Other respiratory system diagnoses with major complications in Florida
What 15 hospitals in Florida charged and were paid for a Medicare hospital stay for other respiratory system diagnoses with major complications (DRG 205), from 2024 Medicare claims.
Average charge
$94,295
Hospital list price billed
Average payment
$17,920
Medicare + patient + other payers
Medicare paid
$13,374
Average per stay
State rank
#4 of 21
1 = lowest average payment
Hospitals in Florida billed an average of $94,295 for other respiratory system diagnoses with major complications, about 5.3 times the average total payment of $17,920. That payment is 21% below the U.S. average of $22,775.
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 $17,920Billed $94,295
About 19¢ 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 respiratory system diagnoses 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 |
|---|---|---|---|---|
| Shands Hospital at the University of FloridaGainesville | 54 | $92,910 | $20,274 | $16,046 |
| Mayo ClinicJacksonville | 54 | $76,756 | $24,788 | $12,167 |
| Adventhealth OrlandoOrlando | 37 | $123,438 | $17,044 | $11,253 |
| Tampa General HospitalTampa | 35 | $134,786 | $20,731 | $16,009 |
| Sarasota Memorial HospitalSarasota | 30 | $54,682 | $12,952 | $11,527 |
| Naples Community HospitalNaples | 21 | $74,468 | $13,157 | $11,642 |
| Baptist Medical CenterJacksonville | 20 | $86,646 | $13,998 | $12,212 |
| Jackson Health SystemMiami | 15 | $113,528 | $27,785 | $23,261 |
| Martin Memorial Health SystemsStuart | 14 | $48,632 | $11,602 | $10,531 |
| Orlando Regional HealthcareOrlando | 13 | $91,464 | $15,477 | $13,020 |
| Delray Medical CenterDelray Beach | 13 | $132,826 | $11,792 | $10,446 |
| North Florida Regional Medical CenterGainesville | 12 | $138,267 | $15,304 | $13,382 |
| Jupiter Medical CenterJupiter | 12 | $64,038 | $11,501 | $10,617 |
| Boca Raton Regional HospitalBoca Raton | 11 | $96,883 | $14,078 | $12,295 |
| Ocala Regional Medical CenterOcala | 11 | $92,280 | $14,826 | $13,473 |
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 | $11,501 |
|---|---|
| Martin Memorial Health SystemsStuart, FL | $11,602 |
| Delray Medical CenterDelray Beach, FL | $11,792 |
| Sarasota Memorial HospitalSarasota, FL | $12,952 |
| Naples Community HospitalNaples, FL | $13,157 |
Highest
| Jackson Health SystemMiami, FL | $27,785 |
|---|---|
| Mayo ClinicJacksonville, FL | $24,788 |
| Tampa General HospitalTampa, FL | $20,731 |
| Shands Hospital at the University of FloridaGainesville, FL | $20,274 |
| Adventhealth OrlandoOrlando, FL | $17,044 |
Other respiratory system diagnoses with major complications in other states
Questions
How much does other respiratory system diagnoses with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for other respiratory system diagnoses with major complications (DRG 205) at 15 hospitals in Florida was billed at $94,295 on average, while the average total payment was $17,920, of which Medicare paid $13,374. 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 5.3 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.