Other respiratory system diagnoses without major complications in Florida
What 14 hospitals in Florida charged and were paid for a Medicare hospital stay for other respiratory system diagnoses without major complications (DRG 206), from 2024 Medicare claims.
Average charge
$59,876
Hospital list price billed
Average payment
$8,831
Medicare + patient + other payers
Medicare paid
$5,840
Average per stay
State rank
#1 of 8
1 = lowest average payment
Hospitals in Florida billed an average of $59,876 for other respiratory system diagnoses without major complications, about 6.8 times the average total payment of $8,831. That payment is 23% below the U.S. average of $11,447.
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 $8,831Billed $59,876
About 15¢ 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 without 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 | 25 | $51,016 | $9,051 | $5,817 |
| Mayo ClinicJacksonville | 21 | $71,467 | $16,975 | $7,161 |
| Naples Community HospitalNaples | 18 | $40,486 | $7,368 | $5,079 |
| Tampa General HospitalTampa | 18 | $88,467 | $11,382 | $7,421 |
| Sarasota Memorial HospitalSarasota | 17 | $46,607 | $7,492 | $4,806 |
| Martin Memorial Health SystemsStuart | 16 | $27,087 | $6,314 | $4,659 |
| Ocala Regional Medical CenterOcala | 16 | $73,335 | $7,733 | $6,065 |
| Baptist Medical CenterJacksonville | 14 | $43,937 | $7,886 | $6,042 |
| North Florida Regional Medical CenterGainesville | 13 | $112,967 | $8,279 | $6,528 |
| Boca Raton Regional HospitalBoca Raton | 12 | $42,563 | $7,141 | $5,464 |
| Physicians Regional Medical Center - Pine RidgeNaples | 12 | $61,250 | $5,916 | $4,284 |
| Orlando Regional HealthcareOrlando | 11 | $54,580 | $9,062 | $7,064 |
| Lakeland Regional Medical CenterLakeland | 11 | $40,133 | $7,751 | $6,621 |
| Delray Medical CenterDelray Beach | 11 | $91,425 | $6,050 | $4,054 |
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 | $5,916 |
|---|---|
| Delray Medical CenterDelray Beach, FL | $6,050 |
| Martin Memorial Health SystemsStuart, FL | $6,314 |
| Boca Raton Regional HospitalBoca Raton, FL | $7,141 |
| Naples Community HospitalNaples, FL | $7,368 |
Highest
| Mayo ClinicJacksonville, FL | $16,975 |
|---|---|
| Tampa General HospitalTampa, FL | $11,382 |
| Orlando Regional HealthcareOrlando, FL | $9,062 |
| Adventhealth OrlandoOrlando, FL | $9,051 |
| North Florida Regional Medical CenterGainesville, FL | $8,279 |
Other respiratory system diagnoses without major complications in other states
Questions
How much does other respiratory system diagnoses without major complications cost in Florida?
In 2024 Medicare data, a hospital stay for other respiratory system diagnoses without major complications (DRG 206) at 14 hospitals in Florida was billed at $59,876 on average, while the average total payment was $8,831, of which Medicare paid $5,840. 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 6.8 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.