Other factors influencing health status in Florida
What 4 hospitals in Florida charged and were paid for a Medicare hospital stay for other factors influencing health status (DRG 951), from 2024 Medicare claims.
Average charge
$22,444
Hospital list price billed
Average payment
$7,683
Medicare + patient + other payers
Medicare paid
$6,427
Average per stay
State rank
#17 of 17
1 = lowest average payment
Hospitals in Florida billed an average of $22,444 for other factors influencing health status, about 2.9 times the average total payment of $7,683. That payment is 25% above the U.S. average of $6,140.
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 $7,683Billed $22,444
About 34¢ was paid for every $1 hospitals in Florida billed for this stay.
Florida hospitals: other factors influencing health status
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 | 29 | $32,770 | $5,567 | $4,540 |
| Jackson Health SystemMiami | 21 | $15,752 | $13,926 | $12,045 |
| Sarasota Memorial HospitalSarasota | 12 | $17,868 | $4,759 | $4,107 |
| Florida Hospital WatermanEustis | 11 | $12,991 | $4,536 | $3,210 |
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
| Florida Hospital WatermanEustis, FL | $4,536 |
|---|---|
| Sarasota Memorial HospitalSarasota, FL | $4,759 |
| Adventhealth OrlandoOrlando, FL | $5,567 |
| Jackson Health SystemMiami, FL | $13,926 |
Highest
| Jackson Health SystemMiami, FL | $13,926 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $5,567 |
| Sarasota Memorial HospitalSarasota, FL | $4,759 |
| Florida Hospital WatermanEustis, FL | $4,536 |
Other factors influencing health status in other states
Questions
How much does other factors influencing health status cost in Florida?
In 2024 Medicare data, a hospital stay for other factors influencing health status (DRG 951) at 4 hospitals in Florida was billed at $22,444 on average, while the average total payment was $7,683, of which Medicare paid $6,427. 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 2.9 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.