Pleural effusion with major complications in Florida
What 19 hospitals in Florida charged and were paid for a Medicare hospital stay for pleural effusion with major complications (DRG 186), from 2024 Medicare claims.
Average charge
$71,926
Hospital list price billed
Average payment
$11,870
Medicare + patient + other payers
Medicare paid
$10,293
Average per stay
State rank
#1 of 16
1 = lowest average payment
Hospitals in Florida billed an average of $71,926 for pleural effusion with major complications, about 6.1 times the average total payment of $11,870. That payment is 20% below the U.S. average of $14,801.
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 $11,870Billed $71,926
About 17¢ was paid for every $1 hospitals in Florida billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Florida:
Florida hospitals: pleural effusion 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 | 33 | $107,430 | $12,834 | $11,074 |
| Holmes Regional Medical CenterMelbourne | 20 | $52,988 | $11,365 | $10,365 |
| Sarasota Memorial HospitalSarasota | 20 | $61,677 | $11,827 | $10,572 |
| Villages Regional Hospital theLady Lake | 19 | $64,461 | $10,119 | $9,024 |
| Baptist Medical CenterJacksonville | 18 | $98,258 | $13,341 | $11,096 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 18 | $61,258 | $9,653 | $8,656 |
| Boca Raton Regional HospitalBoca Raton | 16 | $71,426 | $11,523 | $9,852 |
| Naples Community HospitalNaples | 15 | $73,643 | $10,669 | $9,519 |
| Martin Memorial Health SystemsStuart | 15 | $43,449 | $9,901 | $9,013 |
| Baptist HospitalPensacola | 15 | $61,881 | $11,196 | $10,869 |
| Jupiter Medical CenterJupiter | 15 | $77,169 | $11,969 | $9,526 |
| Lee Memorial HospitalFort Myers | 14 | $63,124 | $12,495 | $10,515 |
| Adventhealth Daytona BeachDaytona Beach | 14 | $47,716 | $10,888 | $9,897 |
| Orlando Regional HealthcareOrlando | 13 | $113,736 | $13,549 | $12,808 |
| Florida Hospital WatermanEustis | 13 | $59,344 | $12,790 | $9,200 |
| St Joseph's HospitalTampa | 13 | $62,329 | $12,655 | $11,712 |
| Indian River Medical CenterVero Beach | 13 | $48,247 | $11,410 | $8,959 |
| Mayo ClinicJacksonville | 11 | $54,243 | $15,955 | $11,614 |
| Ocala Regional Medical CenterOcala | 11 | $113,994 | $12,758 | $11,692 |
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
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $9,653 |
|---|---|
| Martin Memorial Health SystemsStuart, FL | $9,901 |
| Villages Regional Hospital theLady Lake, FL | $10,119 |
| Naples Community HospitalNaples, FL | $10,669 |
| Adventhealth Daytona BeachDaytona Beach, FL | $10,888 |
Highest
| Mayo ClinicJacksonville, FL | $15,955 |
|---|---|
| Orlando Regional HealthcareOrlando, FL | $13,549 |
| Baptist Medical CenterJacksonville, FL | $13,341 |
| Adventhealth OrlandoOrlando, FL | $12,834 |
| Florida Hospital WatermanEustis, FL | $12,790 |
Pleural effusion with major complications in other states
Questions
How much does pleural effusion with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for pleural effusion with major complications (DRG 186) at 19 hospitals in Florida was billed at $71,926 on average, while the average total payment was $11,870, of which Medicare paid $10,293. 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 6.1 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.