Major chest procedures without complications in Florida
What 9 hospitals in Florida charged and were paid for a Medicare hospital stay for major chest procedures without complications (DRG 165), from 2024 Medicare claims.
Average charge
$147,547
Hospital list price billed
Average payment
$17,569
Medicare + patient + other payers
Medicare paid
$12,355
Average per stay
State rank
#9 of 26
1 = lowest average payment
Hospitals in Florida billed an average of $147,547 for major chest procedures without complications, about 8.4 times the average total payment of $17,569. That payment is 10% below the U.S. average of $19,593.
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 $17,569Billed $147,547
About 12¢ 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 without 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 |
|---|---|---|---|---|
| Orlando Regional HealthcareOrlando | 58 | $204,467 | $16,500 | $14,346 |
| Baptist Medical CenterJacksonville | 35 | $123,852 | $19,026 | $10,724 |
| Mayo ClinicJacksonville | 30 | $70,054 | $20,256 | $12,702 |
| Sarasota Memorial HospitalSarasota | 28 | $153,450 | $16,006 | $11,417 |
| Baptist Hospital of Miami INCMiami | 23 | $170,105 | $23,870 | $11,922 |
| Morton Plant HospitalClearwater | 16 | $113,821 | $15,916 | $11,661 |
| Martin Memorial Health SystemsStuart | 12 | $80,383 | $12,296 | $10,658 |
| Blake Medical CenterBradenton | 12 | $204,336 | $15,805 | $14,016 |
| Boca Raton Regional HospitalBoca Raton | 11 | $132,342 | $12,133 | $10,438 |
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
| Boca Raton Regional HospitalBoca Raton, FL | $12,133 |
|---|---|
| Martin Memorial Health SystemsStuart, FL | $12,296 |
| Blake Medical CenterBradenton, FL | $15,805 |
| Morton Plant HospitalClearwater, FL | $15,916 |
| Sarasota Memorial HospitalSarasota, FL | $16,006 |
Highest
| Baptist Hospital of Miami INCMiami, FL | $23,870 |
|---|---|
| Mayo ClinicJacksonville, FL | $20,256 |
| Baptist Medical CenterJacksonville, FL | $19,026 |
| Orlando Regional HealthcareOrlando, FL | $16,500 |
| Sarasota Memorial HospitalSarasota, FL | $16,006 |
Major chest procedures without complications in other states
Questions
How much does major chest procedures without complications cost in Florida?
In 2024 Medicare data, a hospital stay for major chest procedures without complications (DRG 165) at 9 hospitals in Florida was billed at $147,547 on average, while the average total payment was $17,569, of which Medicare paid $12,355. 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 8.4 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.