Peripheral, cranial nerve and other nervous system procedures with major complications in Florida
What 6 hospitals in Florida charged and were paid for a Medicare hospital stay for peripheral, cranial nerve and other nervous system procedures with major complications (DRG 040), from 2024 Medicare claims.
Average charge
$231,427
Hospital list price billed
Average payment
$30,439
Medicare + patient + other payers
Medicare paid
$26,042
Average per stay
State rank
#2 of 6
1 = lowest average payment
Hospitals in Florida billed an average of $231,427 for peripheral, cranial nerve and other nervous system procedures with major complications, about 7.6 times the average total payment of $30,439. That payment is 27% below the U.S. average of $41,616.
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 $30,439Billed $231,427
About 13¢ 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: peripheral, cranial nerve and other nervous system procedures 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 | 18 | $246,479 | $34,568 | $26,532 |
| Baptist Medical CenterJacksonville | 17 | $122,749 | $29,001 | $27,651 |
| Delray Medical CenterDelray Beach | 16 | $266,502 | $24,045 | $19,313 |
| Orlando Regional HealthcareOrlando | 15 | $265,368 | $30,368 | $29,107 |
| Boca Raton Regional HospitalBoca Raton | 11 | $235,950 | $38,212 | $30,760 |
| HCA Florida Lawnwood HospitalFort Pierce | 11 | $272,930 | $27,530 | $23,642 |
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
| Delray Medical CenterDelray Beach, FL | $24,045 |
|---|---|
| HCA Florida Lawnwood HospitalFort Pierce, FL | $27,530 |
| Baptist Medical CenterJacksonville, FL | $29,001 |
| Orlando Regional HealthcareOrlando, FL | $30,368 |
| Adventhealth OrlandoOrlando, FL | $34,568 |
Highest
| Boca Raton Regional HospitalBoca Raton, FL | $38,212 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $34,568 |
| Orlando Regional HealthcareOrlando, FL | $30,368 |
| Baptist Medical CenterJacksonville, FL | $29,001 |
| HCA Florida Lawnwood HospitalFort Pierce, FL | $27,530 |
Peripheral, cranial nerve and other nervous system procedures with major complications in other states
Questions
How much does peripheral, cranial nerve and other nervous system procedures with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for peripheral, cranial nerve and other nervous system procedures with major complications (DRG 040) at 6 hospitals in Florida was billed at $231,427 on average, while the average total payment was $30,439, of which Medicare paid $26,042. 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 7.6 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.