facebook tracking Medical back problems with major complications cost in Florida: 45 hospitals compared (DRG 551)

Medical back problems with major complications in Florida

What 45 hospitals in Florida charged and were paid for a Medicare hospital stay for medical back problems with major complications (DRG 551), from 2024 Medicare claims.

DRG 551 Inpatient 2024 Medicare data
Average charge $97,443 Hospital list price billed
Average payment $13,098 Medicare + patient + other payers
Medicare paid $11,218 Average per stay
State rank #3 of 33 1 = lowest average payment

Hospitals in Florida billed an average of $97,443 for medical back problems with major complications, about 7.4 times the average total payment of $13,098. That payment is 19% below the U.S. average of $16,215.

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 $13,098Billed $97,443

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: medical back problems 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 100 $99,281 $13,508 $11,559
Sarasota Memorial HospitalSarasota 47 $70,047 $12,583 $10,527
Orlando Regional HealthcareOrlando 44 $86,584 $14,400 $12,062
Gulf Coast Medical Center Lee HealthFort Myers 40 $81,331 $11,495 $9,476
Martin Memorial Health SystemsStuart 37 $50,343 $9,855 $8,648
Ocala Regional Medical CenterOcala 36 $142,858 $13,332 $11,741
Naples Community HospitalNaples 31 $68,263 $12,428 $10,953
North Florida Regional Medical CenterGainesville 27 $161,160 $14,375 $12,423
Delray Medical CenterDelray Beach 27 $132,761 $10,444 $8,609
Sacred Heart HospitalPensacola 24 $40,255 $12,906 $10,413
Baptist Medical CenterJacksonville 24 $82,322 $13,833 $11,400
HCA Florida Lawnwood HospitalFort Pierce 22 $220,398 $11,883 $10,487
Holmes Regional Medical CenterMelbourne 21 $85,422 $13,822 $12,551
Lakeland Regional Medical CenterLakeland 18 $54,525 $13,494 $11,167
Jupiter Medical CenterJupiter 18 $47,055 $10,876 $9,697
Shands Jacksonville Medical CenterJacksonville 17 $96,583 $19,460 $16,255
Baptist Hospital of Miami INCMiami 16 $100,751 $13,393 $12,142
St Joseph's HospitalTampa 16 $83,291 $13,025 $12,154
Shands Hospital at the University of FloridaGainesville 16 $71,963 $18,385 $14,948
Tampa General HospitalTampa 16 $62,536 $15,593 $13,236
Blake Medical CenterBradenton 16 $168,442 $13,852 $12,057
Regional Medical Center Bayonet PointHudson 16 $136,771 $16,463 $11,438
St Mary's Medical CenterWest Palm Beach 16 $138,205 $13,280 $11,609
Sarasota Memorial Hospital - VeniceNorth Venice 16 $51,835 $10,382 $9,362
South Lake HospitalClermont 15 $83,463 $11,187 $9,990
Florida Hospital WatermanEustis 15 $46,555 $11,914 $10,826
Physicians Regional Medical Center - Pine RidgeNaples 15 $156,819 $11,331 $9,564
Bethesda Memorial HospitalBoynton Beach 14 $76,813 $12,931 $11,430
Bayfront Medical Center INCSt Petersburg 14 $81,013 $15,004 $13,725
Adventhealth Daytona BeachDaytona Beach 14 $75,189 $12,804 $11,259
Adventhealth TampaTampa 14 $69,403 $12,983 $11,661
Orange Park Medical CenterOrange Park 14 $154,722 $14,998 $13,178
Morton Plant HospitalClearwater 13 $54,403 $11,340 $10,362
Tallahassee Memorial HealthcareTallahassee 13 $66,910 $13,609 $11,948
Lee Memorial HospitalFort Myers 12 $54,480 $13,481 $11,181
Jfk Medical CenterAtlantis 12 $155,927 $12,471 $10,005
Indian River Medical CenterVero Beach 12 $35,209 $10,975 $9,720
Osceola Regional Medical CenterKissimmee 12 $209,231 $15,814 $13,776
Fawcett Memorial HospitalPort Charlotte 12 $168,127 $9,982 $8,897
Oak Hill HospitalBrooksville 12 $155,863 $14,331 $12,294
Bay Medical CenterPanama City 11 $44,448 $12,475 $11,585
Winter Haven HospitalWinter Haven 11 $56,093 $12,157 $10,674
Aventura Hospital & Med CenterMiami 11 $142,187 $13,040 $10,751
Fort Walton Beach Medical CenterFort Walton Beach 11 $204,508 $14,728 $9,958
Palm Bay HospitalPalm Bay 11 $51,136 $12,292 $11,254
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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

Martin Memorial Health SystemsStuart, FL$9,855
Fawcett Memorial HospitalPort Charlotte, FL$9,982
Sarasota Memorial Hospital - VeniceNorth Venice, FL$10,382
Delray Medical CenterDelray Beach, FL$10,444
Jupiter Medical CenterJupiter, FL$10,876

Medical back problems with major complications in other states

Questions

How much does medical back problems with major complications cost in Florida?

In 2024 Medicare data, a hospital stay for medical back problems with major complications (DRG 551) at 45 hospitals in Florida was billed at $97,443 on average, while the average total payment was $13,098, of which Medicare paid $11,218. 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.