facebook tracking Pneumothorax with complications cost in Florida: 11 hospitals compared (DRG 200)

Pneumothorax with complications in Florida

What 11 hospitals in Florida charged and were paid for a Medicare hospital stay for pneumothorax with complications (DRG 200), from 2024 Medicare claims.

DRG 200 Inpatient 2024 Medicare data
Average charge $89,497 Hospital list price billed
Average payment $9,746 Medicare + patient + other payers
Medicare paid $6,809 Average per stay
State rank #1 of 18 1 = lowest average payment

Hospitals in Florida billed an average of $89,497 for pneumothorax with complications, about 9.2 times the average total payment of $9,746. That payment is 19% below the U.S. average of $12,018.

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 $9,746Billed $89,497

About 11¢ 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: pneumothorax 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
Sarasota Memorial HospitalSarasota 23 $61,847 $8,063 $6,402
Ocala Regional Medical CenterOcala 19 $110,010 $9,166 $7,656
Bay Medical CenterPanama City 17 $56,169 $8,932 $7,280
Gulf Coast Medical Center Lee HealthFort Myers 17 $64,788 $7,863 $6,308
Adventhealth OrlandoOrlando 16 $66,060 $10,619 $7,069
Naples Community HospitalNaples 15 $47,776 $9,011 $5,328
Fort Walton Beach Medical CenterFort Walton Beach 14 $108,328 $10,789 $6,698
Orange Park Medical CenterOrange Park 14 $147,114 $10,966 $8,629
HCA Florida Lawnwood HospitalFort Pierce 13 $172,025 $14,511 $6,201
Shands Hospital at the University of FloridaGainesville 12 $55,707 $12,822 $9,044
Delray Medical CenterDelray Beach 11 $134,585 $6,307 $3,996
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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

Delray Medical CenterDelray Beach, FL$6,307
Gulf Coast Medical Center Lee HealthFort Myers, FL$7,863
Sarasota Memorial HospitalSarasota, FL$8,063
Bay Medical CenterPanama City, FL$8,932
Naples Community HospitalNaples, FL$9,011

Highest

HCA Florida Lawnwood HospitalFort Pierce, FL$14,511
Shands Hospital at the University of FloridaGainesville, FL$12,822
Orange Park Medical CenterOrange Park, FL$10,966
Fort Walton Beach Medical CenterFort Walton Beach, FL$10,789
Adventhealth OrlandoOrlando, FL$10,619

Pneumothorax with complications in other states

Questions

How much does pneumothorax with complications cost in Florida?

In 2024 Medicare data, a hospital stay for pneumothorax with complications (DRG 200) at 11 hospitals in Florida was billed at $89,497 on average, while the average total payment was $9,746, of which Medicare paid $6,809. 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 9.2 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.