Urinary stones without major complications in Florida
What 15 hospitals in Florida charged and were paid for a Medicare hospital stay for urinary stones without major complications (DRG 694), from 2024 Medicare claims.
Average charge
$59,408
Hospital list price billed
Average payment
$7,104
Medicare + patient + other payers
Medicare paid
$4,878
Average per stay
State rank
#1 of 6
1 = lowest average payment
Hospitals in Florida billed an average of $59,408 for urinary stones without major complications, about 8.4 times the average total payment of $7,104. That payment is 12% below the U.S. average of $8,073.
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 $7,104Billed $59,408
About 12¢ was paid for every $1 hospitals in Florida billed for this stay.
Florida hospitals: urinary stones 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 |
|---|---|---|---|---|
| Adventhealth OrlandoOrlando | 40 | $53,399 | $8,230 | $4,326 |
| Ocala Regional Medical CenterOcala | 30 | $135,111 | $6,744 | $5,232 |
| Sarasota Memorial HospitalSarasota | 26 | $38,070 | $6,194 | $4,611 |
| Lakeland Regional Medical CenterLakeland | 16 | $38,392 | $6,881 | $5,572 |
| Bethesda Memorial HospitalBoynton Beach | 15 | $58,079 | $7,167 | $4,871 |
| Holmes Regional Medical CenterMelbourne | 14 | $29,012 | $6,312 | $4,788 |
| Baptist Medical CenterJacksonville | 14 | $41,953 | $7,245 | $4,578 |
| North Florida Regional Medical CenterGainesville | 14 | $93,574 | $7,201 | $5,620 |
| Orlando Regional HealthcareOrlando | 13 | $55,661 | $8,313 | $6,338 |
| Morton Plant HospitalClearwater | 13 | $46,439 | $6,578 | $5,361 |
| Physicians Regional Medical Center - Pine RidgeNaples | 12 | $48,962 | $5,257 | $4,033 |
| Adventhealth Daytona BeachDaytona Beach | 11 | $30,920 | $5,888 | $4,702 |
| Jfk Medical CenterAtlantis | 11 | $61,764 | $7,249 | $5,558 |
| Indian River Medical CenterVero Beach | 11 | $24,129 | $5,899 | $4,397 |
| St Lucie Medical CenterPort St Lucie | 11 | $67,602 | $10,563 | $3,716 |
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 | $5,257 |
|---|---|
| Adventhealth Daytona BeachDaytona Beach, FL | $5,888 |
| Indian River Medical CenterVero Beach, FL | $5,899 |
| Sarasota Memorial HospitalSarasota, FL | $6,194 |
| Holmes Regional Medical CenterMelbourne, FL | $6,312 |
Highest
| St Lucie Medical CenterPort St Lucie, FL | $10,563 |
|---|---|
| Orlando Regional HealthcareOrlando, FL | $8,313 |
| Adventhealth OrlandoOrlando, FL | $8,230 |
| Jfk Medical CenterAtlantis, FL | $7,249 |
| Baptist Medical CenterJacksonville, FL | $7,245 |
Urinary stones without major complications in other states
Questions
How much does urinary stones without major complications cost in Florida?
In 2024 Medicare data, a hospital stay for urinary stones without major complications (DRG 694) at 15 hospitals in Florida was billed at $59,408 on average, while the average total payment was $7,104, of which Medicare paid $4,878. 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 8.4 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.