facebook tracking Respiratory neoplasms with complications cost in Florida: 5 hospitals compared (DRG 181)

Respiratory neoplasms with complications in Florida

What 5 hospitals in Florida charged and were paid for a Medicare hospital stay for respiratory neoplasms with complications (DRG 181), from 2024 Medicare claims.

DRG 181 Inpatient 2024 Medicare data
Average charge $72,270 Hospital list price billed
Average payment $9,521 Medicare + patient + other payers
Medicare paid $7,349 Average per stay
State rank #1 of 7 1 = lowest average payment

Hospitals in Florida billed an average of $72,270 for respiratory neoplasms with complications, about 7.6 times the average total payment of $9,521. That payment is 27% below the U.S. average of $13,073.

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 $9,521Billed $72,270

About 13¢ 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: respiratory neoplasms 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
North Florida Regional Medical CenterGainesville 14 $85,732 $9,903 $8,598
Ocala Regional Medical CenterOcala 14 $69,578 $10,002 $7,880
Mease Countryside HospitalSafety Harbor 14 $51,927 $8,926 $6,241
Sarasota Memorial HospitalSarasota 13 $60,463 $8,729 $7,326
Adventhealth OrlandoOrlando 12 $96,228 $10,068 $6,592
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

Sarasota Memorial HospitalSarasota, FL$8,729
Mease Countryside HospitalSafety Harbor, FL$8,926
North Florida Regional Medical CenterGainesville, FL$9,903
Ocala Regional Medical CenterOcala, FL$10,002
Adventhealth OrlandoOrlando, FL$10,068

Highest

Adventhealth OrlandoOrlando, FL$10,068
Ocala Regional Medical CenterOcala, FL$10,002
North Florida Regional Medical CenterGainesville, FL$9,903
Mease Countryside HospitalSafety Harbor, FL$8,926
Sarasota Memorial HospitalSarasota, FL$8,729

Respiratory neoplasms with complications in other states

Questions

How much does respiratory neoplasms with complications cost in Florida?

In 2024 Medicare data, a hospital stay for respiratory neoplasms with complications (DRG 181) at 5 hospitals in Florida was billed at $72,270 on average, while the average total payment was $9,521, of which Medicare paid $7,349. 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 7.6 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.