Malignancy of hepatobiliary system or pancreas with major complications in Florida
What 31 hospitals in Florida charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435), from 2024 Medicare claims.
Average charge
$102,616
Hospital list price billed
Average payment
$14,777
Medicare + patient + other payers
Medicare paid
$12,565
Average per stay
State rank
#1 of 32
1 = lowest average payment
Hospitals in Florida billed an average of $102,616 for malignancy of hepatobiliary system or pancreas with major complications, about 6.9 times the average total payment of $14,777. That payment is 24% below the U.S. average of $19,425.
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 $14,777Billed $102,616
About 14¢ 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 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 | 71 | $143,886 | $14,647 | $12,272 |
| Tampa General HospitalTampa | 42 | $121,747 | $17,173 | $14,016 |
| Sarasota Memorial HospitalSarasota | 39 | $81,566 | $13,500 | $12,082 |
| Orlando Regional HealthcareOrlando | 37 | $166,057 | $15,839 | $14,052 |
| Baptist Medical CenterJacksonville | 34 | $88,519 | $14,567 | $11,790 |
| Gulf Coast Medical Center Lee HealthFort Myers | 27 | $70,725 | $12,860 | $11,507 |
| Boca Raton Regional HospitalBoca Raton | 25 | $99,504 | $14,353 | $13,005 |
| Shands Hospital at the University of FloridaGainesville | 20 | $60,189 | $18,947 | $15,781 |
| Mayo ClinicJacksonville | 20 | $61,316 | $18,531 | $13,690 |
| Indian River Medical CenterVero Beach | 19 | $43,370 | $13,025 | $10,896 |
| St Joseph's HospitalTampa | 18 | $72,134 | $14,361 | $13,383 |
| North Florida Regional Medical CenterGainesville | 18 | $178,067 | $15,529 | $12,831 |
| Jupiter Medical CenterJupiter | 18 | $41,526 | $12,581 | $10,301 |
| Baptist Hospital of Miami INCMiami | 16 | $170,842 | $22,295 | $13,500 |
| Martin Memorial Health SystemsStuart | 16 | $72,463 | $12,694 | $9,888 |
| Lakeland Regional Medical CenterLakeland | 16 | $87,373 | $14,260 | $12,947 |
| Adventhealth TampaTampa | 15 | $105,176 | $12,872 | $12,195 |
| Ocala Regional Medical CenterOcala | 14 | $134,015 | $14,689 | $13,069 |
| Morton Plant HospitalClearwater | 13 | $89,798 | $13,769 | $12,244 |
| Oak Hill HospitalBrooksville | 13 | $233,014 | $16,276 | $14,258 |
| Villages Regional Hospital theLady Lake | 13 | $58,420 | $11,563 | $10,686 |
| Lee Memorial HospitalFort Myers | 12 | $76,684 | $16,270 | $11,896 |
| Naples Community HospitalNaples | 12 | $64,247 | $13,153 | $11,994 |
| Holmes Regional Medical CenterMelbourne | 12 | $49,253 | $12,362 | $11,392 |
| Sacred Heart HospitalPensacola | 11 | $66,222 | $14,477 | $12,835 |
| South Lake HospitalClermont | 11 | $85,995 | $12,334 | $11,592 |
| Holy Cross Hospital INCFort Lauderdale | 11 | $65,711 | $15,321 | $13,179 |
| Baptist HospitalPensacola | 11 | $64,053 | $12,660 | $11,918 |
| Tallahassee Memorial HealthcareTallahassee | 11 | $54,265 | $14,943 | $13,695 |
| Doctors Hospital of SarasotaSarasota | 11 | $132,780 | $12,538 | $11,373 |
| Gulf Coast Medical CenterPanama City | 11 | $145,952 | $13,325 | $12,438 |
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
| Villages Regional Hospital theLady Lake, FL | $11,563 |
|---|---|
| South Lake HospitalClermont, FL | $12,334 |
| Holmes Regional Medical CenterMelbourne, FL | $12,362 |
| Doctors Hospital of SarasotaSarasota, FL | $12,538 |
| Jupiter Medical CenterJupiter, FL | $12,581 |
Highest
| Baptist Hospital of Miami INCMiami, FL | $22,295 |
|---|---|
| Shands Hospital at the University of FloridaGainesville, FL | $18,947 |
| Mayo ClinicJacksonville, FL | $18,531 |
| Tampa General HospitalTampa, FL | $17,173 |
| Oak Hill HospitalBrooksville, FL | $16,276 |
Malignancy of hepatobiliary system or pancreas with major complications in other states
Questions
How much does malignancy of hepatobiliary system or pancreas with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435) at 31 hospitals in Florida was billed at $102,616 on average, while the average total payment was $14,777, of which Medicare paid $12,565. 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.