Simple Pneumonia and Pleurisy Without Cc/Mcc in Florida
MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc
$34,195typical hospital bill
$5,624typical amount paid
$4,118–$14,730range paid across 14 hospitals
Florida hospitals billed Medicare a typical $34,195 for this stay in 2024, about 6.1 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)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Sarasota Memorial Hospital - Venice | North Venice | 17 | $32,081 | $4,118 | – | – | |
| Physicians Regional Medical Center - Pine Ridge | Naples | 27 | $48,220 | $4,299 | – | – | |
| Cleveland Clinic Martin North Hospital | Stuart | 19 | $20,430 | $4,483 | – | – | |
| Boca Raton Regional Hospital | Boca Raton | 33 | $28,393 | $4,870 | – | – | |
| Naples Community Hospital | Naples | 20 | $36,819 | $5,218 | – | – | |
| Sarasota Memorial Hospital | Sarasota | 22 | $29,518 | $5,379 | – | – | |
| Bethesda Hospital East | Boynton Beach | 27 | $41,185 | $5,622 | – | – | |
| Marion Communtiy Hospital | Ocala | 13 | $63,715 | $5,626 | – | – | |
| Baptist Health Medical Center - Jacksonville | Jacksonville | 15 | $38,921 | $5,641 | – | – | |
| Lee Memorial Hospital | Fort Myers | 13 | $28,661 | $5,815 | – | – | |
| Lakeland Regional Medical Center | Lakeland | 19 | $29,113 | $5,976 | – | – | |
| Mount Sinai Medical Center of Florida, Inc | Miami Beach | 12 | $35,705 | $6,029 | – | – | |
| AdventHealth Orlando | Orlando | 26 | $45,275 | $6,768 | – | – | |
| Jackson Health System | Miami | 21 | $32,686 | $14,730 | $10,450 | $7,358$6,126–$31,559 · 44 plans | |
| Tampa General Hospital | Tampa | – | – | – | – | $12,488$9,509–$18,461 · 19 plans | |
| UF Health Shands Hospital | Gainesville | – | – | – | – | $8,319$5,602–$12,876 · 18 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.