Simple pneumonia and pleurisy with major complications in Florida
What 159 hospitals in Florida charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$78,333
Hospital list price billed
Average payment
$10,910
Medicare + patient + other payers
Medicare paid
$9,070
Average per stay
State rank
#17 of 50
1 = lowest average payment
Hospitals in Florida billed an average of $78,333 for simple pneumonia and pleurisy with major complications, about 7.2 times the average total payment of $10,910. That payment is 9% below the U.S. average of $12,020.
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 $10,910Billed $78,333
About 14¢ 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 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 | 338 | $81,153 | $11,902 | $8,733 |
| Sarasota Memorial HospitalSarasota | 284 | $52,024 | $10,015 | $8,530 |
| Martin Memorial Health SystemsStuart | 258 | $43,035 | $9,043 | $7,341 |
| Baptist Medical CenterJacksonville | 222 | $75,236 | $11,383 | $8,801 |
| Naples Community HospitalNaples | 209 | $58,307 | $10,252 | $8,096 |
| Ocala Regional Medical CenterOcala | 202 | $75,245 | $11,098 | $9,194 |
| Boca Raton Regional HospitalBoca Raton | 193 | $54,651 | $10,138 | $8,296 |
| Delray Medical CenterDelray Beach | 190 | $136,479 | $8,202 | $6,823 |
| Baptist Hospital of Miami INCMiami | 171 | $109,465 | $13,387 | $10,858 |
| Lee Memorial HospitalFort Myers | 167 | $45,149 | $10,724 | $9,170 |
| Bethesda Memorial HospitalBoynton Beach | 157 | $82,866 | $10,976 | $9,241 |
| Jupiter Medical CenterJupiter | 154 | $44,258 | $8,736 | $7,205 |
| St Joseph's HospitalTampa | 153 | $48,514 | $10,869 | $9,565 |
| Gulf Coast Medical Center Lee HealthFort Myers | 147 | $56,307 | $9,850 | $7,826 |
| North Florida Regional Medical CenterGainesville | 143 | $131,251 | $11,842 | $9,527 |
| Villages Regional Hospital theLady Lake | 139 | $50,919 | $8,489 | $7,290 |
| Shands Hospital at the University of FloridaGainesville | 138 | $55,276 | $14,438 | $11,517 |
| Sacred Heart HospitalPensacola | 131 | $40,628 | $10,964 | $9,307 |
| Jfk Medical CenterAtlantis | 128 | $106,246 | $11,118 | $9,710 |
| Cape Coral HospitalCape Coral | 128 | $48,430 | $9,613 | $8,080 |
| Physicians Regional Medical Center - Pine RidgeNaples | 124 | $102,264 | $8,756 | $7,599 |
| Holmes Regional Medical CenterMelbourne | 123 | $59,050 | $10,421 | $8,498 |
| Fawcett Memorial HospitalPort Charlotte | 115 | $137,762 | $8,683 | $7,516 |
| Sarasota Memorial Hospital - VeniceNorth Venice | 114 | $49,717 | $8,522 | $7,453 |
| Jackson Health SystemMiami | 111 | $61,724 | $21,379 | $18,327 |
| Indian River Medical CenterVero Beach | 111 | $40,681 | $9,410 | $8,158 |
| Morton Plant HospitalClearwater | 111 | $52,089 | $10,155 | $8,437 |
| Adventhealth Port CharlottePort Charlotte | 110 | $94,105 | $9,531 | $8,047 |
| St Anthony's HospitalSt Petersburg | 109 | $53,025 | $10,757 | $8,919 |
| Adventhealth Daytona BeachDaytona Beach | 107 | $51,074 | $9,746 | $8,354 |
| Palm Beach Gardens Medical CenterPalm Beach Gardens | 104 | $137,778 | $8,836 | $7,371 |
| Sacred Heart Hospital on the Emerald CoastMiramar Beach | 104 | $39,043 | $10,256 | $8,870 |
| Florida Hospital WatermanEustis | 103 | $49,922 | $9,643 | $7,918 |
| Holy Cross Hospital INCFort Lauderdale | 102 | $48,079 | $10,977 | $9,154 |
| Lakeland Regional Medical CenterLakeland | 101 | $45,820 | $10,319 | $9,093 |
| Lake City Medical CenterLake City | 100 | $64,097 | $12,296 | $11,103 |
| Aventura Hospital & Med CenterMiami | 99 | $129,352 | $13,444 | $10,922 |
| West Florida HospitalPensacola | 99 | $72,707 | $10,009 | $8,721 |
| Orlando Regional HealthcareOrlando | 98 | $75,485 | $11,772 | $10,195 |
| Fort Walton Beach Medical CenterFort Walton Beach | 95 | $132,807 | $9,861 | $8,737 |
| St Lucie Medical CenterPort St Lucie | 95 | $102,612 | $11,142 | $8,387 |
| Mayo ClinicJacksonville | 94 | $51,338 | $15,494 | $9,428 |
| Gulf Coast Medical CenterPanama City | 93 | $125,088 | $10,356 | $8,889 |
| Adventhealth OcalaOcala | 91 | $66,057 | $9,756 | $8,624 |
| Mease Countryside HospitalSafety Harbor | 90 | $48,714 | $9,179 | $7,856 |
| West Kendall Baptist HospitalMiami | 90 | $88,802 | $13,001 | $10,788 |
| Wellington Regional Medical CenterWellington | 88 | $128,426 | $10,228 | $8,836 |
| Oak Hill HospitalBrooksville | 84 | $137,788 | $11,824 | $9,595 |
| Tallahassee Memorial HealthcareTallahassee | 83 | $65,056 | $10,798 | $9,315 |
| Mount Sinai Medical CenterMiami Beach | 82 | $55,305 | $11,940 | $10,172 |
| Winter Haven HospitalWinter Haven | 82 | $55,659 | $10,468 | $9,026 |
| Florida Hospital DelandDeland | 81 | $48,790 | $10,536 | $8,761 |
| Baptist HospitalPensacola | 78 | $53,113 | $10,466 | $8,947 |
| Adventhealth TampaTampa | 77 | $87,222 | $11,796 | $8,703 |
| Tampa General HospitalTampa | 76 | $66,177 | $13,892 | $10,708 |
| Flagler HospitalSt Augustine | 75 | $58,744 | $10,758 | $9,452 |
| Kendall Regional Medical CenterMiami | 74 | $128,594 | $14,044 | $12,080 |
| Northside HospitalSt Petersburg | 72 | $146,550 | $10,856 | $8,927 |
| Brandon Regional HospitalBrandon | 71 | $115,464 | $13,044 | $10,402 |
| St Vincent's Medical CenterJacksonville | 70 | $45,065 | $10,822 | $8,877 |
| Bay Medical CenterPanama City | 69 | $51,194 | $10,382 | $9,158 |
| Leesburg Regional Medical CenterLeesburg | 69 | $50,933 | $9,252 | $7,855 |
| Baptist Medical Center BeachesJacksonville Beach | 68 | $69,069 | $9,708 | $7,700 |
| Halifax Health Medical CenterDaytona Beach | 67 | $45,943 | $11,058 | $9,923 |
| Shorepoint Health Punta GordaPunta Gorda | 66 | $88,603 | $11,585 | $9,975 |
| Regional Medical Center Bayonet PointHudson | 63 | $123,607 | $11,945 | $9,434 |
| Ascension St Vincent's Clay CountyMiddleburg | 63 | $41,856 | $9,680 | $8,315 |
| Orange Park Medical CenterOrange Park | 62 | $181,473 | $12,604 | $10,466 |
| Adventhealth Wesley ChapelWesley Chapel | 62 | $74,067 | $10,310 | $8,074 |
| Manatee Memorial HospitalBradenton | 61 | $101,487 | $10,855 | $9,207 |
| Morton Plant North Bay HospitalNew Port Richey | 61 | $47,431 | $10,772 | $9,135 |
| HCA Florida Trinity HospitalNew Port Richey | 61 | $130,538 | $11,949 | $9,537 |
| Capital Regional Medical CenterTallahassee | 61 | $92,657 | $10,405 | $9,123 |
| Palm Bay HospitalPalm Bay | 61 | $56,991 | $10,164 | $8,318 |
| Orlando Health Rockledge HospitalRockledge | 60 | $69,170 | $9,958 | $8,202 |
| Cape Canaveral HospitalCocoa Beach | 60 | $49,330 | $10,316 | $8,371 |
| Memorial Regional HospitalHollywood | 59 | $115,818 | $15,929 | $11,797 |
| Broward General Medical CenterFort Lauderdale | 59 | $66,848 | $14,563 | $13,154 |
| North Okaloosa Medical CenterCrestview | 59 | $88,894 | $9,610 | $8,345 |
| South Bay HospitalGreater Sun Center | 59 | $150,065 | $9,068 | $7,196 |
| Lakewood Ranch Medical CenterBradenton | 59 | $84,057 | $8,588 | $7,346 |
| Viera HospitalMelbourne | 59 | $56,837 | $8,590 | $7,346 |
| Florida Hospital ZephyrhillsZephyrhills | 58 | $60,791 | $11,192 | $8,159 |
| South Miami HospitalMiami | 58 | $81,882 | $11,382 | $10,041 |
| Englewood Community HospitalEnglewood | 58 | $93,698 | $8,433 | $7,194 |
| Memorial Hospital WestHollywood | 58 | $135,829 | $12,399 | $10,741 |
| Westside Regional Medical CenterPlantation | 57 | $127,658 | $11,692 | $9,462 |
| Brooksville Regional HospitalBrooksville | 56 | $87,268 | $10,074 | $8,677 |
| Blake Medical CenterBradenton | 56 | $101,198 | $11,663 | $9,902 |
| Doctors Hospital of SarasotaSarasota | 55 | $94,984 | $8,932 | $7,762 |
| Coral Springs Medical CenterPompano Beach | 55 | $63,800 | $10,954 | $9,113 |
| Doctors Hospital INCCoral Gables | 55 | $89,002 | $10,711 | $9,513 |
| Palms West HospitalLoxahatchee | 54 | $124,713 | $12,404 | $9,102 |
| Good Samaritan Medical CenterWest Palm Beach | 54 | $140,343 | $9,340 | $8,524 |
| Adventhealth New Smyrna BeachNew Smyrna Beach | 50 | $36,252 | $9,438 | $8,198 |
| Adventhealth SebringSebring | 50 | $48,896 | $10,234 | $8,859 |
| Homestead HospitalHomestead | 50 | $84,931 | $16,390 | $15,211 |
| Palms of Pasadena HospitalSt Petersburg | 50 | $135,644 | $9,097 | $8,086 |
| Highlands Regional Medical CenterSebring | 49 | $95,860 | $9,262 | $8,080 |
| Putnam Community Medical CtrPalatka | 49 | $70,436 | $9,804 | $8,555 |
| Shands Jacksonville Medical CenterJacksonville | 48 | $57,649 | $17,263 | $13,812 |
| Coral Gables HospitalCoral Gables | 48 | $118,890 | $10,937 | $9,883 |
| West Boca Medical CenterBoca Raton | 47 | $114,571 | $8,723 | $7,595 |
| Florida Hospital Fish MemorialOrange City | 46 | $47,713 | $10,080 | $8,254 |
| HCA Florida Memorial HospitalJacksonville | 46 | $137,840 | $10,786 | $9,550 |
| Oviedo Medical CenterOviedo | 46 | $79,846 | $10,206 | $8,584 |
| Parrish Medical CenterTitusville | 44 | $42,736 | $10,541 | $8,231 |
| South Lake HospitalClermont | 44 | $72,491 | $9,488 | $8,135 |
| Palm Springs General HospitalHialeah | 43 | $69,698 | $20,197 | $14,264 |
| Hialeah HospitalHialeah | 43 | $102,880 | $11,676 | $10,652 |
| Plantation General HospitalPlantation | 41 | $159,773 | $12,725 | $11,440 |
| Tampa General Hospital Crystal RiverCrystal River | 41 | $72,662 | $9,128 | $7,994 |
| Raulerson HospitalOkeechobee | 41 | $113,748 | $10,817 | $9,743 |
| Adventhealth Palm Coast ParkwayPalm Coast | 41 | $47,183 | $9,764 | $6,390 |
| Baptist Medical Center - NassauFernandina Beach | 40 | $54,219 | $9,949 | $8,522 |
| Santa Rosa Medical CenterMilton | 39 | $68,170 | $9,840 | $8,585 |
| HCA Florida Lawnwood HospitalFort Pierce | 39 | $107,164 | $10,383 | $9,181 |
| Northwest Medical CenterPompano Beach | 38 | $133,895 | $11,124 | $9,315 |
| Cleveland Clinic HospitalWeston | 38 | $36,876 | $11,415 | $8,087 |
| Citrus Memorial HospitalInverness | 37 | $104,765 | $11,399 | $9,597 |
| North Shore Medical CenterMiami | 37 | $88,930 | $11,073 | $10,102 |
| St Petersburg General HospitalSt Petersburg | 36 | $160,052 | $13,310 | $10,442 |
| Osceola Regional Medical CenterKissimmee | 35 | $126,046 | $14,153 | $11,789 |
| Adventhealth North PinellasTarpon Springs | 34 | $60,542 | $9,781 | $8,533 |
| Central Florida Regional HospitalSanford | 34 | $77,434 | $11,506 | $9,562 |
| Bayfront Medical Center INCSt Petersburg | 33 | $107,912 | $11,812 | $10,282 |
| Lower Keys Medical CenterKey West | 33 | $70,415 | $15,919 | $11,725 |
| Twin Cities HospitalNiceville | 32 | $136,208 | $9,271 | $6,880 |
| North Broward Medical CenterPompano Beach | 32 | $55,512 | $11,523 | $10,163 |
| Largo Medical CenterLargo | 32 | $97,530 | $13,073 | $10,724 |
| Sebastian River Medical CenterSebastian | 31 | $59,772 | $8,868 | $7,501 |
| Keralty HospitalMiami | 31 | $27,780 | $10,780 | $9,124 |
| Health CentralOcoee | 30 | $64,925 | $10,188 | $8,278 |
| University Community Hospital at CarrollwoodTampa | 30 | $81,833 | $11,154 | $8,629 |
| HCA Florida Poinciana HospitalKissimmee | 30 | $141,844 | $11,313 | $9,436 |
| Heart of Florida Reg Med CtrDavenport | 29 | $83,070 | $10,714 | $8,203 |
| St Luke's HospitalJacksonville | 29 | $39,897 | $10,176 | $9,388 |
| Adventhealth Palm CoastPalm Coast | 28 | $40,737 | $10,947 | $9,781 |
| University Hospital & Medical CenterTamarac | 28 | $169,797 | $10,758 | $9,392 |
| Palmetto General HospitalHialeah | 27 | $82,645 | $11,826 | $10,157 |
| Gulf Breeze HospitalGulf Breeze | 27 | $44,604 | $11,144 | $9,633 |
| Wuesthoff Medical Center - MelbourneMelbourne | 27 | $51,388 | $9,209 | $7,752 |
| St Cloud Regional Medical CenterSt Cloud | 27 | $79,315 | $10,500 | $8,496 |
| Adventhealth Dade CityDade City | 26 | $64,228 | $9,788 | $8,532 |
| Ascension St Vincent's St Johns CountySt. Johns | 25 | $50,224 | $9,230 | $7,036 |
| St Mary's Medical CenterWest Palm Beach | 24 | $113,862 | $10,705 | $9,692 |
| Memorial Hospital MiramarMiramar | 23 | $110,169 | $12,805 | $11,785 |
| Memorial Hospital of TampaTampa | 22 | $117,765 | $10,961 | $10,071 |
| Memorial Hospital PembrokeHollywood | 22 | $103,328 | $13,035 | $11,795 |
| Mease Hospital DunedinDunedin | 21 | $46,293 | $10,027 | $9,095 |
| Desoto Memorial HospitalArcadia | 21 | $34,871 | $13,843 | $12,657 |
| South Florida Baptist HospitalPlant City | 18 | $55,846 | $11,080 | $9,455 |
| Jackson HospitalMarianna | 18 | $21,626 | $11,199 | $9,400 |
| Imperial Point Medical CenterFort Lauderdale | 18 | $51,507 | $12,168 | $10,495 |
| Lake Wales Medical CenterLake Wales | 16 | $70,906 | $10,279 | $8,953 |
| Bartow Regional Medical CenterBartow | 15 | $36,560 | $11,622 | $8,291 |
| Halifax Health /UF Health Medical Center of DeltonDeltona | 15 | $46,004 | $11,387 | $10,190 |
| Sacred Heart Hospital on the GulfPort St Joe | 13 | $27,506 | $14,407 | $13,280 |
| Ucf Lake Nona HospitalOrlando | 12 | $145,931 | $9,118 | $7,761 |
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 | $8,202 |
|---|---|
| Englewood Community HospitalEnglewood, FL | $8,433 |
| Villages Regional Hospital theLady Lake, FL | $8,489 |
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $8,522 |
| Lakewood Ranch Medical CenterBradenton, FL | $8,588 |
Highest
| Jackson Health SystemMiami, FL | $21,379 |
|---|---|
| Palm Springs General HospitalHialeah, FL | $20,197 |
| Shands Jacksonville Medical CenterJacksonville, FL | $17,263 |
| Homestead HospitalHomestead, FL | $16,390 |
| Memorial Regional HospitalHollywood, FL | $15,929 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 159 hospitals in Florida was billed at $78,333 on average, while the average total payment was $10,910, of which Medicare paid $9,070. 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.