facebook tracking Other cardiothoracic procedures with major complications cost in Florida: 15 hospitals compared (DRG 228)

Other cardiothoracic procedures with major complications in Florida

What 15 hospitals in Florida charged and were paid for a Medicare hospital stay for other cardiothoracic procedures with major complications (DRG 228), from 2024 Medicare claims.

DRG 228 Inpatient 2024 Medicare data
Average charge $250,029 Hospital list price billed
Average payment $39,748 Medicare + patient + other payers
Medicare paid $37,295 Average per stay
State rank #3 of 16 1 = lowest average payment

Hospitals in Florida billed an average of $250,029 for other cardiothoracic procedures with major complications, about 6.3 times the average total payment of $39,748. That payment is 25% below the U.S. average of $53,166.

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 $39,748Billed $250,029

About 16¢ 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: other cardiothoracic procedures 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 44 $391,538 $50,135 $41,560
Naples Community HospitalNaples 36 $163,331 $37,241 $35,864
Sarasota Memorial HospitalSarasota 31 $220,377 $36,627 $35,338
Adventhealth OcalaOcala 28 $312,368 $37,251 $36,610
Lee Memorial HospitalFort Myers 19 $184,348 $36,163 $35,454
Holmes Regional Medical CenterMelbourne 19 $199,207 $37,964 $36,991
Shands Hospital at the University of FloridaGainesville 17 $248,996 $47,744 $42,344
Florida Hospital WatermanEustis 15 $178,788 $35,617 $34,746
Adventhealth Daytona BeachDaytona Beach 14 $214,845 $35,514 $34,452
Jfk Medical CenterAtlantis 13 $287,359 $38,079 $36,851
Cape Canaveral HospitalCocoa Beach 12 $199,494 $39,061 $38,111
Adventhealth New Smyrna BeachNew Smyrna Beach 11 $145,929 $35,353 $35,056
St Joseph's HospitalTampa 11 $164,733 $34,305 $33,051
Baptist Medical CenterJacksonville 11 $197,097 $37,604 $36,308
Orange Park Medical CenterOrange Park 11 $490,702 $44,209 $42,287
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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

St Joseph's HospitalTampa, FL$34,305
Adventhealth New Smyrna BeachNew Smyrna Beach, FL$35,353
Adventhealth Daytona BeachDaytona Beach, FL$35,514
Florida Hospital WatermanEustis, FL$35,617
Lee Memorial HospitalFort Myers, FL$36,163

Highest

Adventhealth OrlandoOrlando, FL$50,135
Shands Hospital at the University of FloridaGainesville, FL$47,744
Orange Park Medical CenterOrange Park, FL$44,209
Cape Canaveral HospitalCocoa Beach, FL$39,061
Jfk Medical CenterAtlantis, FL$38,079

Other cardiothoracic procedures with major complications in other states

Questions

How much does other cardiothoracic procedures with major complications cost in Florida?

In 2024 Medicare data, a hospital stay for other cardiothoracic procedures with major complications (DRG 228) at 15 hospitals in Florida was billed at $250,029 on average, while the average total payment was $39,748, of which Medicare paid $37,295. 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 6.3 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.