What 9 hospitals in Florida charged and were paid for a Medicare hospital stay for pancreas, liver and shunt procedures with complications (DRG 406), from 2024 Medicare claims.
Hospitals in Florida billed an average of $214,139 for pancreas, liver and shunt procedures with complications, about 6.9 times the average total payment of $30,906. That payment is 7% below the U.S. average of $33,362.
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.
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:
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 |
|---|---|---|---|---|
| Mayo ClinicJacksonville | 52 | $130,171 | $35,193 | $20,729 |
| Sarasota Memorial HospitalSarasota | 20 | $142,689 | $20,533 | $18,859 |
| Shands Jacksonville Medical CenterJacksonville | 18 | $208,449 | $32,958 | $29,743 |
| Adventhealth OrlandoOrlando | 18 | $295,117 | $36,590 | $21,184 |
| Tampa General HospitalTampa | 18 | $333,280 | $36,696 | $28,597 |
| Shands Hospital at the University of FloridaGainesville | 16 | $139,717 | $30,242 | $26,720 |
| Gulf Coast Medical Center Lee HealthFort Myers | 15 | $150,188 | $19,761 | $18,540 |
| Adventhealth TampaTampa | 11 | $279,125 | $19,999 | $18,941 |
| North Florida Regional Medical CenterGainesville | 11 | $553,306 | $34,434 | $18,862 |
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.
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $19,761 |
|---|---|
| Adventhealth TampaTampa, FL | $19,999 |
| Sarasota Memorial HospitalSarasota, FL | $20,533 |
| Shands Hospital at the University of FloridaGainesville, FL | $30,242 |
| Shands Jacksonville Medical CenterJacksonville, FL | $32,958 |
| Tampa General HospitalTampa, FL | $36,696 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $36,590 |
| Mayo ClinicJacksonville, FL | $35,193 |
| North Florida Regional Medical CenterGainesville, FL | $34,434 |
| Shands Jacksonville Medical CenterJacksonville, FL | $32,958 |
In 2024 Medicare data, a hospital stay for pancreas, liver and shunt procedures with complications (DRG 406) at 9 hospitals in Florida was billed at $214,139 on average, while the average total payment was $30,906, of which Medicare paid $22,391. Your own cost depends on your insurance, deductible and the hospital.
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 6.9 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.