facebook tracking Spinal fusion except cervical without major complications cost in Florida: 48 hospitals compared (DRG 460)

Spinal fusion except cervical without major complications in Florida

What 48 hospitals in Florida charged and were paid for a Medicare hospital stay for spinal fusion except cervical without major complications (DRG 460), from 2024 Medicare claims.

DRG 460 Inpatient 2024 Medicare data
Average charge $229,793 Hospital list price billed
Average payment $29,337 Medicare + patient + other payers
Medicare paid $25,279 Average per stay
State rank #11 of 43 1 = lowest average payment

Hospitals in Florida billed an average of $229,793 for spinal fusion except cervical without major complications, about 7.8 times the average total payment of $29,337. That payment is 14% below the U.S. average of $34,025.

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 $29,337Billed $229,793

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: spinal fusion except cervical 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
Sarasota Memorial HospitalSarasota 127 $233,488 $27,471 $25,735
Orlando Regional HealthcareOrlando 71 $313,382 $34,491 $25,714
Holmes Regional Medical CenterMelbourne 62 $228,047 $27,429 $25,861
Adventhealth OrlandoOrlando 60 $247,141 $37,571 $23,033
Baptist Medical CenterJacksonville 54 $205,400 $28,167 $26,572
North Florida Regional Medical CenterGainesville 46 $290,297 $28,654 $26,802
Shands Hospital at the University of FloridaGainesville 44 $131,954 $36,379 $30,482
Delray Medical CenterDelray Beach 42 $382,960 $18,840 $17,336
Mayo ClinicJacksonville 36 $109,086 $34,944 $27,136
Jackson Health SystemMiami 32 $97,190 $41,935 $36,923
Gulf Coast Medical Center Lee HealthFort Myers 31 $229,647 $27,059 $25,573
Physicians Regional Medical Center - Pine RidgeNaples 31 $383,887 $24,786 $20,759
Naples Community HospitalNaples 29 $98,363 $26,092 $22,490
Florida Hospital WatermanEustis 28 $148,578 $25,299 $23,435
Sacred Heart Hospital on the Emerald CoastMiramar Beach 27 $175,165 $26,681 $23,815
Boca Raton Regional HospitalBoca Raton 26 $181,851 $26,305 $24,613
Brandon Regional HospitalBrandon 26 $327,185 $39,048 $26,700
Flagler HospitalSt Augustine 24 $142,148 $29,235 $27,603
Regional Medical Center Bayonet PointHudson 24 $223,481 $31,472 $26,842
Jfk Medical CenterAtlantis 23 $265,052 $32,346 $21,161
University Community Hospital at CarrollwoodTampa 22 $370,300 $34,951 $33,377
Ocala Regional Medical CenterOcala 22 $330,097 $29,660 $25,322
South Lake HospitalClermont 21 $252,367 $24,881 $23,249
Jupiter Medical CenterJupiter 21 $145,759 $22,370 $20,971
Holy Cross Hospital INCFort Lauderdale 20 $116,514 $27,830 $25,807
Cape Coral HospitalCape Coral 19 $172,561 $29,276 $23,042
Sacred Heart HospitalPensacola 18 $151,681 $27,390 $25,741
Tampa General HospitalTampa 18 $329,849 $32,630 $29,903
Bethesda Memorial HospitalBoynton Beach 17 $234,497 $28,296 $26,506
Bay Medical CenterPanama City 16 $167,880 $26,215 $24,889
St Luke's HospitalJacksonville 16 $204,376 $27,033 $25,605
Morton Plant HospitalClearwater 15 $162,220 $24,878 $23,401
Fawcett Memorial HospitalPort Charlotte 15 $324,546 $23,142 $21,510
Baptist HospitalPensacola 14 $170,220 $25,716 $24,201
Palm Beach Gardens Medical CenterPalm Beach Gardens 14 $413,183 $27,731 $19,632
St Mary's Medical CenterWest Palm Beach 14 $315,274 $32,937 $23,208
Cleveland Clinic HospitalWeston 14 $124,296 $27,078 $23,235
Adventhealth Wesley ChapelWesley Chapel 14 $279,431 $25,369 $23,853
Lee Memorial HospitalFort Myers 13 $222,191 $28,294 $26,613
Mount Sinai Medical CenterMiami Beach 13 $166,935 $30,429 $28,466
Lakeland Regional Medical CenterLakeland 12 $143,285 $27,219 $25,006
HCA Florida Lawnwood HospitalFort Pierce 12 $221,222 $28,786 $23,502
Wuesthoff Medical Center - MelbourneMelbourne 12 $265,438 $24,110 $23,022
Halifax Health Medical CenterDaytona Beach 11 $191,685 $26,689 $24,972
Memorial Regional HospitalHollywood 11 $123,260 $30,656 $28,669
Doctors Hospital of SarasotaSarasota 11 $241,684 $23,229 $21,688
HCA Florida Trinity HospitalNew Port Richey 11 $334,376 $27,478 $25,698
Wellington Regional Medical CenterWellington 11 $253,055 $29,547 $20,232
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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$18,840
Jupiter Medical CenterJupiter, FL$22,370
Fawcett Memorial HospitalPort Charlotte, FL$23,142
Doctors Hospital of SarasotaSarasota, FL$23,229
Wuesthoff Medical Center - MelbourneMelbourne, FL$24,110

Spinal fusion except cervical without major complications in other states

Questions

How much does spinal fusion except cervical without major complications cost in Florida?

In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 48 hospitals in Florida was billed at $229,793 on average, while the average total payment was $29,337, of which Medicare paid $25,279. 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 7.8 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.