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The Price of Medicare Procedures in Florida



This table shows the 100 most frequently charged procedures/diagnosis in Florida to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Florida 1794 $29308 $5013 $24295
Acute Myocardial Infarction Discharged Alive With Complications
 Florida 3269 $39188 $7236 $31952
Acute Myocardial Infarction Discharged Alive With Major Complications
 Florida 4931 $56805 $11188 $45617
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Florida 1469 $17371 $4169 $13202
Atherosclerosis No Major Complications
 Florida 2630 $20327 $3800 $16527
Back And Neck Proc Exc Spinal Fusion No Complications
 Florida 2429 $41054 $6295 $34759
Bronchitis And Asthma No Complications
 Florida 1877 $20788 $3912 $16876
Bronchitis And Asthma With Complications
 Florida 2820 $28529 $5448 $23081
Cardiac Arrhythmia And Conduction Disorders No Complications
 Florida 10748 $17832 $3540 $14292
Cardiac Arrhythmia And Conduction Disorders With Complications
 Florida 8161 $25508 $5155 $20353
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Florida 4182 $36407 $7709 $28698
Cellulitis No Major Complications
 Florida 10559 $25471 $5275 $20196
Cellulitis With Major Complications
 Florida 1357 $43420 $9235 $34185
Cervical Spinal Fusion No Complications
 Florida 2144 $68384 $13018 $55366
Chest Pain
 Florida 9722 $21396 $3578 $17818
Chronic Obstructive Pulmonary Disease No Complications
 Florida 9566 $23968 $4534 $19434
Chronic Obstructive Pulmonary Disease With Complications
 Florida 12217 $32205 $6099 $26106
Chronic Obstructive Pulmonary Disease With Major Complications
 Florida 11582 $39026 $7410 $31616
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Florida 9570 $42374 $6838 $35536
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Florida 1559 $68603 $13197 $55406
Cranial And Peripheral Nerve Disorders No Major Complications
 Florida 1828 $29396 $5540 $23856
Degenerative Nervous System Disorders No Major Complications
 Florida 2834 $26941 $5774 $21167
Diabetes With Complications
 Florida 3535 $26997 $5355 $21642
Disorders Of Pancreas Except Malignancy With Complications
 Florida 1292 $37676 $6340 $31336
Dysequilibrium
 Florida 2305 $23115 $4023 $19092
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Florida 21298 $27105 $4566 $22539
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Florida 3212 $40249 $7687 $32562
Extracranial Procedures No Complications
 Florida 2847 $38464 $6146 $32318
Fractures Of Hip And Pelvis No Major Complications
 Florida 2302 $21110 $4241 $16869
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Florida 1947 $21996 $4394 $17602
Gi Hemorrhage No Complications
 Florida 3056 $23739 $4525 $19214
Gi Hemorrhage With Complications
 Florida 10293 $32281 $6280 $26001
Gi Hemorrhage With Major Complications
 Florida 3409 $54357 $11119 $43238
Gi Obstruction No Complications
 Florida 2984 $22859 $3987 $18872
Gi Obstruction With Complications
 Florida 4179 $30847 $5868 $24979
Heart Failure And Shock No Complications
 Florida 6709 $20832 $4234 $16598
Heart Failure And Shock With Complications
 Florida 16639 $30027 $6310 $23717
Heart Failure And Shock With Major Complications
 Florida 14409 $46190 $9405 $36785
Hip And Femur Procedures Except Major Joint No Complications
 Florida 1947 $50455 $9353 $41102
Hip And Femur Procedures Except Major Joint With Complications
 Florida 6077 $62599 $11419 $51180
Hip And Femur Procedures Except Major Joint With Major Complications
 Florida 1404 $95253 $19098 $76155
Hypertension No Major Complications
 Florida 2775 $20835 $4043 $16792
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Florida 2758 $169179 $36192 $132987
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Florida 4207 $28580 $5183 $23397
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Florida 7326 $36877 $7181 $29696
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Florida 4194 $58736 $12157 $46579
Kidney And Urinary Tract Infections No Major Complications
 Florida 16405 $25550 $4912 $20638
Kidney And Urinary Tract Infections With Major Complications
 Florida 5400 $37133 $7488 $29645
Laparoscopic Cholecystectomy No Cde No Complications
 Florida 1633 $48334 $7531 $40803
Laparoscopic Cholecystectomy No Cde With Complications
 Florida 1791 $63639 $10407 $53232
Major Cardiovasc Procedures No Major Complications
 Florida 2780 $103199 $19936 $83263
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Florida 2826 $37962 $7964 $29998
Major Joint Replacement Of Lower Extremity No Major Complications
 Florida 29985 $62092 $12789 $49303
Major Joint Replacement Of Lower Extremity With Major Complications
 Florida 1523 $98012 $20043 $77969
Major Small And Large Bowel Procedures With Complications
 Florida 3778 $85506 $16251 $69255
Major Small And Large Bowel Procedures With Major Complications
 Florida 2910 $165071 $34049 $131022
Medical Back Problems No Major Complications
 Florida 5132 $27134 $5110 $22024
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Florida 9901 $22072 $4329 $17743
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Florida 3323 $32786 $7205 $25581
Other Circulatory System Diagnoses With Complications
 Florida 1722 $30292 $6322 $23970
Other Circulatory System Diagnoses With Major Complications
 Florida 4205 $58481 $12104 $46377
Other Digestive System Diagnoses With Complications
 Florida 3726 $33317 $6341 $26976
Other Kidney And Urinary Tract Diagnoses With Complications
 Florida 1840 $30298 $7037 $23261
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Florida 1340 $48058 $11711 $36347
Other Vascular Procedures No Complications
 Florida 1792 $57492 $10124 $47368
Other Vascular Procedures With Complications
 Florida 2943 $79753 $15511 $64242
Other Vascular Procedures With Major Complications
 Florida 3329 $94419 $20337 $74082
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Florida 2949 $78106 $12054 $66052
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Florida 8241 $77938 $12671 $65267
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Florida 2016 $113350 $20514 $92836
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Florida 2362 $74146 $11133 $63013
Peripheral Vascular Disorders No Complications
 Florida 1985 $19080 $4074 $15006
Peripheral Vascular Disorders With Complications
 Florida 3569 $29331 $6086 $23245
Permanent Cardiac Pacemaker Implant No Complications
 Florida 2548 $63051 $12339 $50712
Permanent Cardiac Pacemaker Implant With Complications
 Florida 2753 $77310 $15920 $61390
Poisoning And Toxic Effects Of Drugs No Major Complications
 Florida 2468 $21341 $4014 $17327
Poisoning And Toxic Effects Of Drugs With Major Complications
 Florida 1485 $47521 $9633 $37888
Psychoses
 Florida 8737 $20023 $7006 $13017
Pulmonary Edema And Respiratory Failure
 Florida 5411 $40764 $8129 $32635
Pulmonary Embolism No Major Complications
 Florida 2077 $33745 $6637 $27108
Red Blood Cell Disorders No Major Complications
 Florida 8681 $24594 $5130 $19464
Red Blood Cell Disorders With Major Complications
 Florida 2054 $40189 $8505 $31684
Renal Failure No Complications
 Florida 1635 $21361 $4188 $17173
Renal Failure With Complications
 Florida 11205 $31773 $6342 $25431
Renal Failure With Major Complications
 Florida 7620 $48665 $10507 $38158
Respiratory Infections And Inflammations With Complications
 Florida 3862 $46344 $9075 $37269
Respiratory Infections And Inflammations With Major Complications
 Florida 4785 $64640 $12633 $52007
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Florida 1950 $157572 $34657 $122915
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Florida 5231 $73093 $14633 $58460
Seizures No Major Complications
 Florida 4068 $25327 $5014 $20313
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Florida 7199 $36829 $7095 $29734
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Florida 18660 $62484 $12161 $50323
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Florida 1343 $181537 $39562 $141975
Signs And Symptoms No Major Complications
 Florida 3972 $22613 $4291 $18322
Simple Pneumonia And Pleurisy No Complications
 Florida 5240 $24049 $4447 $19602
Simple Pneumonia And Pleurisy With Complications
 Florida 12144 $33576 $6347 $27229
Simple Pneumonia And Pleurisy With Major Complications
 Florida 7781 $49521 $9220 $40301
Spinal Fusion Except Cervical No Major Complications
 Florida 5754 $111737 $24255 $87482
Syncope And Collapse
 Florida 13168 $25778 $4531 $21247
Transient Ischemia
 Florida 7270 $27166 $4596 $22570


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

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