Major chest procedures with major complications in Florida
What 32 hospitals in Florida charged and were paid for a Medicare hospital stay for major chest procedures with major complications (DRG 163), from 2024 Medicare claims.
Average charge
$253,314
Hospital list price billed
Average payment
$36,820
Medicare + patient + other payers
Medicare paid
$32,425
Average per stay
State rank
#8 of 38
1 = lowest average payment
Hospitals in Florida billed an average of $253,314 for major chest procedures with major complications, about 6.9 times the average total payment of $36,820. That payment is 18% below the U.S. average of $45,128.
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 $36,820Billed $253,314
About 15¢ 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 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 |
|---|---|---|---|---|
| Adventhealth OrlandoOrlando | 63 | $317,608 | $37,682 | $31,730 |
| Sarasota Memorial HospitalSarasota | 48 | $237,694 | $34,111 | $32,305 |
| Orlando Regional HealthcareOrlando | 44 | $274,708 | $34,267 | $32,881 |
| Tampa General HospitalTampa | 42 | $339,707 | $49,397 | $40,293 |
| Shands Hospital at the University of FloridaGainesville | 41 | $177,012 | $46,179 | $39,378 |
| Baptist Medical CenterJacksonville | 33 | $185,821 | $32,005 | $30,878 |
| Mayo ClinicJacksonville | 30 | $133,507 | $47,434 | $38,407 |
| Holmes Regional Medical CenterMelbourne | 26 | $161,068 | $31,520 | $30,049 |
| Adventhealth TampaTampa | 25 | $250,657 | $31,611 | $30,661 |
| Boca Raton Regional HospitalBoca Raton | 24 | $260,133 | $39,160 | $36,776 |
| Lee Memorial HospitalFort Myers | 23 | $193,096 | $32,091 | $30,905 |
| Jupiter Medical CenterJupiter | 23 | $157,511 | $33,776 | $30,123 |
| Baptist Hospital of Miami INCMiami | 21 | $370,638 | $52,146 | $50,325 |
| Mount Sinai Medical CenterMiami Beach | 21 | $151,561 | $33,415 | $31,226 |
| Indian River Medical CenterVero Beach | 21 | $104,500 | $31,936 | $26,407 |
| Gulf Coast Medical Center Lee HealthFort Myers | 20 | $187,763 | $38,022 | $27,327 |
| Naples Community HospitalNaples | 19 | $151,698 | $31,424 | $29,651 |
| Martin Memorial Health SystemsStuart | 18 | $187,135 | $29,469 | $28,064 |
| Delray Medical CenterDelray Beach | 18 | $541,591 | $28,241 | $26,554 |
| Sacred Heart HospitalPensacola | 17 | $189,697 | $48,179 | $29,768 |
| Manatee Memorial HospitalBradenton | 17 | $360,015 | $34,426 | $32,812 |
| St Joseph's HospitalTampa | 16 | $124,982 | $33,398 | $32,220 |
| North Florida Regional Medical CenterGainesville | 15 | $441,308 | $37,008 | $31,931 |
| Fort Walton Beach Medical CenterFort Walton Beach | 15 | $505,979 | $33,099 | $31,793 |
| Physicians Regional Medical Center - Pine RidgeNaples | 14 | $269,388 | $28,788 | $27,972 |
| Villages Regional Hospital theLady Lake | 14 | $126,569 | $32,344 | $25,759 |
| Adventhealth Daytona BeachDaytona Beach | 13 | $143,215 | $27,018 | $25,763 |
| HCA Florida Memorial HospitalJacksonville | 13 | $555,685 | $45,189 | $28,349 |
| Good Samaritan Medical CenterWest Palm Beach | 13 | $426,846 | $31,282 | $29,901 |
| Morton Plant HospitalClearwater | 12 | $124,076 | $36,134 | $27,303 |
| West Florida HospitalPensacola | 12 | $286,915 | $35,171 | $27,497 |
| Regional Medical Center Bayonet PointHudson | 11 | $404,562 | $34,448 | $32,143 |
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
| Adventhealth Daytona BeachDaytona Beach, FL | $27,018 |
|---|---|
| Delray Medical CenterDelray Beach, FL | $28,241 |
| Physicians Regional Medical Center - Pine RidgeNaples, FL | $28,788 |
| Martin Memorial Health SystemsStuart, FL | $29,469 |
| Good Samaritan Medical CenterWest Palm Beach, FL | $31,282 |
Highest
| Baptist Hospital of Miami INCMiami, FL | $52,146 |
|---|---|
| Tampa General HospitalTampa, FL | $49,397 |
| Sacred Heart HospitalPensacola, FL | $48,179 |
| Mayo ClinicJacksonville, FL | $47,434 |
| Shands Hospital at the University of FloridaGainesville, FL | $46,179 |
Major chest procedures with major complications in other states
Questions
How much does major chest procedures with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for major chest procedures with major complications (DRG 163) at 32 hospitals in Florida was billed at $253,314 on average, while the average total payment was $36,820, of which Medicare paid $32,425. 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 6.9 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.