 | $20,044 | $18,058 |
| Wellington Regional Medical CenterWellington | 11 | $246,080 | $17,545 | $15,726 |
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
| Good Samaritan Medical CenterWest Palm Beach, FL | $14,461 |
|---|---|
| Martin Memorial Health SystemsStuart, FL | $14,938 |
| Jupiter Medical CenterJupiter, FL | $16,410 |
| Indian River Medical CenterVero Beach, FL | $17,058 |
| Wellington Regional Medical CenterWellington, FL | $17,545 |
Highest
| Mayo ClinicJacksonville, FL | $28,271 |
|---|---|
| Shands Hospital at the University of FloridaGainesville, FL | $25,138 |
| HCA Florida Trinity HospitalNew Port Richey, FL | $24,784 |
| Tampa General HospitalTampa, FL | $24,051 |
| Adventhealth OrlandoOrlando, FL | $22,551 |
Major chest procedures with complications in other states
Questions
How much does major chest procedures with complications cost in Florida?
In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 30 hospitals in Florida was billed at $156,691 on average, while the average total payment was $21,116, of which Medicare paid $17,243. 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 7.4 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.