facebook tracking Pancreas, liver and shunt procedures with complications cost in Florida: 9 hospitals compared (DRG 406)

Pancreas, liver and shunt procedures with complications in Florida

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.

DRG 406 Inpatient 2024 Medicare data
Average charge $214,139 Hospital list price billed
Average payment $30,906 Medicare + patient + other payers
Medicare paid $22,391 Average per stay
State rank #12 of 21 1 = lowest average payment

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.

Paid $30,906Billed $214,139

About 14¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: pancreas, liver and shunt procedures with 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
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
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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

Highest

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

Pancreas, liver and shunt procedures with complications in other states

Questions

How much does pancreas, liver and shunt procedures with complications cost in Florida?

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.

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 6.9 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.