Precerebral occlusion without infarction without major complications in Florida
What 5 hospitals in Florida charged and were paid for a Medicare hospital stay for precerebral occlusion without infarction without major complications (DRG 068), from 2024 Medicare claims.
Average charge
$80,293
Hospital list price billed
Average payment
$7,704
Medicare + patient + other payers
Medicare paid
$5,705
Average per stay
State rank
#2 of 4
1 = lowest average payment
Hospitals in Florida billed an average of $80,293 for precerebral occlusion without infarction without major complications, about 10.4 times the average total payment of $7,704. That payment is 13% below the U.S. average of $8,821.
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 $7,704Billed $80,293
About 10¢ was paid for every $1 hospitals in Florida billed for this stay.
Florida hospitals: precerebral occlusion without infarction without 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 | 20 | $94,912 | $7,692 | $6,131 |
| Ocala Regional Medical CenterOcala | 18 | $96,602 | $7,649 | $5,460 |
| Gulf Coast Medical Center Lee HealthFort Myers | 17 | $50,336 | $7,012 | $4,640 |
| North Florida Regional Medical CenterGainesville | 14 | $90,324 | $8,100 | $5,946 |
| Mount Sinai Medical CenterMiami Beach | 11 | $60,558 | $8,380 | $6,669 |
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
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $7,012 |
|---|---|
| Ocala Regional Medical CenterOcala, FL | $7,649 |
| Adventhealth OrlandoOrlando, FL | $7,692 |
| North Florida Regional Medical CenterGainesville, FL | $8,100 |
| Mount Sinai Medical CenterMiami Beach, FL | $8,380 |
Highest
| Mount Sinai Medical CenterMiami Beach, FL | $8,380 |
|---|---|
| North Florida Regional Medical CenterGainesville, FL | $8,100 |
| Adventhealth OrlandoOrlando, FL | $7,692 |
| Ocala Regional Medical CenterOcala, FL | $7,649 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $7,012 |
Precerebral occlusion without infarction without major complications in other states
Questions
How much does precerebral occlusion without infarction without major complications cost in Florida?
In 2024 Medicare data, a hospital stay for precerebral occlusion without infarction without major complications (DRG 068) at 5 hospitals in Florida was billed at $80,293 on average, while the average total payment was $7,704, of which Medicare paid $5,705. 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 10.4 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.