Pathological fractures and musculoskeletal and connective tissue malignancy with major complications in Florida
What 15 hospitals in Florida charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with major complications (DRG 542), from 2024 Medicare claims.
Average charge
$92,274
Hospital list price billed
Average payment
$15,349
Medicare + patient + other payers
Medicare paid
$12,521
Average per stay
State rank
#3 of 22
1 = lowest average payment
Hospitals in Florida billed an average of $92,274 for pathological fractures and musculoskeletal and connective tissue malignancy with major complications, about 6.0 times the average total payment of $15,349. That payment is 18% below the U.S. average of $18,732.
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 $15,349Billed $92,274
About 17¢ 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 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 | 37 | $144,140 | $19,088 | $14,037 |
| Naples Community HospitalNaples | 23 | $68,304 | $11,364 | $10,119 |
| Gulf Coast Medical Center Lee HealthFort Myers | 19 | $62,674 | $11,987 | $10,403 |
| Baptist Hospital of Miami INCMiami | 16 | $117,603 | $14,759 | $13,964 |
| Mayo ClinicJacksonville | 16 | $58,396 | $22,119 | $12,625 |
| Lee Memorial HospitalFort Myers | 15 | $74,894 | $14,020 | $12,341 |
| Martin Memorial Health SystemsStuart | 15 | $52,767 | $11,484 | $10,158 |
| Florida Hospital WatermanEustis | 15 | $62,281 | $11,843 | $10,648 |
| Lakeland Regional Medical CenterLakeland | 15 | $52,447 | $11,783 | $10,667 |
| Baptist Medical CenterJacksonville | 14 | $181,953 | $28,708 | $23,883 |
| Sarasota Memorial HospitalSarasota | 12 | $89,110 | $13,308 | $11,068 |
| St Joseph's HospitalTampa | 11 | $56,897 | $14,325 | $13,090 |
| Indian River Medical CenterVero Beach | 11 | $36,371 | $11,350 | $10,123 |
| North Florida Regional Medical CenterGainesville | 11 | $164,892 | $16,086 | $14,109 |
| Physicians Regional Medical Center - Pine RidgeNaples | 11 | $112,261 | $14,155 | $9,759 |
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
| Indian River Medical CenterVero Beach, FL | $11,350 |
|---|---|
| Naples Community HospitalNaples, FL | $11,364 |
| Martin Memorial Health SystemsStuart, FL | $11,484 |
| Lakeland Regional Medical CenterLakeland, FL | $11,783 |
| Florida Hospital WatermanEustis, FL | $11,843 |
Highest
| Baptist Medical CenterJacksonville, FL | $28,708 |
|---|---|
| Mayo ClinicJacksonville, FL | $22,119 |
| Adventhealth OrlandoOrlando, FL | $19,088 |
| North Florida Regional Medical CenterGainesville, FL | $16,086 |
| Baptist Hospital of Miami INCMiami, FL | $14,759 |
Pathological fractures and musculoskeletal and connective tissue malignancy with major complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with major complications (DRG 542) at 15 hospitals in Florida was billed at $92,274 on average, while the average total payment was $15,349, of which Medicare paid $12,521. 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 6.0 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.