Other musculoskeletal system and connective tissue operating room procedures with major complications in Florida
What 9 hospitals in Florida charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures with major complications (DRG 515), from 2024 Medicare claims.
Average charge
$170,032
Hospital list price billed
Average payment
$26,352
Medicare + patient + other payers
Medicare paid
$21,628
Average per stay
State rank
#6 of 9
1 = lowest average payment
Hospitals in Florida billed an average of $170,032 for other musculoskeletal system and connective tissue operating room procedures with major complications, about 6.5 times the average total payment of $26,352. That payment is 8% below the U.S. average of $28,741.
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 $26,352Billed $170,032
About 15¢ 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 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 | 42 | $249,465 | $35,432 | $22,757 |
| Baptist Medical CenterJacksonville | 20 | $100,652 | $24,432 | $20,596 |
| North Florida Regional Medical CenterGainesville | 18 | $215,170 | $25,447 | $23,329 |
| Holmes Regional Medical CenterMelbourne | 16 | $158,030 | $22,736 | $20,824 |
| St Joseph's HospitalTampa | 16 | $109,287 | $23,644 | $22,845 |
| Sarasota Memorial HospitalSarasota | 13 | $127,247 | $21,340 | $20,022 |
| Mount Sinai Medical CenterMiami Beach | 12 | $141,373 | $24,206 | $22,242 |
| Jupiter Medical CenterJupiter | 12 | $85,756 | $19,392 | $18,307 |
| Orlando Regional HealthcareOrlando | 11 | $198,610 | $21,717 | $20,667 |
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
| Jupiter Medical CenterJupiter, FL | $19,392 |
|---|---|
| Sarasota Memorial HospitalSarasota, FL | $21,340 |
| Orlando Regional HealthcareOrlando, FL | $21,717 |
| Holmes Regional Medical CenterMelbourne, FL | $22,736 |
| St Joseph's HospitalTampa, FL | $23,644 |
Highest
| Adventhealth OrlandoOrlando, FL | $35,432 |
|---|---|
| North Florida Regional Medical CenterGainesville, FL | $25,447 |
| Baptist Medical CenterJacksonville, FL | $24,432 |
| Mount Sinai Medical CenterMiami Beach, FL | $24,206 |
| St Joseph's HospitalTampa, FL | $23,644 |
Other musculoskeletal system and connective tissue operating room procedures with major complications in other states
Questions
How much does other musculoskeletal system and connective tissue operating room procedures with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures with major complications (DRG 515) at 9 hospitals in Florida was billed at $170,032 on average, while the average total payment was $26,352, of which Medicare paid $21,628. 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.