Malignancy of hepatobiliary system or pancreas with complications in Florida
What 9 hospitals in Florida charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with complications (DRG 436), from 2024 Medicare claims.
Average charge
$78,082
Hospital list price billed
Average payment
$9,934
Medicare + patient + other payers
Medicare paid
$7,534
Average per stay
State rank
#2 of 10
1 = lowest average payment
Hospitals in Florida billed an average of $78,082 for malignancy of hepatobiliary system or pancreas with complications, about 7.9 times the average total payment of $9,934. That payment is 20% below the U.S. average of $12,472.
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 $9,934Billed $78,082
About 13¢ was paid for every $1 hospitals in Florida billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Florida:
Florida hospitals: malignancy of hepatobiliary system or pancreas 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 |
|---|---|---|---|---|
| Adventhealth OrlandoOrlando | 32 | $98,305 | $11,041 | $7,301 |
| North Florida Regional Medical CenterGainesville | 22 | $141,304 | $10,236 | $8,665 |
| Sarasota Memorial HospitalSarasota | 21 | $61,260 | $8,643 | $7,193 |
| Gulf Coast Medical Center Lee HealthFort Myers | 16 | $57,184 | $8,019 | $6,979 |
| Naples Community HospitalNaples | 14 | $45,134 | $9,412 | $6,769 |
| Tampa General HospitalTampa | 14 | $81,193 | $12,472 | $9,361 |
| Lakeland Regional Medical CenterLakeland | 14 | $50,590 | $10,844 | $6,959 |
| Baptist Medical CenterJacksonville | 12 | $54,012 | $9,098 | $7,558 |
| Boca Raton Regional HospitalBoca Raton | 12 | $56,504 | $8,667 | $6,826 |
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
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $8,019 |
|---|---|
| Sarasota Memorial HospitalSarasota, FL | $8,643 |
| Boca Raton Regional HospitalBoca Raton, FL | $8,667 |
| Baptist Medical CenterJacksonville, FL | $9,098 |
| Naples Community HospitalNaples, FL | $9,412 |
Highest
| Tampa General HospitalTampa, FL | $12,472 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $11,041 |
| Lakeland Regional Medical CenterLakeland, FL | $10,844 |
| North Florida Regional Medical CenterGainesville, FL | $10,236 |
| Naples Community HospitalNaples, FL | $9,412 |
Malignancy of hepatobiliary system or pancreas with complications in other states
Questions
How much does malignancy of hepatobiliary system or pancreas with complications cost in Florida?
In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with complications (DRG 436) at 9 hospitals in Florida was billed at $78,082 on average, while the average total payment was $9,934, of which Medicare paid $7,534. 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 7.9 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.