facebook tracking Pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Florida: 32 hospitals compared (DRG 543)

Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Florida

What 32 hospitals in Florida charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.

DRG 543 Inpatient 2024 Medicare data
Average charge $57,635 Hospital list price billed
Average payment $8,753 Medicare + patient + other payers
Medicare paid $7,056 Average per stay
State rank #6 of 34 1 = lowest average payment

Hospitals in Florida billed an average of $57,635 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 6.6 times the average total payment of $8,753. That payment is 16% below the U.S. average of $10,379.

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 $8,753Billed $57,635

About 15¢ 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:

Florida hospitals: pathological fractures and musculoskeletal and connective tissue malignancy 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
Gulf Coast Medical Center Lee HealthFort Myers 60 $51,634 $7,817 $6,482
Adventhealth OrlandoOrlando 49 $75,790 $9,491 $7,146
Naples Community HospitalNaples 47 $49,288 $7,880 $6,449
St Joseph's HospitalTampa 34 $51,796 $8,710 $7,262
Sarasota Memorial HospitalSarasota 32 $47,508 $8,282 $6,883
Lee Memorial HospitalFort Myers 28 $43,014 $8,824 $7,602
Tallahassee Memorial HealthcareTallahassee 28 $41,412 $9,000 $7,245
Martin Memorial Health SystemsStuart 27 $43,598 $6,671 $5,442
Cape Coral HospitalCape Coral 26 $43,505 $7,873 $6,673
Physicians Regional Medical Center - Pine RidgeNaples 26 $89,782 $7,312 $6,056
Sacred Heart HospitalPensacola 23 $29,855 $9,317 $7,941
Lakeland Regional Medical CenterLakeland 23 $41,682 $8,827 $7,296
Baptist Hospital of Miami INCMiami 22 $106,950 $10,100 $8,800
Baptist Medical CenterJacksonville 22 $42,207 $9,194 $6,969
Morton Plant HospitalClearwater 21 $47,227 $7,885 $6,770
Tampa General HospitalTampa 20 $76,836 $11,996 $9,346
Sarasota Memorial Hospital - VeniceNorth Venice 18 $50,817 $6,784 $5,514
Shands Hospital at the University of FloridaGainesville 17 $44,582 $11,846 $9,376
Florida Hospital WatermanEustis 16 $41,018 $7,884 $6,176
North Florida Regional Medical CenterGainesville 16 $106,835 $9,237 $7,082
Orlando Regional HealthcareOrlando 15 $85,017 $10,319 $7,922
Holmes Regional Medical CenterMelbourne 15 $40,034 $7,818 $6,607
Ocala Regional Medical CenterOcala 14 $83,865 $9,064 $7,939
Boca Raton Regional HospitalBoca Raton 13 $43,832 $8,103 $6,175
Jfk Medical CenterAtlantis 12 $87,574 $11,360 $6,881
Indian River Medical CenterVero Beach 12 $32,233 $7,620 $6,363
Mayo ClinicJacksonville 12 $38,900 $12,724 $7,450
HCA Florida Lawnwood HospitalFort Pierce 12 $142,262 $8,781 $7,479
Mease Countryside HospitalSafety Harbor 12 $39,688 $7,585 $6,497
Memorial Regional HospitalHollywood 11 $119,430 $11,054 $9,756
Holy Cross Hospital INCFort Lauderdale 11 $34,588 $9,229 $7,287
Jupiter Medical CenterJupiter 11 $29,176 $7,518 $5,550
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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.

Highest

Mayo ClinicJacksonville, FL$12,724
Tampa General HospitalTampa, FL$11,996
Shands Hospital at the University of FloridaGainesville, FL$11,846
Jfk Medical CenterAtlantis, FL$11,360
Memorial Regional HospitalHollywood, FL$11,054

Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states

Questions

How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Florida?

In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 32 hospitals in Florida was billed at $57,635 on average, while the average total payment was $8,753, of which Medicare paid $7,056. 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 6.6 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.