Stomach, esophageal and duodenal procedures with major complications in Florida
What 12 hospitals in Florida charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures with major complications (DRG 326), from 2024 Medicare claims.
Average charge
$277,415
Hospital list price billed
Average payment
$47,655
Medicare + patient + other payers
Medicare paid
$41,561
Average per stay
State rank
#9 of 26
1 = lowest average payment
Hospitals in Florida billed an average of $277,415 for stomach, esophageal and duodenal procedures with major complications, about 5.8 times the average total payment of $47,655. That payment is 17% below the U.S. average of $57,450.
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 $47,655Billed $277,415
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: stomach, esophageal and duodenal procedures 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 | 53 | $316,451 | $43,376 | $37,006 |
| Mayo ClinicJacksonville | 31 | $169,785 | $62,139 | $42,650 |
| Gulf Coast Medical Center Lee HealthFort Myers | 29 | $223,116 | $38,341 | $35,615 |
| Shands Hospital at the University of FloridaGainesville | 26 | $299,721 | $58,754 | $52,971 |
| Baptist Medical CenterJacksonville | 24 | $250,328 | $43,350 | $38,367 |
| Tampa General HospitalTampa | 23 | $347,706 | $49,826 | $45,090 |
| Sarasota Memorial HospitalSarasota | 19 | $397,492 | $49,867 | $45,984 |
| Cleveland Clinic HospitalWeston | 19 | $121,693 | $42,262 | $36,203 |
| Orlando Regional HealthcareOrlando | 17 | $489,835 | $49,502 | $48,265 |
| Boca Raton Regional HospitalBoca Raton | 16 | $264,445 | $43,598 | $40,067 |
| Shands Jacksonville Medical CenterJacksonville | 15 | $332,184 | $56,095 | $52,094 |
| Martin Memorial Health SystemsStuart | 14 | $116,547 | $31,941 | $30,746 |
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 | $31,941 |
|---|---|
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $38,341 |
| Cleveland Clinic HospitalWeston, FL | $42,262 |
| Baptist Medical CenterJacksonville, FL | $43,350 |
| Adventhealth OrlandoOrlando, FL | $43,376 |
Highest
| Mayo ClinicJacksonville, FL | $62,139 |
|---|---|
| Shands Hospital at the University of FloridaGainesville, FL | $58,754 |
| Shands Jacksonville Medical CenterJacksonville, FL | $56,095 |
| Sarasota Memorial HospitalSarasota, FL | $49,867 |
| Tampa General HospitalTampa, FL | $49,826 |
Stomach, esophageal and duodenal procedures with major complications in other states
Questions
How much does stomach, esophageal and duodenal procedures with major complications cost in Florida?
In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures with major complications (DRG 326) at 12 hospitals in Florida was billed at $277,415 on average, while the average total payment was $47,655, of which Medicare paid $41,561. 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 5.8 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.