Reemplazo de cadera después de una fractura de cadera en Florida
MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc
Los hospitales de Florida facturaron a Medicare una cantidad típica de $131,712 por esta hospitalización en 2024, unas 8.2 veces lo que realmente se pagó. El pago de Medicare depende sobre todo de la ubicación del hospital y de si es hospital universitario; la factura depende de la lista de precios del propio hospital, por eso las facturas varían mucho más que los pagos.
Hospitales de Florida comparados
Facturado (precio de lista)Lo que realmente se pagó (Medicare + paciente)
| Hospital | Ciudad | Hospitalizaciones de Medicare | Facturado | Pagado | Precio en efectivo | Aseguradoras (mediana) | |
|---|---|---|---|---|---|---|---|
| West Boca Medical Center | Boca Raton | 14 | $178,863 | $10,839 | – | – | |
| Delray Medical Center | Delray Beach | 76 | $213,563 | $13,392 | – | – | |
| Orlando Health Sebastian River Hospital | Sebastian | 15 | $148,703 | $13,469 | – | – | |
| The Villages Regional Hospital | The Villages | 17 | $82,590 | $13,603 | – | – | |
| HCA Florida Twin Cities Hospital | Niceville | 11 | $211,448 | $13,719 | – | – | |
| Cleveland Clinic Martin North Hospital | Stuart | 76 | $78,602 | $13,768 | – | $28,299$17,829–$37,295 · 21 planes | |
| HCA Florida Englewood Hospital | Englewood | 17 | $215,522 | $13,790 | – | – | |
| Viera Hospital | Melbourne | 17 | $113,540 | $13,886 | – | – | |
| Lakewood Ranch Medical Center | Bradenton | 32 | $192,000 | $13,988 | – | – | |
| HCA Florida Fawcett Hospital | Port Charlotte | 28 | $249,501 | $14,000 | – | $16,757$15,273–$37,494 · 37 planes | |
| HCA Florida Highlands Hospital | Sebring | 12 | $199,212 | $14,017 | – | – | |
| Jupiter Medical Center | Jupiter | 40 | $90,926 | $14,098 | – | – | |
| Palm Beach Gardens Medical Center | Palm Beach Gardens | 26 | $226,540 | $14,159 | – | – | |
| Sarasota Memorial Hospital - Venice | North Venice | 61 | $103,789 | $14,252 | – | – | |
| HCA Florida Sarasota Doctors Hospital | Sarasota | 13 | $203,127 | $14,255 | – | $18,767$16,819–$38,115 · 40 planes | |
| UF Health Leesburg Hospital | Leesburg | 67 | $76,376 | $14,356 | – | – | |
| Cleveland Clinic Indian River Hospital | Vero Beach | 40 | $60,085 | $14,366 | – | $22,603$17,251–$39,589 · 18 planes | |
| Mease Countryside Hospital | Safety Harbor | 43 | $92,237 | $14,366 | – | – | |
| Baptist Medical Center Beaches | Jacksonville Beach | 31 | $117,446 | $14,369 | – | – | |
| Tampa General Hospital Crystal River | Crystal River | 18 | $175,391 | $14,395 | – | – | |
| Orlando Health Melbourne Hospital | Melbourne | 14 | $156,250 | $14,399 | – | – | |
| AdventHealth Port Charlotte | Port Charlotte | 14 | $170,291 | $14,605 | – | – | |
| Good Samaritan Medical Center | West Palm Beach | 13 | $242,823 | $14,669 | – | – | |
| Orlando Health South Lake Hospital | Clermont | 16 | $184,643 | $14,689 | – | – | |
| HCA Florida West Hospital | Pensacola | 28 | $182,982 | $14,694 | – | – | |
| AdventHealth Daytona Beach | Daytona Beach | 28 | $100,757 | $14,698 | – | – | |
| AdventHealth Waterman | Tavares | 34 | $93,543 | $14,728 | – | – | |
| Gulf Coast Medical Center Lee Health | Fort Myers | 76 | $126,450 | $14,795 | – | – | |
| AdventHealth Wesley Chapel | Wesley Chapel | 16 | $140,788 | $15,052 | – | – | |
| Physicians Regional Medical Center - Pine Ridge | Naples | 68 | $204,514 | $15,086 | – | – | |
| AdventHealth New Smyrna Beach | New Smyrna Beach | 12 | $80,091 | $15,090 | – | – | |
| Cape Canaveral Hospital | Cocoa Beach | 15 | $95,532 | $15,146 | – | – | |
| HCA Florida Fort Walton-Destin Hospital | Fort Walton Beach | 39 | $229,946 | $15,189 | – | – | |
| Palm Bay Hospital | Palm Bay | 13 | $120,059 | $15,212 | – | – | |
| HCA Florida Gulf Coast Hospital | Panama City | 27 | $249,810 | $15,229 | – | $18,506$9,769–$41,975 · 37 planes | |
| Holmes Regional Medical Center | Melbourne | 28 | $115,951 | $15,259 | – | – | |
| Tampa General Hospital Brooksville | Brooksville | 20 | $173,666 | $15,269 | – | – | |
| HCA Florida Putnam Hospital | Palatka | 14 | $97,068 | $15,304 | – | – | |
| Ascension St Vincent's Riverside | Jacksonville | 43 | $108,104 | $15,308 | – | – | |
| Wellington Regional Medical Center | Wellington | 18 | $177,150 | $15,440 | – | – | |
| Mease Dunedin Hospital | Dunedin | 11 | $111,087 | $15,502 | – | – | |
| Parrish Medical Center | Titusville | 12 | $86,312 | $15,508 | – | – | |
| St Anthonys Hospital | Saint Petersburg | 27 | $85,174 | $15,546 | – | – | |
| Sarasota Memorial Hospital | Sarasota | 102 | $115,094 | $15,558 | – | – | |
| Ascension Sacred Heart Bay | Panama City | 41 | $90,960 | $15,585 | – | – | |
| Naples Community Hospital | Naples | 85 | $86,706 | $15,630 | – | – | |
| Oviedo Medical Center | Oviedo | 13 | $197,377 | $15,672 | – | – | |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach | 14 | $74,532 | $15,731 | – | – | |
| Tallahassee Memorial Healthcare | Tallahassee | 56 | $92,018 | $15,894 | – | – | |
| HCA Florida Capital Hospital | Tallahassee | 11 | $175,248 | $15,934 | – | – | |
| Baptist Hospital | Pensacola | 51 | $137,723 | $15,984 | – | – | |
| Boca Raton Regional Hospital | Boca Raton | 58 | $106,112 | $16,043 | – | – | |
| Winter Haven Hospital | Winter Haven | 18 | $94,280 | $16,046 | – | – | |
| Cape Coral Hospital | Cape Coral | 37 | $112,148 | $16,093 | – | – | |
| Lakeland Regional Medical Center | Lakeland | 47 | $98,746 | $16,119 | – | $17,772$15,975–$20,627 · 9 planes | |
| HCA Florida Oak Hill Hospital | Brooksville | 25 | $233,902 | $16,159 | – | – | |
| HCA Florida Lawnwood Hospital | Fort Pierce | 26 | $256,791 | $16,187 | – | – | |
| St Josephs Hospital | Tampa | 56 | $98,548 | $16,231 | – | $46,417$31,738–$62,498 · 14 planes | |
| Lee Memorial Hospital | Fort Myers | 47 | $118,465 | $16,279 | – | – | |
| AdventHealth Deland | Deland | 25 | $76,453 | $16,323 | – | – | |
| Holy Cross Hospital | Ft Lauderdale | 32 | $88,606 | $16,361 | – | – | |
| HCA Florida Memorial Hospital | Jacksonville | 11 | $252,226 | $16,394 | – | – | |
| HCA Florida JFK Hospital | Atlantis | 35 | $245,848 | $16,413 | – | – | |
| Gulf Breeze Hospital | Gulf Breeze | 15 | $125,506 | $16,506 | – | – | |
| Morton Plant Hospital | Clearwater | 53 | $100,225 | $16,612 | – | $46,417$31,738–$62,498 · 14 planes | |
| Baptist Health Medical Center - Jacksonville | Jacksonville | 59 | $104,340 | $16,652 | – | $35,188$27,756–$53,713 · 21 planes | |
| AdventHealth Ocala | Ocala | 17 | $198,933 | $16,707 | – | – | |
| Bethesda Hospital East | Boynton Beach | 58 | $114,839 | $16,723 | – | – | |
| AdventHealth Sebring | Sebring | 25 | $116,394 | $16,729 | – | – | |
| AdventHealth Orlando | Orlando | 113 | $144,994 | $16,863 | – | – | |
| Marion Communtiy Hospital | Ocala | 80 | $228,855 | $16,912 | – | – | |
| St Lucie Medical Center | Port Saint Lucie | 28 | $262,715 | $16,981 | – | – | |
| HCA Florida Blake Hospital | Bradenton | 34 | $181,974 | $17,096 | – | – | |
| Flagler Hospital | Saint Augustine | 38 | $68,726 | $17,117 | – | – | |
| Sacred Heart Hospital | Pensacola | 21 | $94,516 | $17,148 | – | – | |
| Manatee Memorial Hospital | Bradenton | 28 | $218,574 | $17,156 | – | – | |
| North Okaloosa Medical Center | Crestview | 15 | $185,656 | $17,163 | – | – | |
| Westside Regional Medical Center | Plantation | 12 | $210,306 | $17,461 | – | – | |
| AdventHealth Palm Coast | Palm Coast | 17 | $92,864 | $17,684 | – | – | |
| HCA Florida North Florida Hospital | Gainesville | 61 | $235,074 | $17,721 | – | $21,358$13,170–$41,055 · 43 planes | |
| Broward Health North | Deerfield Beach | 31 | $77,102 | $17,784 | – | – | |
| HCA Florida Citrus Hospital | Inverness | 23 | $213,329 | $17,890 | – | – | |
| Shorepoint Health Punta Gorda | Punta Gorda | 11 | $156,194 | $17,930 | – | – | |
| St Mary's Medical Center | West Palm Beach | 16 | $215,384 | $18,006 | – | – | |
| Halifax Health Medical Center | Daytona Beach | 37 | $88,102 | $18,161 | – | – | |
| Orlando Health | Orlando | 61 | $202,400 | $18,193 | – | – | |
| Orlando Health Bayfront Hospital | Saint Petersburg | 13 | $180,359 | $18,437 | – | – | |
| Cleveland Clinic Hospital | Weston | 14 | $75,440 | $18,607 | – | $24,153$16,294–$44,244 · 22 planes | |
| Mount Sinai Medical Center of Florida, Inc | Miami Beach | 18 | $79,444 | $18,805 | – | – | |
| HCA Florida Bayonet Point Hospital | Hudson | 22 | $261,997 | $18,838 | – | – | |
| Memorial Regional Hospital | Hollywood | 25 | $118,521 | $19,526 | – | – | |
| HCA Florida Brandon Hospital | Brandon | 19 | $209,477 | $19,638 | – | $23,126$20,965–$36,708 · 43 planes | |
| HCA Florida Trinity Hospital | Trinity | 14 | $240,074 | $19,706 | – | $21,895$19,706–$37,494 · 43 planes | |
| HCA Florida Aventura Hospital | Aventura | 25 | $197,989 | $19,780 | – | – | |
| Tampa General Hospital | Tampa | 30 | $171,319 | $19,879 | – | $38,185$26,892–$51,409 · 19 planes | |
| HCA Florida Osceola Hospital | Kissimmee | 22 | $270,404 | $19,975 | – | $24,497$16,722–$38,326 · 42 planes | |
| South Florida Baptist Hospital | Plant City | 12 | $93,589 | $20,019 | – | – | |
| Broward Health Medical Center | Fort Lauderdale | 17 | $103,593 | $20,038 | – | – | |
| Orlando Health-Health Central Hospital | Ocoee | 12 | $168,276 | $20,165 | – | – | |
| Doctors Hospital | Coral Gables | 22 | $115,928 | $20,499 | – | – | |
| Mayo Clinic | Jacksonville | 44 | $71,180 | $20,897 | – | – | |
| Baptist Hospital of Miami | Miami | 21 | $161,399 | $22,089 | – | – | |
| HCA Florida Orange Park Hospital | Orange Park | 31 | $267,765 | $22,484 | – | $21,141$15,756–$36,774 · 39 planes | |
| UF Health Shands Hospital | Gainesville | 50 | $109,167 | $22,646 | – | $29,777$18,609–$36,055 · 18 planes | |
| Shands Jacksonville | Jacksonville | 13 | $136,973 | $24,386 | – | – | |
| Jackson Health System | Miami | 20 | $74,709 | $25,722 | $22,515 | $29,857$20,640–$73,498 · 44 planes | |
| HCA Florida South Tampa Hospital | Tampa | – | – | – | – | $19,817$17,720–$37,494 · 43 planes |
Medicare: CMS, 2024 (hospitales con 11 o más hospitalizaciones de Medicare). Precios en efectivo y de aseguradoras: archivos de precios de los propios hospitales, donde se han leído; las cifras de aseguradoras son solo de planes comerciales, mediana y percentil 10 a 90 entre planes.
Qué es
Cuando la cadera se fractura cerca de la parte superior del fémur, los cirujanos a menudo reemplazan parte o toda la articulación en lugar de reparar el hueso. Este código incluye esos reemplazos hechos a causa de una fractura.
Esta página trata las hospitalizaciones sin complicaciones mayores. Los pacientes que además tienen otra afección grave se facturan con un código que paga más.
Qué esperar
La cirugía suele hacerse uno o dos días después de la caída. La hospitalización es más larga que en un reemplazo programado, a menudo de cuatro a seis días, y la mayoría de los pacientes pasan luego a rehabilitación.
Qué hace subir o bajar la factura
El implante, el tiempo en el quirófano y una hospitalización más larga son lo que más pesa en la factura. La rehabilitación se factura por separado.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por reemplazo de cadera después de una fractura de cadera en Florida?
En 106 hospitales de Florida, la factura típica por reemplazo de cadera después de una fractura de cadera fue de $131,712 en 2024, y Medicare y el paciente juntos pagaron típicamente $16,070. El hospital típico de EE. UU. facturó $85,674.
¿Qué hospitales de Florida facturan menos y más por reemplazo de cadera después de una fractura de cadera?
La factura promedio más baja es la de Cleveland Clinic Indian River Hospital, $60,085. La más alta es la de HCA Florida Osceola Hospital, $270,404. Son promedios de Medicare de 2024; cada factura depende de la atención que necesita cada paciente.
¿Por qué la factura del hospital es mucho más alta que lo que se paga?
La factura sale de la lista de precios del propio hospital, que cada hospital fija por su cuenta. Medicare paga una cantidad fija por cada tipo de hospitalización, calculada con una fórmula nacional, y las aseguradoras privadas negocian sus propias tarifas. Por eso casi nadie paga el precio de lista, pero a los pacientes sin seguro o fuera de la red se les puede cobrar a partir de él.
¿Cuánto pagaré yo?
Con Medicare Original usted debe el deducible de la Parte A por una hospitalización, $1,736 en 2026, sin importar cuánto facture el hospital. Con un seguro privado depende de su deducible, su coseguro y su máximo de gastos de bolsillo. Si no tiene seguro, pida el precio en efectivo del hospital y su política de asistencia financiera. El estimador de costos lo calcula para su situación.
Antes de ir
- Pida un estimado. Los hospitales deben dar a los pacientes sin seguro o que pagan por su cuenta un estimado de buena fe por escrito antes de la atención programada.
- Verifique la red. Confirme que el hospital y los médicos están en la red de su plan.
- Pregunte por ayuda financiera. Los hospitales sin fines de lucro deben tener una política de asistencia financiera; muchos rebajan o perdonan facturas según los ingresos.
- Pida una factura detallada. Compárela con el estimado y pregunte por todo lo que no reconozca.