Other musculoskeletal system and connective tissue operating room procedures with complications in Florida
What 35 hospitals in Florida charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516), from 2024 Medicare claims.
Average charge
$120,316
Hospital list price billed
Average payment
$16,538
Medicare + patient + other payers
Medicare paid
$13,903
Average per stay
State rank
#10 of 33
1 = lowest average payment
Hospitals in Florida billed an average of $120,316 for other musculoskeletal system and connective tissue operating room procedures with complications, about 7.3 times the average total payment of $16,538. That payment is 13% below the U.S. average of $18,981.
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 $16,538Billed $120,316
About 14¢ was paid for every $1 hospitals in Florida billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Florida:
Florida hospitals: other musculoskeletal system and connective tissue 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 | 84 | $138,164 | $16,918 | $13,491 |
| North Florida Regional Medical CenterGainesville | 52 | $207,539 | $17,573 | $15,020 |
| Sarasota Memorial HospitalSarasota | 51 | $112,318 | $15,254 | $13,667 |
| Baptist Medical CenterJacksonville | 41 | $86,928 | $16,102 | $13,223 |
| St Joseph's HospitalTampa | 38 | $78,917 | $16,102 | $14,753 |
| Holmes Regional Medical CenterMelbourne | 36 | $134,367 | $16,236 | $14,899 |
| Tampa General HospitalTampa | 28 | $136,692 | $26,037 | $16,374 |
| Cape Coral HospitalCape Coral | 28 | $91,780 | $14,428 | $13,130 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 28 | $97,317 | $13,411 | $12,362 |
| Lakeland Regional Medical CenterLakeland | 26 | $79,123 | $16,136 | $13,410 |
| Orlando Regional HealthcareOrlando | 25 | $177,191 | $17,514 | $15,555 |
| Mount Sinai Medical CenterMiami Beach | 25 | $90,023 | $18,760 | $13,829 |
| Naples Community HospitalNaples | 23 | $90,286 | $15,117 | $13,580 |
| Gulf Coast Medical Center Lee HealthFort Myers | 23 | $107,693 | $14,260 | $12,672 |
| Boca Raton Regional HospitalBoca Raton | 22 | $83,757 | $16,609 | $12,649 |
| Jupiter Medical CenterJupiter | 22 | $69,329 | $13,449 | $11,967 |
| Villages Regional Hospital theLady Lake | 19 | $69,340 | $13,280 | $12,077 |
| Ocala Regional Medical CenterOcala | 18 | $211,483 | $16,443 | $14,046 |
| St Anthony's HospitalSt Petersburg | 16 | $75,261 | $14,941 | $13,504 |
| Baptist HospitalPensacola | 16 | $119,535 | $15,479 | $14,255 |
| Brandon Regional HospitalBrandon | 15 | $164,314 | $20,619 | $16,120 |
| Mease Countryside HospitalSafety Harbor | 15 | $75,657 | $13,865 | $12,994 |
| West Florida HospitalPensacola | 14 | $174,108 | $16,263 | $12,302 |
| Winter Haven HospitalWinter Haven | 13 | $80,685 | $15,968 | $14,669 |
| Mayo ClinicJacksonville | 13 | $70,508 | $22,534 | $14,975 |
| Blake Medical CenterBradenton | 13 | $178,673 | $17,306 | $15,007 |
| Physicians Regional Medical Center - Pine RidgeNaples | 13 | $214,003 | $13,171 | $11,915 |
| Jackson Health SystemMiami | 12 | $94,234 | $26,126 | $23,307 |
| Florida Hospital WatermanEustis | 12 | $93,066 | $14,263 | $12,124 |
| St Lucie Medical CenterPort St Lucie | 12 | $266,328 | $17,140 | $12,685 |
| Adventhealth Daytona BeachDaytona Beach | 11 | $79,700 | $16,749 | $11,826 |
| Holy Cross Hospital INCFort Lauderdale | 11 | $73,663 | $15,678 | $14,122 |
| Indian River Medical CenterVero Beach | 11 | $59,079 | $13,800 | $12,723 |
| Baptist Medical Center BeachesJacksonville Beach | 11 | $91,304 | $14,027 | $12,691 |
| Oak Hill HospitalBrooksville | 11 | $161,367 | $17,424 | $15,391 |
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
| Physicians Regional Medical Center - Pine RidgeNaples, FL | $13,171 |
|---|---|
| Villages Regional Hospital theLady Lake, FL | $13,280 |
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $13,411 |
| Jupiter Medical CenterJupiter, FL | $13,449 |
| Indian River Medical CenterVero Beach, FL | $13,800 |
Highest
| Jackson Health SystemMiami, FL | $26,126 |
|---|---|
| Tampa General HospitalTampa, FL | $26,037 |
| Mayo ClinicJacksonville, FL | $22,534 |
| Brandon Regional HospitalBrandon, FL | $20,619 |
| Mount Sinai Medical CenterMiami Beach, FL | $18,760 |
Other musculoskeletal system and connective tissue operating room procedures with complications in other states
Questions
How much does other musculoskeletal system and connective tissue operating room procedures with complications cost in Florida?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516) at 35 hospitals in Florida was billed at $120,316 on average, while the average total payment was $16,538, of which Medicare paid $13,903. 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 7.3 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.