Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in Florida
What 7 hospitals in Florida charged and were paid for a Medicare hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 457), from 2024 Medicare claims.
Average charge
$301,757
Hospital list price billed
Average payment
$50,346
Medicare + patient + other payers
Medicare paid
$43,745
Average per stay
State rank
#1 of 11
1 = lowest average payment
Hospitals in Florida billed an average of $301,757 for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive, about 6.0 times the average total payment of $50,346. That payment is 23% below the U.S. average of $65,757.
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 $50,346Billed $301,757
About 17¢ 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: spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
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 | 24 | $415,402 | $46,948 | $45,185 |
| Mayo ClinicJacksonville | 16 | $193,199 | $67,125 | $45,588 |
| Naples Community HospitalNaples | 13 | $170,341 | $43,136 | $35,480 |
| Holmes Regional Medical CenterMelbourne | 12 | $328,345 | $43,899 | $42,512 |
| Baptist Medical CenterJacksonville | 12 | $236,362 | $46,981 | $38,307 |
| Physicians Regional Medical Center - Pine RidgeNaples | 12 | $521,002 | $40,660 | $39,300 |
| Jackson Health SystemMiami | 11 | $170,173 | $63,144 | $59,822 |
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
| Physicians Regional Medical Center - Pine RidgeNaples, FL | $40,660 |
|---|---|
| Naples Community HospitalNaples, FL | $43,136 |
| Holmes Regional Medical CenterMelbourne, FL | $43,899 |
| Sarasota Memorial HospitalSarasota, FL | $46,948 |
| Baptist Medical CenterJacksonville, FL | $46,981 |
Highest
| Mayo ClinicJacksonville, FL | $67,125 |
|---|---|
| Jackson Health SystemMiami, FL | $63,144 |
| Baptist Medical CenterJacksonville, FL | $46,981 |
| Sarasota Memorial HospitalSarasota, FL | $46,948 |
| Holmes Regional Medical CenterMelbourne, FL | $43,899 |
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in other states
Questions
How much does spinal fusion except cervical with spinal curvature, malignancy, infection or extensive cost in Florida?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 457) at 7 hospitals in Florida was billed at $301,757 on average, while the average total payment was $50,346, of which Medicare paid $43,745. 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 6.0 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.