facebook tracking Other endocrine, nutritional and metabolic operating room procedures with complications cost in Florida: 3 hospitals compared (DRG 629)

Other endocrine, nutritional and metabolic operating room procedures with complications in Florida

What 3 hospitals in Florida charged and were paid for a Medicare hospital stay for other endocrine, nutritional and metabolic operating room procedures with complications (DRG 629), from 2024 Medicare claims.

DRG 629 Inpatient 2024 Medicare data
Average charge $146,969 Hospital list price billed
Average payment $20,806 Medicare + patient + other payers
Medicare paid $14,420 Average per stay
State rank #2 of 4 1 = lowest average payment

Hospitals in Florida billed an average of $146,969 for other endocrine, nutritional and metabolic operating room procedures with complications, about 7.1 times the average total payment of $20,806. That payment is 15% below the U.S. average of $24,470.

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 $20,806Billed $146,969

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: other endocrine, nutritional and metabolic operating room procedures 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
Adventhealth OrlandoOrlando 14 $115,850 $24,706 $12,483
Baptist Medical CenterJacksonville 14 $143,110 $18,229 $14,108
Orlando Regional HealthcareOrlando 11 $191,488 $19,121 $17,282
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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

Baptist Medical CenterJacksonville, FL$18,229
Orlando Regional HealthcareOrlando, FL$19,121
Adventhealth OrlandoOrlando, FL$24,706

Highest

Adventhealth OrlandoOrlando, FL$24,706
Orlando Regional HealthcareOrlando, FL$19,121
Baptist Medical CenterJacksonville, FL$18,229

Other endocrine, nutritional and metabolic operating room procedures with complications in other states

Questions

How much does other endocrine, nutritional and metabolic operating room procedures with complications cost in Florida?

In 2024 Medicare data, a hospital stay for other endocrine, nutritional and metabolic operating room procedures with complications (DRG 629) at 3 hospitals in Florida was billed at $146,969 on average, while the average total payment was $20,806, of which Medicare paid $14,420. 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 7.1 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.