Pulmonary embolism without major complications in Florida
What 40 hospitals in Florida charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$53,165
Hospital list price billed
Average payment
$7,418
Medicare + patient + other payers
Medicare paid
$5,581
Average per stay
State rank
#15 of 39
1 = lowest average payment
Hospitals in Florida billed an average of $53,165 for pulmonary embolism without major complications, about 7.2 times the average total payment of $7,418. That payment is 11% below the U.S. average of $8,294.
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 $7,418Billed $53,165
About 14¢ 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 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 |
|---|---|---|---|---|
| Baptist Medical CenterJacksonville | 72 | $53,234 | $7,220 | $5,440 |
| Adventhealth OrlandoOrlando | 53 | $68,085 | $7,559 | $5,602 |
| Gulf Coast Medical Center Lee HealthFort Myers | 38 | $44,408 | $6,331 | $4,726 |
| Orlando Regional HealthcareOrlando | 37 | $70,637 | $9,721 | $6,790 |
| Sarasota Memorial HospitalSarasota | 36 | $44,561 | $6,276 | $5,006 |
| Naples Community HospitalNaples | 34 | $42,810 | $6,187 | $4,931 |
| Shands Hospital at the University of FloridaGainesville | 34 | $48,917 | $9,976 | $6,668 |
| Holmes Regional Medical CenterMelbourne | 28 | $39,083 | $6,475 | $5,413 |
| Martin Memorial Health SystemsStuart | 28 | $37,224 | $5,473 | $4,060 |
| North Florida Regional Medical CenterGainesville | 26 | $98,198 | $7,525 | $6,154 |
| Lakeland Regional Medical CenterLakeland | 24 | $36,994 | $7,894 | $5,466 |
| Jupiter Medical CenterJupiter | 24 | $24,974 | $5,416 | $4,260 |
| Lee Memorial HospitalFort Myers | 23 | $37,637 | $7,074 | $5,081 |
| Villages Regional Hospital theLady Lake | 22 | $32,524 | $5,398 | $3,914 |
| Ocala Regional Medical CenterOcala | 21 | $74,215 | $6,935 | $5,784 |
| St Joseph's HospitalTampa | 20 | $48,944 | $7,769 | $5,858 |
| Mayo ClinicJacksonville | 19 | $31,978 | $10,536 | $4,606 |
| Physicians Regional Medical Center - Pine RidgeNaples | 19 | $53,279 | $5,602 | $4,313 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 17 | $37,688 | $5,436 | $4,190 |
| Shands Jacksonville Medical CenterJacksonville | 16 | $38,770 | $11,549 | $9,267 |
| Florida Hospital WatermanEustis | 16 | $36,051 | $6,874 | $4,725 |
| Tampa General HospitalTampa | 16 | $53,624 | $9,354 | $6,714 |
| Memorial Hospital WestHollywood | 16 | $93,201 | $9,522 | $6,333 |
| Adventhealth Daytona BeachDaytona Beach | 15 | $32,805 | $6,049 | $4,852 |
| Jfk Medical CenterAtlantis | 15 | $69,542 | $7,413 | $6,031 |
| Gulf Coast Medical CenterPanama City | 15 | $70,789 | $6,455 | $5,150 |
| Bethesda Memorial HospitalBoynton Beach | 14 | $57,166 | $7,059 | $6,074 |
| Jackson Health SystemMiami | 14 | $50,900 | $17,132 | $14,440 |
| Health CentralOcoee | 14 | $52,003 | $7,898 | $5,173 |
| St Lucie Medical CenterPort St Lucie | 14 | $84,565 | $6,616 | $5,223 |
| Oak Hill HospitalBrooksville | 14 | $94,566 | $7,259 | $5,879 |
| South Lake HospitalClermont | 13 | $75,353 | $6,231 | $4,724 |
| Adventhealth OcalaOcala | 13 | $39,026 | $6,259 | $5,035 |
| Brandon Regional HospitalBrandon | 13 | $97,230 | $8,498 | $6,668 |
| Halifax Health Medical CenterDaytona Beach | 12 | $37,237 | $7,882 | $6,548 |
| Flagler HospitalSt Augustine | 12 | $36,359 | $6,548 | $5,596 |
| Fort Walton Beach Medical CenterFort Walton Beach | 12 | $71,169 | $6,317 | $4,821 |
| Palm Bay HospitalPalm Bay | 12 | $27,252 | $6,573 | $5,621 |
| Brooksville Regional HospitalBrooksville | 11 | $50,230 | $6,821 | $5,783 |
| Lakewood Ranch Medical CenterBradenton | 11 | $54,579 | $5,438 | $4,103 |
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
| Villages Regional Hospital theLady Lake, FL | $5,398 |
|---|---|
| Jupiter Medical CenterJupiter, FL | $5,416 |
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $5,436 |
| Lakewood Ranch Medical CenterBradenton, FL | $5,438 |
| Martin Memorial Health SystemsStuart, FL | $5,473 |
Highest
| Jackson Health SystemMiami, FL | $17,132 |
|---|---|
| Shands Jacksonville Medical CenterJacksonville, FL | $11,549 |
| Mayo ClinicJacksonville, FL | $10,536 |
| Shands Hospital at the University of FloridaGainesville, FL | $9,976 |
| Orlando Regional HealthcareOrlando, FL | $9,721 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in Florida?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 40 hospitals in Florida was billed at $53,165 on average, while the average total payment was $7,418, of which Medicare paid $5,581. 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 7.2 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.