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Stomach, esophageal and duodenal procedures with complications in Florida

What 12 hospitals in Florida charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327), from 2024 Medicare claims.

DRG 327 Inpatient 2024 Medicare data
Average charge $140,945 Hospital list price billed
Average payment $22,678 Medicare + patient + other payers
Medicare paid $17,356 Average per stay
State rank #8 of 28 1 = lowest average payment

Hospitals in Florida billed an average of $140,945 for stomach, esophageal and duodenal procedures with complications, about 6.2 times the average total payment of $22,678. That payment is 17% below the U.S. average of $27,210.

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 $22,678Billed $140,945

About 16¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: stomach, esophageal and duodenal procedures 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
Mayo ClinicJacksonville 59 $104,513 $29,768 $19,275
Adventhealth OrlandoOrlando 33 $186,776 $24,905 $15,042
Sarasota Memorial HospitalSarasota 29 $165,158 $18,054 $16,502
Tampa General HospitalTampa 27 $193,625 $24,182 $19,455
Orlando Regional HealthcareOrlando 26 $191,960 $20,451 $18,895
Gulf Coast Medical Center Lee HealthFort Myers 26 $117,756 $17,135 $15,806
Martin Memorial Health SystemsStuart 17 $78,331 $16,043 $14,497
Shands Hospital at the University of FloridaGainesville 16 $114,038 $27,352 $20,740
Baptist Medical CenterJacksonville 14 $137,200 $18,922 $17,455
Cleveland Clinic HospitalWeston 14 $76,287 $20,331 $15,097
Adventhealth TampaTampa 12 $182,879 $20,585 $14,325
St Vincent's Medical CenterJacksonville 11 $117,163 $18,343 $16,692
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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

Martin Memorial Health SystemsStuart, FL$16,043
Gulf Coast Medical Center Lee HealthFort Myers, FL$17,135
Sarasota Memorial HospitalSarasota, FL$18,054
St Vincent's Medical CenterJacksonville, FL$18,343
Baptist Medical CenterJacksonville, FL$18,922

Highest

Mayo ClinicJacksonville, FL$29,768
Shands Hospital at the University of FloridaGainesville, FL$27,352
Adventhealth OrlandoOrlando, FL$24,905
Tampa General HospitalTampa, FL$24,182
Adventhealth TampaTampa, FL$20,585

Stomach, esophageal and duodenal procedures with complications in other states

Questions

How much does stomach, esophageal and duodenal procedures with complications cost in Florida?

In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327) at 12 hospitals in Florida was billed at $140,945 on average, while the average total payment was $22,678, of which Medicare paid $17,356. 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 6.2 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.