US Health Care Costs

Pneumonia, with major complications in Florida

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$70,906typical hospital bill
$10,758typical amount paid
$8,202–$21,379range paid across 159 hospitals

Florida hospitals billed Medicare a typical $70,906 for this stay in 2024, about 6.6 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

HospitalCityMedicare staysBilledPaidCash priceInsurers (median)
Delray Medical CenterDelray Beach190$136,479$8,202
––
HCA Florida Englewood HospitalEnglewood58$93,698$8,433
––
The Villages Regional HospitalThe Villages139$50,919$8,489
––
Sarasota Memorial Hospital - VeniceNorth Venice114$49,717$8,522
––
Lakewood Ranch Medical CenterBradenton59$84,057$8,588
––
Viera HospitalMelbourne59$56,837$8,590
––
HCA Florida Fawcett HospitalPort Charlotte115$137,762$8,683
––
West Boca Medical CenterBoca Raton47$114,571$8,723
––
Jupiter Medical CenterJupiter154$44,258$8,736
––
Physicians Regional Medical Center - Pine RidgeNaples124$102,264$8,756
––
Palm Beach Gardens Medical CenterPalm Beach Gardens104$137,778$8,836
––
Orlando Health Sebastian River HospitalSebastian31$59,772$8,868
––
HCA Florida Sarasota Doctors HospitalSarasota55$94,984$8,932
––
Cleveland Clinic Martin North HospitalStuart258$43,035$9,043
––
HCA Florida South Shore HospitalSun City Center59$150,065$9,068
––
HCA Florida Pasadena Hospital a Part of HCA FloridSaint Petersburg50$135,644$9,097
––
UCF Lake Nona HospitalOrlando12$145,931$9,118
––
Tampa General Hospital Crystal RiverCrystal River41$72,662$9,128
––
Mease Countryside HospitalSafety Harbor90$48,714$9,179
––
Orlando Health Melbourne HospitalMelbourne27$51,388$9,209
––
Ascension St Vincent's St Johns CountySt. Johns25$50,224$9,230
––
UF Health Leesburg HospitalLeesburg69$50,933$9,252
––
HCA Florida Highlands HospitalSebring49$95,860$9,262
––
HCA Florida Twin Cities HospitalNiceville32$136,208$9,271
––
Good Samaritan Medical CenterWest Palm Beach54$140,343$9,340
––
Cleveland Clinic Indian River HospitalVero Beach111$40,681$9,410
––
AdventHealth New Smyrna BeachNew Smyrna Beach50$36,252$9,438
––
Orlando Health South Lake HospitalClermont44$72,491$9,488
––
AdventHealth Port CharlottePort Charlotte110$94,105$9,531
––
North Okaloosa Medical CenterCrestview59$88,894$9,610
––
Cape Coral HospitalCape Coral128$48,430$9,613
––
AdventHealth WatermanTavares103$49,923$9,643
––
Ascension St Vincent's Clay CountyMiddleburg63$41,856$9,680
––
Baptist Medical Center BeachesJacksonville Beach68$69,069$9,708
––
AdventHealth Daytona BeachDaytona Beach107$51,074$9,746
––
AdventHealth OcalaOcala91$66,057$9,756
––
AdventHealth Palm Coast ParkwayPalm Coast41$47,183$9,764
––
AdventHealth North PinellasTarpon Springs34$60,542$9,781
––
AdventHealth Dade CityDade City26$64,228$9,788
––
HCA Florida Putnam HospitalPalatka49$70,436$9,804
––
Santa Rosa Medical CenterMilton39$68,170$9,840
––
Gulf Coast Medical Center Lee HealthFort Myers147$56,307$9,850
––
HCA Florida Fort Walton-Destin HospitalFort Walton Beach95$132,807$9,861
––
Baptist Medical Center - NassauFernandina Beach40$54,219$9,949
––
Orlando Health Rockledge HospitalRockledge60$69,170$9,958
––
HCA Florida West HospitalPensacola99$72,707$10,009
––
Sarasota Memorial HospitalSarasota284$52,024$10,015
––
Mease Dunedin HospitalDunedin21$46,293$10,027
––
Tampa General Hospital BrooksvilleBrooksville56$87,268$10,074
––
AdventHealth Fish MemorialOrange City46$47,713$10,080
––
Boca Raton Regional HospitalBoca Raton193$54,651$10,138
––
Morton Plant HospitalClearwater111$52,089$10,155
––
Palm Bay HospitalPalm Bay61$56,991$10,164
––
Ascension St Vincent's SouthsideJacksonville29$39,897$10,176
––
Orlando Health-Health Central HospitalOcoee30$64,925$10,188
––
Oviedo Medical CenterOviedo46$79,846$10,206
––
Wellington Regional Medical CenterWellington88$128,426$10,228
––
AdventHealth SebringSebring50$48,896$10,234
––
Naples Community HospitalNaples209$58,307$10,252
––
Sacred Heart Hospital on the Emerald CoastMiramar Beach104$39,043$10,256
––
AdventHealth Lake WalesLake Wales16$70,906$10,279
––
AdventHealth Wesley ChapelWesley Chapel62$74,067$10,310
––
Cape Canaveral HospitalCocoa Beach60$49,330$10,316
––
Lakeland Regional Medical CenterLakeland101$45,820$10,319
––
HCA Florida Gulf Coast HospitalPanama City93$125,088$10,356
––
Ascension Sacred Heart BayPanama City69$51,194$10,382
––
HCA Florida Lawnwood HospitalFort Pierce39$107,164$10,383
––
HCA Florida Capital HospitalTallahassee61$92,657$10,405
––
Holmes Regional Medical CenterMelbourne123$59,050$10,421
––
Baptist HospitalPensacola78$53,113$10,466
––
Winter Haven HospitalWinter Haven82$55,659$10,468
––
Orlando Health St Cloud HospitalSaint Cloud27$79,315$10,500
––
AdventHealth DelandDeland81$48,790$10,536
––
Parrish Medical CenterTitusville44$42,736$10,541
––
St Mary's Medical CenterWest Palm Beach24$113,862$10,705
––
Doctors HospitalCoral Gables55$89,002$10,711
––
AdventHealth Heart of FloridaDavenport29$83,070$10,714
––
Lee Memorial HospitalFort Myers167$45,149$10,724
––
St Anthonys HospitalSaint Petersburg109$53,025$10,757
––
University Hospital and Medical CenterTamarac28$169,797$10,758
––
Flagler HospitalSaint Augustine75$58,744$10,758
––
Morton Plant North Bay HospitalNew Port Richey61$47,431$10,772
––
Keralty HospitalMiami31$27,780$10,780
––
HCA Florida Memorial HospitalJacksonville46$137,840$10,786
––
Tallahassee Memorial HealthcareTallahassee83$65,056$10,798
––
HCA Florida Raulerson HospitalOkeechobee41$113,748$10,817
––
Ascension St Vincent's RiversideJacksonville70$45,065$10,822
––
Manatee Memorial HospitalBradenton61$101,487$10,855
––
HCA Florida Northside HospitalSaint Petersburg72$146,550$10,856
––
St Josephs HospitalTampa153$48,514$10,869
––
Coral Gables HospitalCoral Gables48$118,890$10,937
––
AdventHealth Palm CoastPalm Coast28$40,737$10,947
––
Broward Health Coral SpringsCoral Springs55$63,800$10,954
––
HCA Florida South Tampa HospitalTampa22$117,765$10,961
––
Sacred Heart HospitalPensacola131$40,628$10,964
––
Bethesda Hospital EastBoynton Beach157$82,866$10,976
––
Holy Cross HospitalFt Lauderdale102$48,079$10,977
––
Halifax Health Medical CenterDaytona Beach67$45,943$11,058
––
North Shore Medical CenterMiami37$88,930$11,073
––
South Florida Baptist HospitalPlant City18$55,846$11,080
––
Marion Communtiy HospitalOcala202$75,245$11,098
––
HCA Florida JFK HospitalAtlantis128$106,246$11,118
––
HCA Florida Northwest HospitalMargate38$133,895$11,124
––
St Lucie Medical CenterPort Saint Lucie95$102,612$11,142
––
Gulf Breeze HospitalGulf Breeze27$44,604$11,144
––
AdventHealth CarrollwoodTampa30$81,833$11,154
––
AdventHealth ZephyrhillsZephyrhills58$60,791$11,192
––
Jackson HospitalMarianna18$21,626$11,199
––
HCA Florida Poinciana HospitalKissimmee30$141,844$11,313
––
South Miami HospitalMiami58$81,882$11,382
––
Baptist Health Medical Center - JacksonvilleJacksonville222$75,236$11,383
––
Halifax Health /UF Health Medical Center of DeltonDeltona15$46,004$11,387
––
HCA Florida Citrus HospitalInverness37$104,765$11,399
––
Cleveland Clinic HospitalWeston38$36,876$11,415
––
Central Florida Lake Monroe HospitalSanford34$77,434$11,506
––
Broward Health NorthDeerfield Beach32$55,512$11,523
––
Shorepoint Health Punta GordaPunta Gorda66$88,603$11,585
––
Bartow Regional Medical CenterBartow15$36,560$11,622
––
HCA Florida Blake HospitalBradenton56$101,198$11,663
––
Hialeah HospitalHialeah43$102,880$11,676
––
Westside Regional Medical CenterPlantation57$127,658$11,692
––
Orlando HealthOrlando98$75,485$11,772
––
AdventHealth TampaTampa77$87,222$11,796
––
Orlando Health Bayfront HospitalSaint Petersburg33$107,912$11,812
––
HCA Florida Oak Hill HospitalBrooksville84$137,788$11,824
––
Palmetto General HospitalHialeah27$82,645$11,826
––
HCA Florida North Florida HospitalGainesville143$131,251$11,842
––
AdventHealth OrlandoOrlando338$81,153$11,902
––
Mount Sinai Medical Center of Florida, IncMiami Beach82$55,305$11,940
––
HCA Florida Bayonet Point HospitalHudson63$123,607$11,945
––
HCA Florida Trinity HospitalTrinity61$130,538$11,949
––
Broward Health Imperial PointFort Lauderdale18$51,507$12,168
––
HCA Florida Lake City HospitalLake City100$64,097$12,296
––
Memorial Hospital WestPembroke Pines58$135,829$12,399
––
HCA Florida Palms West HospitalLoxahatchee54$124,713$12,404
––
HCA Florida Orange Park HospitalOrange Park62$181,473$12,604
––
HCA Florida Mercy HospitalPlantation41$159,773$12,725
––
Memorial Hospital MiramarMiramar23$110,169$12,805
––
West Kendall Baptist HospitalMiami90$88,802$13,001
––
Memorial Hospital PembrokePembroke Pines22$103,328$13,035
––
HCA Florida Brandon HospitalBrandon71$115,464$13,044
––
HCA Florida Largo HospitalLargo32$97,530$13,073
––
HCA Florida St Petersburg HospitalSaint Petersburg36$160,052$13,310
––
Baptist Hospital of MiamiMiami171$109,465$13,387
––
HCA Florida Aventura HospitalAventura99$129,352$13,444
––
Desoto Memorial HospitalArcadia21$34,871$13,843
––
Tampa General HospitalTampa76$66,177$13,892
–$24,230$15,950–$30,004 · 19 plans
HCA Florida Kendall HospitalMiami74$128,594$14,044
––
HCA Florida Osceola HospitalKissimmee35$126,046$14,153
––
Ascension Sacred Heart GulfPort Saint Joe13$27,506$14,407
––
UF Health Shands HospitalGainesville138$55,276$14,438
–$18,996$12,038–$23,685 · 18 plans
Broward Health Medical CenterFort Lauderdale59$66,848$14,563
––
Mayo ClinicJacksonville94$51,338$15,494
––
Lower Keys Medical CenterKey West33$70,415$15,919
––
Memorial Regional HospitalHollywood59$115,818$15,929
––
Homestead HospitalHomestead50$84,931$16,390
––
Shands JacksonvilleJacksonville48$57,649$17,263
––
Larkin Community Hospital Palm Springs CampusHialeah43$69,698$20,197
––
Jackson Health SystemMiami111$61,724$21,379
$11,200$15,389$12,811–$61,088 · 44 plans

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.