facebook tracking Other circulatory system operating room procedures cost in Florida: 18 hospitals compared (DRG 264)

Other circulatory system operating room procedures in Florida

What 18 hospitals in Florida charged and were paid for a Medicare hospital stay for other circulatory system operating room procedures (DRG 264), from 2024 Medicare claims.

DRG 264 Inpatient 2024 Medicare data
Average charge $183,053 Hospital list price billed
Average payment $28,374 Medicare + patient + other payers
Medicare paid $22,869 Average per stay
State rank #4 of 21 1 = lowest average payment

Hospitals in Florida billed an average of $183,053 for other circulatory system operating room procedures, about 6.5 times the average total payment of $28,374. That payment is 20% below the U.S. average of $35,518.

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 $28,374Billed $183,053

About 16¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: other circulatory system operating room procedures

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 49 $189,491 $25,921 $22,258
Baptist Medical CenterJacksonville 37 $174,439 $30,180 $21,615
Jfk Medical CenterAtlantis 20 $503,939 $28,942 $19,753
Shands Hospital at the University of FloridaGainesville 20 $153,207 $37,982 $33,017
Gulf Coast Medical Center Lee HealthFort Myers 20 $136,790 $23,009 $21,177
Lee Memorial HospitalFort Myers 18 $83,672 $26,483 $22,044
Mayo ClinicJacksonville 18 $114,505 $49,218 $26,494
Morton Plant HospitalClearwater 16 $128,674 $23,194 $22,387
Tampa General HospitalTampa 16 $227,676 $33,511 $29,802
Baptist Hospital of Miami INCMiami 15 $205,716 $27,987 $26,703
Sarasota Memorial HospitalSarasota 14 $96,272 $22,728 $17,223
Delray Medical CenterDelray Beach 14 $195,036 $18,786 $17,746
St Anthony's HospitalSt Petersburg 13 $97,755 $21,443 $20,613
Orlando Regional HealthcareOrlando 12 $283,580 $27,093 $20,713
Cape Coral HospitalCape Coral 12 $104,811 $23,525 $22,402
Bethesda Memorial HospitalBoynton Beach 11 $186,126 $26,690 $24,795
St Joseph's HospitalTampa 11 $94,277 $25,008 $24,014
HCA Florida Memorial HospitalJacksonville 11 $253,771 $33,358 $17,062
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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

Delray Medical CenterDelray Beach, FL$18,786
St Anthony's HospitalSt Petersburg, FL$21,443
Sarasota Memorial HospitalSarasota, FL$22,728
Gulf Coast Medical Center Lee HealthFort Myers, FL$23,009
Morton Plant HospitalClearwater, FL$23,194

Highest

Mayo ClinicJacksonville, FL$49,218
Shands Hospital at the University of FloridaGainesville, FL$37,982
Tampa General HospitalTampa, FL$33,511
HCA Florida Memorial HospitalJacksonville, FL$33,358
Baptist Medical CenterJacksonville, FL$30,180

Other circulatory system operating room procedures in other states

Questions

How much does other circulatory system operating room procedures cost in Florida?

In 2024 Medicare data, a hospital stay for other circulatory system operating room procedures (DRG 264) at 18 hospitals in Florida was billed at $183,053 on average, while the average total payment was $28,374, of which Medicare paid $22,869. 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 6.5 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.