facebook tracking Postoperative or post-traumatic infections with operating room procedures with major complications cost in Florida: 12 hospitals compared (DRG 856)

Postoperative or post-traumatic infections with operating room procedures with major complications in Florida

What 12 hospitals in Florida charged and were paid for a Medicare hospital stay for postoperative or post-traumatic infections with operating room procedures with major complications (DRG 856), from 2024 Medicare claims.

DRG 856 Inpatient 2024 Medicare data
Average charge $260,451 Hospital list price billed
Average payment $39,404 Medicare + patient + other payers
Medicare paid $32,270 Average per stay
State rank #5 of 22 1 = lowest average payment

Hospitals in Florida billed an average of $260,451 for postoperative or post-traumatic infections with operating room procedures with major complications, about 6.6 times the average total payment of $39,404. That payment is 22% below the U.S. average of $50,617.

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 $39,404Billed $260,451

About 15¢ 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: postoperative or post-traumatic infections with operating room 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 34 $246,402 $42,385 $26,158
Tampa General HospitalTampa 25 $399,877 $47,548 $42,313
Baptist Medical CenterJacksonville 22 $198,380 $34,552 $30,582
Mayo ClinicJacksonville 22 $123,539 $51,841 $29,538
Orlando Regional HealthcareOrlando 18 $408,518 $34,593 $33,894
Jupiter Medical CenterJupiter 18 $119,274 $26,811 $25,292
Shands Hospital at the University of FloridaGainesville 15 $163,872 $39,295 $34,100
Jfk Medical CenterAtlantis 14 $526,673 $38,604 $31,168
Holmes Regional Medical CenterMelbourne 12 $241,046 $34,622 $34,304
St Joseph's HospitalTampa 12 $189,085 $29,020 $28,390
Sarasota Memorial HospitalSarasota 12 $175,740 $29,953 $28,579
Baptist Hospital of Miami INCMiami 11 $357,996 $53,009 $50,896
Advertisement

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

Jupiter Medical CenterJupiter, FL$26,811
St Joseph's HospitalTampa, FL$29,020
Sarasota Memorial HospitalSarasota, FL$29,953
Baptist Medical CenterJacksonville, FL$34,552
Orlando Regional HealthcareOrlando, FL$34,593

Highest

Baptist Hospital of Miami INCMiami, FL$53,009
Mayo ClinicJacksonville, FL$51,841
Tampa General HospitalTampa, FL$47,548
Adventhealth OrlandoOrlando, FL$42,385
Shands Hospital at the University of FloridaGainesville, FL$39,295

Postoperative or post-traumatic infections with operating room procedures with major complications in other states

Questions

How much does postoperative or post-traumatic infections with operating room procedures with major complications cost in Florida?

In 2024 Medicare data, a hospital stay for postoperative or post-traumatic infections with operating room procedures with major complications (DRG 856) at 12 hospitals in Florida was billed at $260,451 on average, while the average total payment was $39,404, of which Medicare paid $32,270. 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.