Operating room procedures with diagnoses of other contact with health services with complications in Florida
What 2 hospitals in Florida charged and were paid for a Medicare hospital stay for operating room procedures with diagnoses of other contact with health services with complications (DRG 940), from 2024 Medicare claims.
Average charge
$124,270
Hospital list price billed
Average payment
$16,607
Medicare + patient + other payers
Medicare paid
$15,153
Average per stay
Volume
31
Medicare hospital stays
Hospitals in Florida billed an average of $124,270 for operating room procedures with diagnoses of other contact with health services with complications, about 7.5 times the average total payment of $16,607. That payment is 29% below the U.S. average of $23,373.
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 $16,607Billed $124,270
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: operating room procedures with diagnoses of other contact with health services 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 |
|---|---|---|---|---|
| Lee Memorial HospitalFort Myers | 20 | $114,282 | $16,882 | $15,308 |
| Sarasota Memorial HospitalSarasota | 11 | $142,430 | $16,107 | $14,872 |
Operating room procedures with diagnoses of other contact with health services with complications in other states
Questions
How much does operating room procedures with diagnoses of other contact with health services with complications cost in Florida?
In 2024 Medicare data, a hospital stay for operating room procedures with diagnoses of other contact with health services with complications (DRG 940) at 2 hospitals in Florida was billed at $124,270 on average, while the average total payment was $16,607, of which Medicare paid $15,153. 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 7.5 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.