Simple pneumonia and pleurisy with complications in Florida
What 121 hospitals in Florida charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$51,324
Hospital list price billed
Average payment
$7,459
Medicare + patient + other payers
Medicare paid
$5,542
Average per stay
State rank
#22 of 47
1 = lowest average payment
Hospitals in Florida billed an average of $51,324 for simple pneumonia and pleurisy with complications, about 6.9 times the average total payment of $7,459. That payment is 6% below the U.S. average of $7,941.
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 $7,459Billed $51,324
About 15¢ was paid for every $1 hospitals in Florida billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Florida:
Florida hospitals: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Sarasota Memorial HospitalSarasota | 144 | $36,056 | $6,531 | $5,050 |
| Martin Memorial Health SystemsStuart | 141 | $30,252 | $5,584 | $4,231 |
| Adventhealth OrlandoOrlando | 140 | $53,788 | $7,975 | $5,112 |
| Naples Community HospitalNaples | 111 | $38,939 | $6,563 | $4,705 |
| Boca Raton Regional HospitalBoca Raton | 111 | $35,586 | $6,398 | $4,677 |
| Baptist Medical CenterJacksonville | 106 | $49,225 | $7,226 | $5,603 |
| Physicians Regional Medical Center - Pine RidgeNaples | 90 | $63,206 | $5,577 | $4,264 |
| St Joseph's HospitalTampa | 89 | $39,241 | $7,051 | $5,915 |
| Ocala Regional Medical CenterOcala | 84 | $63,122 | $6,914 | $5,336 |
| Bethesda Memorial HospitalBoynton Beach | 81 | $59,503 | $7,331 | $5,747 |
| Jackson Health SystemMiami | 77 | $42,137 | $15,797 | $13,341 |
| Baptist Hospital of Miami INCMiami | 72 | $60,060 | $8,260 | $6,217 |
| Mayo ClinicJacksonville | 66 | $32,074 | $9,610 | $5,344 |
| Lakeland Regional Medical CenterLakeland | 65 | $30,426 | $7,261 | $5,693 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 59 | $38,147 | $5,653 | $4,004 |
| Delray Medical CenterDelray Beach | 58 | $90,612 | $5,403 | $4,010 |
| North Florida Regional Medical CenterGainesville | 53 | $94,745 | $10,267 | $5,290 |
| Lee Memorial HospitalFort Myers | 52 | $34,479 | $7,240 | $5,830 |
| Adventhealth OcalaOcala | 50 | $49,455 | $6,302 | $4,965 |
| Morton Plant HospitalClearwater | 50 | $40,949 | $6,914 | $5,105 |
| Gulf Coast Medical Center Lee HealthFort Myers | 47 | $36,210 | $6,243 | $4,718 |
| Mease Countryside HospitalSafety Harbor | 45 | $37,733 | $6,664 | $4,060 |
| Jupiter Medical CenterJupiter | 43 | $30,909 | $5,629 | $4,072 |
| Adventhealth Port CharlottePort Charlotte | 42 | $51,906 | $6,298 | $4,500 |
| Villages Regional Hospital theLady Lake | 41 | $36,627 | $5,356 | $4,241 |
| Palm Beach Gardens Medical CenterPalm Beach Gardens | 40 | $84,795 | $5,205 | $3,860 |
| St Lucie Medical CenterPort St Lucie | 40 | $87,436 | $7,741 | $4,962 |
| Tampa General HospitalTampa | 39 | $47,023 | $9,695 | $6,821 |
| Oak Hill HospitalBrooksville | 39 | $98,380 | $7,624 | $5,540 |
| Orlando Regional HealthcareOrlando | 38 | $50,675 | $8,412 | $6,618 |
| Flagler HospitalSt Augustine | 38 | $35,403 | $6,622 | $5,248 |
| Memorial Hospital WestHollywood | 38 | $85,393 | $7,690 | $6,265 |
| Mount Sinai Medical CenterMiami Beach | 37 | $39,302 | $8,232 | $6,511 |
| Shands Hospital at the University of FloridaGainesville | 37 | $33,498 | $11,342 | $6,832 |
| Memorial Regional HospitalHollywood | 36 | $99,404 | $11,436 | $9,507 |
| West Florida HospitalPensacola | 36 | $59,370 | $6,510 | $5,084 |
| St Anthony's HospitalSt Petersburg | 35 | $35,839 | $6,852 | $5,691 |
| Brooksville Regional HospitalBrooksville | 34 | $49,102 | $6,930 | $5,827 |
| Wellington Regional Medical CenterWellington | 34 | $82,057 | $7,010 | $5,226 |
| Holy Cross Hospital INCFort Lauderdale | 33 | $33,011 | $6,937 | $4,733 |
| Cape Coral HospitalCape Coral | 33 | $36,271 | $6,517 | $5,019 |
| Holmes Regional Medical CenterMelbourne | 32 | $41,823 | $6,510 | $5,118 |
| Sacred Heart HospitalPensacola | 32 | $25,374 | $7,239 | $5,702 |
| Aventura Hospital & Med CenterMiami | 32 | $86,561 | $8,869 | $6,234 |
| Florida Hospital WatermanEustis | 30 | $35,047 | $6,101 | $4,796 |
| South Miami HospitalMiami | 30 | $47,822 | $9,708 | $5,975 |
| Memorial Hospital PembrokeHollywood | 30 | $60,876 | $9,484 | $6,750 |
| Adventhealth Daytona BeachDaytona Beach | 28 | $33,208 | $6,977 | $4,386 |
| Lake City Medical CenterLake City | 28 | $60,277 | $7,620 | $6,455 |
| Tampa General Hospital Crystal RiverCrystal River | 28 | $55,732 | $5,874 | $4,591 |
| Broward General Medical CenterFort Lauderdale | 27 | $46,580 | $10,266 | $8,974 |
| Florida Hospital DelandDeland | 27 | $30,781 | $6,709 | $5,312 |
| Winter Haven HospitalWinter Haven | 27 | $36,177 | $7,387 | $5,218 |
| Jackson HospitalMarianna | 27 | $15,436 | $7,271 | $5,822 |
| Leesburg Regional Medical CenterLeesburg | 26 | $32,204 | $5,607 | $4,227 |
| Baptist Medical Center BeachesJacksonville Beach | 26 | $49,542 | $5,766 | $4,449 |
| Jfk Medical CenterAtlantis | 25 | $61,231 | $8,958 | $5,646 |
| Adventhealth TampaTampa | 25 | $55,916 | $8,121 | $5,753 |
| Blake Medical CenterBradenton | 25 | $87,753 | $12,206 | $5,375 |
| Keralty HospitalMiami | 25 | $19,637 | $7,371 | $5,854 |
| Indian River Medical CenterVero Beach | 24 | $25,461 | $6,123 | $4,597 |
| Halifax Health Medical CenterDaytona Beach | 23 | $34,327 | $7,880 | $6,348 |
| Bay Medical CenterPanama City | 23 | $37,716 | $6,877 | $5,582 |
| Capital Regional Medical CenterTallahassee | 23 | $113,370 | $8,309 | $5,233 |
| Memorial Hospital MiramarMiramar | 23 | $84,332 | $9,247 | $7,554 |
| Sacred Heart Hospital on the Emerald CoastMiramar Beach | 23 | $36,679 | $6,939 | $5,805 |
| West Kendall Baptist HospitalMiami | 23 | $50,041 | $8,582 | $7,064 |
| Shorepoint Health Punta GordaPunta Gorda | 22 | $63,197 | $7,020 | $6,057 |
| South Lake HospitalClermont | 22 | $62,554 | $6,204 | $4,869 |
| Brandon Regional HospitalBrandon | 22 | $92,669 | $9,884 | $7,026 |
| Cleveland Clinic HospitalWeston | 22 | $28,899 | $7,151 | $4,536 |
| Homestead HospitalHomestead | 21 | $50,184 | $12,753 | $11,429 |
| Tallahassee Memorial HealthcareTallahassee | 21 | $40,544 | $7,572 | $6,053 |
| Good Samaritan Medical CenterWest Palm Beach | 20 | $88,544 | $6,517 | $5,131 |
| Shands Jacksonville Medical CenterJacksonville | 19 | $38,412 | $11,896 | $9,974 |
| Baptist HospitalPensacola | 19 | $45,241 | $6,776 | $5,401 |
| Baptist Medical Center - NassauFernandina Beach | 19 | $41,922 | $6,601 | $5,488 |
| Fawcett Memorial HospitalPort Charlotte | 19 | $122,872 | $5,455 | $4,252 |
| Lakewood Ranch Medical CenterBradenton | 19 | $62,458 | $5,861 | $4,040 |
| Adventhealth Wesley ChapelWesley Chapel | 19 | $57,991 | $6,975 | $4,653 |
| St Vincent's Medical CenterJacksonville | 18 | $27,824 | $6,929 | $5,293 |
| Orlando Health Rockledge HospitalRockledge | 18 | $44,193 | $6,633 | $5,273 |
| Lower Keys Medical CenterKey West | 18 | $50,400 | $9,722 | $6,882 |
| Northside HospitalSt Petersburg | 18 | $87,491 | $7,244 | $5,951 |
| Palm Springs General HospitalHialeah | 17 | $59,710 | $14,794 | $8,828 |
| Florida Hospital Fish MemorialOrange City | 17 | $31,182 | $6,451 | $5,011 |
| St Cloud Regional Medical CenterSt Cloud | 17 | $53,900 | $6,436 | $4,998 |
| Adventhealth New Smyrna BeachNew Smyrna Beach | 16 | $23,113 | $6,534 | $4,834 |
| Adventhealth North PinellasTarpon Springs | 16 | $40,932 | $6,418 | $4,888 |
| Heart of Florida Reg Med CtrDavenport | 16 | $52,503 | $7,198 | $4,630 |
| Regional Medical Center Bayonet PointHudson | 16 | $110,086 | $10,121 | $5,114 |
| Doctors Hospital INCCoral Gables | 16 | $55,980 | $6,729 | $5,068 |
| Viera HospitalMelbourne | 16 | $34,708 | $5,473 | $4,351 |
| Parrish Medical CenterTitusville | 15 | $36,436 | $6,575 | $5,269 |
| North Shore Medical CenterMiami | 15 | $75,804 | $7,874 | $6,895 |
| Health CentralOcoee | 15 | $49,191 | $6,959 | $5,549 |
| Cape Canaveral HospitalCocoa Beach | 15 | $29,384 | $6,680 | $5,048 |
| Westside Regional Medical CenterPlantation | 15 | $73,626 | $7,036 | $5,236 |
| South Bay HospitalGreater Sun Center | 15 | $102,918 | $5,544 | $4,349 |
| Coral Springs Medical CenterPompano Beach | 15 | $37,207 | $7,606 | $6,161 |
| Mease Hospital DunedinDunedin | 14 | $34,179 | $6,697 | $5,298 |
| North Okaloosa Medical CenterCrestview | 14 | $72,400 | $6,258 | $5,325 |
| Fort Walton Beach Medical CenterFort Walton Beach | 14 | $105,020 | $6,557 | $5,392 |
| Gulf Coast Medical CenterPanama City | 14 | $80,203 | $6,567 | $5,052 |
| Ascension St Vincent's Clay CountyMiddleburg | 14 | $26,297 | $7,200 | $4,629 |
| Adventhealth Palm Coast ParkwayPalm Coast | 14 | $29,463 | $5,232 | $3,600 |
| Manatee Memorial HospitalBradenton | 13 | $65,553 | $7,911 | $5,222 |
| Florida Hospital ZephyrhillsZephyrhills | 13 | $38,194 | $6,495 | $5,240 |
| North Broward Medical CenterPompano Beach | 13 | $37,931 | $8,416 | $7,082 |
| Englewood Community HospitalEnglewood | 13 | $72,200 | $6,047 | $3,958 |
| West Boca Medical CenterBoca Raton | 13 | $80,430 | $5,930 | $4,274 |
| Lake Wales Medical CenterLake Wales | 12 | $62,021 | $8,145 | $5,296 |
| Osceola Regional Medical CenterKissimmee | 12 | $92,772 | $9,241 | $7,773 |
| Orange Park Medical CenterOrange Park | 12 | $127,354 | $8,799 | $6,820 |
| HCA Florida Lawnwood HospitalFort Pierce | 12 | $94,455 | $7,191 | $5,779 |
| Gulf Breeze HospitalGulf Breeze | 12 | $35,160 | $6,666 | $5,034 |
| Bayfront Medical Center INCSt Petersburg | 11 | $39,123 | $9,251 | $6,518 |
| Morton Plant North Bay HospitalNew Port Richey | 11 | $32,731 | $8,846 | $5,957 |
| Doctors Hospital of SarasotaSarasota | 11 | $73,983 | $5,410 | $4,139 |
| Desoto Memorial HospitalArcadia | 11 | $26,925 | $10,563 | $9,230 |
| HCA Florida Memorial HospitalJacksonville | 11 | $99,188 | $9,110 | $5,638 |
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
| Palm Beach Gardens Medical CenterPalm Beach Gardens, FL | $5,205 |
|---|---|
| Adventhealth Palm Coast ParkwayPalm Coast, FL | $5,232 |
| Villages Regional Hospital theLady Lake, FL | $5,356 |
| Delray Medical CenterDelray Beach, FL | $5,403 |
| Doctors Hospital of SarasotaSarasota, FL | $5,410 |
Highest
| Jackson Health SystemMiami, FL | $15,797 |
|---|---|
| Palm Springs General HospitalHialeah, FL | $14,794 |
| Homestead HospitalHomestead, FL | $12,753 |
| Blake Medical CenterBradenton, FL | $12,206 |
| Shands Jacksonville Medical CenterJacksonville, FL | $11,896 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Florida?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 121 hospitals in Florida was billed at $51,324 on average, while the average total payment was $7,459, of which Medicare paid $5,542. 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 6.9 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.