facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Florida: 63 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Florida

What 63 hospitals in Florida charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $78,533 Hospital list price billed
Average payment $11,535 Medicare + patient + other payers
Medicare paid $9,701 Average per stay
State rank #11 of 48 1 = lowest average payment

Hospitals in Florida billed an average of $78,533 for pulmonary embolism with major complications or acute cor pulmonale, about 6.8 times the average total payment of $11,535. That payment is 14% below the U.S. average of $13,466.

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 $11,535Billed $78,533

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: pulmonary embolism with major complications or acute cor pulmonale

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
Baptist Medical CenterJacksonville 85 $79,030 $12,022 $9,646
Adventhealth OrlandoOrlando 81 $105,968 $11,590 $9,620
Mayo ClinicJacksonville 48 $51,389 $15,239 $10,526
Shands Hospital at the University of FloridaGainesville 44 $56,782 $14,982 $12,183
Gulf Coast Medical Center Lee HealthFort Myers 44 $70,391 $10,031 $8,703
Holmes Regional Medical CenterMelbourne 39 $59,356 $10,239 $9,362
Lee Memorial HospitalFort Myers 37 $50,870 $10,943 $9,683
Sarasota Memorial HospitalSarasota 37 $59,089 $10,196 $8,955
Jupiter Medical CenterJupiter 35 $46,260 $9,210 $8,067
Orlando Regional HealthcareOrlando 33 $100,045 $12,505 $11,464
St Joseph's HospitalTampa 33 $54,895 $13,119 $9,642
Martin Memorial Health SystemsStuart 32 $47,928 $8,930 $8,022
Indian River Medical CenterVero Beach 31 $36,004 $9,717 $8,738
Naples Community HospitalNaples 30 $62,782 $10,572 $9,419
Lakeland Regional Medical CenterLakeland 29 $63,592 $10,635 $9,452
Shands Jacksonville Medical CenterJacksonville 28 $67,115 $16,950 $14,941
North Florida Regional Medical CenterGainesville 28 $157,138 $11,866 $10,188
Villages Regional Hospital theLady Lake 27 $45,302 $9,229 $8,203
Boca Raton Regional HospitalBoca Raton 26 $88,430 $10,922 $9,127
Ocala Regional Medical CenterOcala 25 $102,222 $11,077 $9,968
Baptist Hospital of Miami INCMiami 23 $124,352 $14,133 $10,943
Gulf Coast Medical CenterPanama City 22 $139,262 $11,244 $9,130
Physicians Regional Medical Center - Pine RidgeNaples 21 $101,541 $9,572 $7,743
Florida Hospital WatermanEustis 20 $55,051 $9,824 $8,682
Cape Coral HospitalCape Coral 20 $58,113 $11,151 $8,611
Bethesda Memorial HospitalBoynton Beach 19 $95,049 $11,488 $10,161
Morton Plant HospitalClearwater 19 $61,313 $10,553 $9,085
Adventhealth Daytona BeachDaytona Beach 18 $58,283 $10,178 $9,092
West Florida HospitalPensacola 18 $104,006 $10,701 $8,249
Brandon Regional HospitalBrandon 18 $140,235 $13,643 $11,101
Oak Hill HospitalBrooksville 18 $150,972 $12,471 $10,985
Holy Cross Hospital INCFort Lauderdale 17 $58,096 $10,602 $8,673
Jfk Medical CenterAtlantis 17 $130,586 $10,981 $9,783
Adventhealth Wesley ChapelWesley Chapel 17 $94,165 $12,311 $8,621
Tampa General HospitalTampa 16 $89,182 $14,510 $11,591
Orange Park Medical CenterOrange Park 16 $186,106 $13,232 $12,003
Sarasota Memorial Hospital - VeniceNorth Venice 16 $57,226 $9,117 $7,995
Adventhealth OcalaOcala 15 $62,868 $10,269 $9,184
Florida Hospital Fish MemorialOrange City 15 $53,124 $10,182 $9,420
Capital Regional Medical CenterTallahassee 15 $125,477 $11,113 $10,247
Mount Sinai Medical CenterMiami Beach 14 $58,052 $12,827 $11,358
Memorial Regional HospitalHollywood 14 $96,078 $14,173 $10,775
Regional Medical Center Bayonet PointHudson 14 $139,590 $12,841 $9,991
Delray Medical CenterDelray Beach 14 $91,640 $7,683 $6,562
Mease Countryside HospitalSafety Harbor 14 $51,356 $9,372 $8,905
Viera HospitalMelbourne 14 $57,429 $9,007 $8,191
Leesburg Regional Medical CenterLeesburg 13 $46,542 $9,640 $8,136
Flagler HospitalSt Augustine 13 $58,602 $11,286 $9,780
Adventhealth SebringSebring 13 $57,314 $10,868 $9,254
Baptist Medical Center BeachesJacksonville Beach 13 $104,091 $9,905 $8,901
Tallahassee Memorial HealthcareTallahassee 13 $68,679 $11,339 $10,363
Jackson Health SystemMiami 12 $100,751 $22,416 $18,869
St Vincent's Medical CenterJacksonville 12 $43,689 $10,794 $9,493
St Anthony's HospitalSt Petersburg 12 $52,347 $10,769 $9,673
Baptist HospitalPensacola 12 $53,744 $10,465 $9,241
Cape Canaveral HospitalCocoa Beach 12 $40,284 $10,672 $9,720
HCA Florida Lawnwood HospitalFort Pierce 12 $93,094 $14,146 $8,447
Bay Medical CenterPanama City 11 $50,335 $10,691 $9,359
Fort Walton Beach Medical CenterFort Walton Beach 11 $127,095 $10,562 $9,078
Memorial Hospital WestHollywood 11 $105,693 $13,171 $11,736
St Luke's HospitalJacksonville 11 $59,053 $10,983 $9,870
Palm Bay HospitalPalm Bay 11 $71,829 $9,934 $8,747
Adventhealth Palm Coast ParkwayPalm Coast 11 $53,120 $11,557 $6,559
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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$7,683
Martin Memorial Health SystemsStuart, FL$8,930
Viera HospitalMelbourne, FL$9,007
Sarasota Memorial Hospital - VeniceNorth Venice, FL$9,117
Jupiter Medical CenterJupiter, FL$9,210

Highest

Jackson Health SystemMiami, FL$22,416
Shands Jacksonville Medical CenterJacksonville, FL$16,950
Mayo ClinicJacksonville, FL$15,239
Shands Hospital at the University of FloridaGainesville, FL$14,982
Tampa General HospitalTampa, FL$14,510

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Florida?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 63 hospitals in Florida was billed at $78,533 on average, while the average total payment was $11,535, of which Medicare paid $9,701. 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 6.8 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.