facebook tracking Other operating room procedures for multiple significant trauma with major complications cost in Florida: 4 hospitals compared (DRG 957)

Other operating room procedures for multiple significant trauma with major complications in Florida

What 4 hospitals in Florida charged and were paid for a Medicare hospital stay for other operating room procedures for multiple significant trauma with major complications (DRG 957), from 2024 Medicare claims.

DRG 957 Inpatient 2024 Medicare data
Average charge $468,000 Hospital list price billed
Average payment $63,368 Medicare + patient + other payers
Medicare paid $57,488 Average per stay
State rank #1 of 4 1 = lowest average payment

Hospitals in Florida billed an average of $468,000 for other operating room procedures for multiple significant trauma with major complications, about 7.4 times the average total payment of $63,368. That payment is 30% below the U.S. average of $90,448.

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 $63,368Billed $468,000

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 operating room procedures for multiple significant trauma 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
Orlando Regional HealthcareOrlando 14 $583,141 $60,557 $57,455
Shands Hospital at the University of FloridaGainesville 13 $292,431 $71,370 $66,882
Shands Jacksonville Medical CenterJacksonville 12 $277,684 $72,744 $59,576
Delray Medical CenterDelray Beach 12 $714,185 $48,601 $45,264
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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$48,601
Orlando Regional HealthcareOrlando, FL$60,557
Shands Hospital at the University of FloridaGainesville, FL$71,370
Shands Jacksonville Medical CenterJacksonville, FL$72,744

Highest

Shands Jacksonville Medical CenterJacksonville, FL$72,744
Shands Hospital at the University of FloridaGainesville, FL$71,370
Orlando Regional HealthcareOrlando, FL$60,557
Delray Medical CenterDelray Beach, FL$48,601

Other operating room procedures for multiple significant trauma with major complications in other states

Questions

How much does other operating room procedures for multiple significant trauma with major complications cost in Florida?

In 2024 Medicare data, a hospital stay for other operating room procedures for multiple significant trauma with major complications (DRG 957) at 4 hospitals in Florida was billed at $468,000 on average, while the average total payment was $63,368, of which Medicare paid $57,488. 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 7.4 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.