Neumonía, con complicaciones mayores en Florida
MS-DRG 193: Simple pneumonia and pleurisy with mcc
Los hospitales de Florida facturaron a Medicare una cantidad típica de $70,906 por esta hospitalización en 2024, unas 6.6 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.
Relacionados:Neumonía, con complicaciones
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) | |
|---|---|---|---|---|---|---|---|
| Delray Medical Center | Delray Beach | 190 | $136,479 | $8,202 | – | – | |
| HCA Florida Englewood Hospital | Englewood | 58 | $93,698 | $8,433 | – | – | |
| The Villages Regional Hospital | The Villages | 139 | $50,919 | $8,489 | – | – | |
| Sarasota Memorial Hospital - Venice | North Venice | 114 | $49,717 | $8,522 | – | – | |
| Lakewood Ranch Medical Center | Bradenton | 59 | $84,057 | $8,588 | – | – | |
| Viera Hospital | Melbourne | 59 | $56,837 | $8,590 | – | – | |
| HCA Florida Fawcett Hospital | Port Charlotte | 115 | $137,762 | $8,683 | – | $10,120$9,255–$21,505 · 37 planes | |
| West Boca Medical Center | Boca Raton | 47 | $114,571 | $8,723 | – | – | |
| Jupiter Medical Center | Jupiter | 154 | $44,258 | $8,736 | – | – | |
| Physicians Regional Medical Center - Pine Ridge | Naples | 124 | $102,264 | $8,756 | – | – | |
| Palm Beach Gardens Medical Center | Palm Beach Gardens | 104 | $137,778 | $8,836 | – | – | |
| Orlando Health Sebastian River Hospital | Sebastian | 31 | $59,772 | $8,868 | – | – | |
| HCA Florida Sarasota Doctors Hospital | Sarasota | 55 | $94,984 | $8,932 | – | $11,163$8,877–$21,445 · 40 planes | |
| Cleveland Clinic Martin North Hospital | Stuart | 258 | $43,035 | $9,043 | – | $18,018$11,365–$23,148 · 21 planes | |
| HCA Florida South Shore Hospital | Sun City Center | 59 | $150,065 | $9,068 | – | – | |
| HCA Florida Pasadena Hospital a Part of HCA Florid | Saint Petersburg | 50 | $135,644 | $9,097 | – | – | |
| UCF Lake Nona Hospital | Orlando | 12 | $145,931 | $9,118 | – | – | |
| Tampa General Hospital Crystal River | Crystal River | 41 | $72,662 | $9,128 | – | – | |
| Mease Countryside Hospital | Safety Harbor | 90 | $48,714 | $9,179 | – | – | |
| Orlando Health Melbourne Hospital | Melbourne | 27 | $51,388 | $9,209 | – | – | |
| Ascension St Vincent's St Johns County | St. Johns | 25 | $50,224 | $9,230 | – | – | |
| UF Health Leesburg Hospital | Leesburg | 69 | $50,933 | $9,252 | – | – | |
| HCA Florida Highlands Hospital | Sebring | 49 | $95,860 | $9,262 | – | – | |
| HCA Florida Twin Cities Hospital | Niceville | 32 | $136,208 | $9,271 | – | – | |
| Good Samaritan Medical Center | West Palm Beach | 54 | $140,343 | $9,340 | – | – | |
| Cleveland Clinic Indian River Hospital | Vero Beach | 111 | $40,681 | $9,410 | – | $14,029$10,887–$20,379 · 18 planes | |
| AdventHealth New Smyrna Beach | New Smyrna Beach | 50 | $36,252 | $9,438 | – | – | |
| Orlando Health South Lake Hospital | Clermont | 44 | $72,491 | $9,488 | – | – | |
| AdventHealth Port Charlotte | Port Charlotte | 110 | $94,105 | $9,531 | – | – | |
| North Okaloosa Medical Center | Crestview | 59 | $88,894 | $9,610 | – | – | |
| Cape Coral Hospital | Cape Coral | 128 | $48,430 | $9,613 | – | – | |
| AdventHealth Waterman | Tavares | 103 | $49,923 | $9,643 | – | – | |
| Ascension St Vincent's Clay County | Middleburg | 63 | $41,856 | $9,680 | – | – | |
| Baptist Medical Center Beaches | Jacksonville Beach | 68 | $69,069 | $9,708 | – | – | |
| AdventHealth Daytona Beach | Daytona Beach | 107 | $51,074 | $9,746 | – | – | |
| AdventHealth Ocala | Ocala | 91 | $66,057 | $9,756 | – | – | |
| AdventHealth Palm Coast Parkway | Palm Coast | 41 | $47,183 | $9,764 | – | – | |
| AdventHealth North Pinellas | Tarpon Springs | 34 | $60,542 | $9,781 | – | – | |
| AdventHealth Dade City | Dade City | 26 | $64,228 | $9,788 | – | – | |
| HCA Florida Putnam Hospital | Palatka | 49 | $70,436 | $9,804 | – | – | |
| Santa Rosa Medical Center | Milton | 39 | $68,170 | $9,840 | – | – | |
| Gulf Coast Medical Center Lee Health | Fort Myers | 147 | $56,307 | $9,850 | – | – | |
| HCA Florida Fort Walton-Destin Hospital | Fort Walton Beach | 95 | $132,807 | $9,861 | – | – | |
| Baptist Medical Center - Nassau | Fernandina Beach | 40 | $54,219 | $9,949 | – | – | |
| Orlando Health Rockledge Hospital | Rockledge | 60 | $69,170 | $9,958 | – | – | |
| HCA Florida West Hospital | Pensacola | 99 | $72,707 | $10,009 | – | – | |
| Sarasota Memorial Hospital | Sarasota | 284 | $52,024 | $10,015 | – | – | |
| Mease Dunedin Hospital | Dunedin | 21 | $46,293 | $10,027 | – | – | |
| Tampa General Hospital Brooksville | Brooksville | 56 | $87,268 | $10,074 | – | – | |
| AdventHealth Fish Memorial | Orange City | 46 | $47,713 | $10,080 | – | – | |
| Boca Raton Regional Hospital | Boca Raton | 193 | $54,651 | $10,138 | – | – | |
| Morton Plant Hospital | Clearwater | 111 | $52,089 | $10,155 | – | $27,609$16,371–$39,000 · 15 planes | |
| Palm Bay Hospital | Palm Bay | 61 | $56,991 | $10,164 | – | – | |
| Ascension St Vincent's Southside | Jacksonville | 29 | $39,897 | $10,176 | – | – | |
| Orlando Health-Health Central Hospital | Ocoee | 30 | $64,925 | $10,188 | – | – | |
| Oviedo Medical Center | Oviedo | 46 | $79,846 | $10,206 | – | – | |
| Wellington Regional Medical Center | Wellington | 88 | $128,426 | $10,228 | – | – | |
| AdventHealth Sebring | Sebring | 50 | $48,896 | $10,234 | – | – | |
| Naples Community Hospital | Naples | 209 | $58,307 | $10,252 | – | – | |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach | 104 | $39,043 | $10,256 | – | – | |
| AdventHealth Lake Wales | Lake Wales | 16 | $70,906 | $10,279 | – | – | |
| AdventHealth Wesley Chapel | Wesley Chapel | 62 | $74,067 | $10,310 | – | – | |
| Cape Canaveral Hospital | Cocoa Beach | 60 | $49,330 | $10,316 | – | – | |
| Lakeland Regional Medical Center | Lakeland | 101 | $45,820 | $10,319 | – | $17,194$13,920–$20,334 · 10 planes | |
| HCA Florida Gulf Coast Hospital | Panama City | 93 | $125,088 | $10,356 | – | $11,691$6,511–$28,605 · 36 planes | |
| Ascension Sacred Heart Bay | Panama City | 69 | $51,194 | $10,382 | – | – | |
| HCA Florida Lawnwood Hospital | Fort Pierce | 39 | $107,164 | $10,383 | – | – | |
| HCA Florida Capital Hospital | Tallahassee | 61 | $92,657 | $10,405 | – | – | |
| Holmes Regional Medical Center | Melbourne | 123 | $59,050 | $10,421 | – | – | |
| Baptist Hospital | Pensacola | 78 | $53,113 | $10,466 | – | – | |
| Winter Haven Hospital | Winter Haven | 82 | $55,659 | $10,468 | – | – | |
| Orlando Health St Cloud Hospital | Saint Cloud | 27 | $79,315 | $10,500 | – | – | |
| AdventHealth Deland | Deland | 81 | $48,790 | $10,536 | – | – | |
| Parrish Medical Center | Titusville | 44 | $42,736 | $10,541 | – | – | |
| St Mary's Medical Center | West Palm Beach | 24 | $113,862 | $10,705 | – | – | |
| Doctors Hospital | Coral Gables | 55 | $89,002 | $10,711 | – | – | |
| AdventHealth Heart of Florida | Davenport | 29 | $83,070 | $10,714 | – | – | |
| Lee Memorial Hospital | Fort Myers | 167 | $45,149 | $10,724 | – | – | |
| St Anthonys Hospital | Saint Petersburg | 109 | $53,025 | $10,757 | – | – | |
| University Hospital and Medical Center | Tamarac | 28 | $169,797 | $10,758 | – | – | |
| Flagler Hospital | Saint Augustine | 75 | $58,744 | $10,758 | – | – | |
| Morton Plant North Bay Hospital | New Port Richey | 61 | $47,431 | $10,772 | – | – | |
| Keralty Hospital | Miami | 31 | $27,780 | $10,780 | – | – | |
| HCA Florida Memorial Hospital | Jacksonville | 46 | $137,840 | $10,786 | – | – | |
| Tallahassee Memorial Healthcare | Tallahassee | 83 | $65,056 | $10,798 | – | – | |
| HCA Florida Raulerson Hospital | Okeechobee | 41 | $113,748 | $10,817 | – | – | |
| Ascension St Vincent's Riverside | Jacksonville | 70 | $45,065 | $10,822 | – | – | |
| Manatee Memorial Hospital | Bradenton | 61 | $101,487 | $10,855 | – | – | |
| HCA Florida Northside Hospital | Saint Petersburg | 72 | $146,550 | $10,856 | – | – | |
| St Josephs Hospital | Tampa | 153 | $48,514 | $10,869 | – | $27,609$16,371–$39,000 · 15 planes | |
| Coral Gables Hospital | Coral Gables | 48 | $118,890 | $10,937 | – | – | |
| AdventHealth Palm Coast | Palm Coast | 28 | $40,737 | $10,947 | – | – | |
| Broward Health Coral Springs | Coral Springs | 55 | $63,800 | $10,954 | – | – | |
| HCA Florida South Tampa Hospital | Tampa | 22 | $117,765 | $10,961 | – | $13,133$9,324–$22,560 · 43 planes | |
| Sacred Heart Hospital | Pensacola | 131 | $40,628 | $10,964 | – | – | |
| Bethesda Hospital East | Boynton Beach | 157 | $82,866 | $10,976 | – | – | |
| Holy Cross Hospital | Ft Lauderdale | 102 | $48,079 | $10,977 | – | – | |
| Halifax Health Medical Center | Daytona Beach | 67 | $45,943 | $11,058 | – | – | |
| North Shore Medical Center | Miami | 37 | $88,930 | $11,073 | – | – | |
| South Florida Baptist Hospital | Plant City | 18 | $55,846 | $11,080 | – | – | |
| Marion Communtiy Hospital | Ocala | 202 | $75,245 | $11,098 | – | – | |
| HCA Florida JFK Hospital | Atlantis | 128 | $106,246 | $11,118 | – | – | |
| HCA Florida Northwest Hospital | Margate | 38 | $133,895 | $11,124 | – | – | |
| St Lucie Medical Center | Port Saint Lucie | 95 | $102,612 | $11,142 | – | – | |
| Gulf Breeze Hospital | Gulf Breeze | 27 | $44,604 | $11,144 | – | – | |
| AdventHealth Carrollwood | Tampa | 30 | $81,833 | $11,154 | – | – | |
| AdventHealth Zephyrhills | Zephyrhills | 58 | $60,791 | $11,192 | – | – | |
| Jackson Hospital | Marianna | 18 | $21,626 | $11,199 | – | – | |
| HCA Florida Poinciana Hospital | Kissimmee | 30 | $141,844 | $11,313 | – | – | |
| South Miami Hospital | Miami | 58 | $81,882 | $11,382 | – | – | |
| Baptist Health Medical Center - Jacksonville | Jacksonville | 222 | $75,236 | $11,383 | – | $21,862$17,391–$33,338 · 21 planes | |
| Halifax Health /UF Health Medical Center of Delton | Deltona | 15 | $46,004 | $11,387 | – | – | |
| HCA Florida Citrus Hospital | Inverness | 37 | $104,765 | $11,399 | – | – | |
| Cleveland Clinic Hospital | Weston | 38 | $36,876 | $11,415 | – | $14,375$10,113–$23,486 · 22 planes | |
| Central Florida Lake Monroe Hospital | Sanford | 34 | $77,434 | $11,506 | – | – | |
| Broward Health North | Deerfield Beach | 32 | $55,512 | $11,523 | – | – | |
| Shorepoint Health Punta Gorda | Punta Gorda | 66 | $88,603 | $11,585 | – | – | |
| Bartow Regional Medical Center | Bartow | 15 | $36,560 | $11,622 | – | – | |
| HCA Florida Blake Hospital | Bradenton | 56 | $101,198 | $11,663 | – | – | |
| Hialeah Hospital | Hialeah | 43 | $102,880 | $11,676 | – | – | |
| Westside Regional Medical Center | Plantation | 57 | $127,658 | $11,692 | – | – | |
| Orlando Health | Orlando | 98 | $75,485 | $11,772 | – | – | |
| AdventHealth Tampa | Tampa | 77 | $87,222 | $11,796 | – | – | |
| Orlando Health Bayfront Hospital | Saint Petersburg | 33 | $107,912 | $11,812 | – | – | |
| HCA Florida Oak Hill Hospital | Brooksville | 84 | $137,788 | $11,824 | – | – | |
| Palmetto General Hospital | Hialeah | 27 | $82,645 | $11,826 | – | – | |
| HCA Florida North Florida Hospital | Gainesville | 143 | $131,251 | $11,842 | – | $12,820$8,047–$24,507 · 42 planes | |
| AdventHealth Orlando | Orlando | 338 | $81,153 | $11,902 | – | – | |
| Mount Sinai Medical Center of Florida, Inc | Miami Beach | 82 | $55,305 | $11,940 | – | – | |
| HCA Florida Bayonet Point Hospital | Hudson | 63 | $123,607 | $11,945 | – | – | |
| HCA Florida Trinity Hospital | Trinity | 61 | $130,538 | $11,949 | – | $14,231$10,541–$21,256 · 43 planes | |
| Broward Health Imperial Point | Fort Lauderdale | 18 | $51,507 | $12,168 | – | – | |
| HCA Florida Lake City Hospital | Lake City | 100 | $64,097 | $12,296 | – | – | |
| Memorial Hospital West | Pembroke Pines | 58 | $135,829 | $12,399 | – | – | |
| HCA Florida Palms West Hospital | Loxahatchee | 54 | $124,713 | $12,404 | – | – | |
| HCA Florida Orange Park Hospital | Orange Park | 62 | $181,473 | $12,604 | – | $13,828$11,348–$23,059 · 36 planes | |
| HCA Florida Mercy Hospital | Plantation | 41 | $159,773 | $12,725 | – | – | |
| Memorial Hospital Miramar | Miramar | 23 | $110,169 | $12,805 | – | – | |
| West Kendall Baptist Hospital | Miami | 90 | $88,802 | $13,001 | – | – | |
| Memorial Hospital Pembroke | Pembroke Pines | 22 | $103,328 | $13,035 | – | – | |
| HCA Florida Brandon Hospital | Brandon | 71 | $115,464 | $13,044 | – | $14,548$9,324–$22,223 · 43 planes | |
| HCA Florida Largo Hospital | Largo | 32 | $97,530 | $13,073 | – | – | |
| HCA Florida St Petersburg Hospital | Saint Petersburg | 36 | $160,052 | $13,310 | – | – | |
| Baptist Hospital of Miami | Miami | 171 | $109,465 | $13,387 | – | – | |
| HCA Florida Aventura Hospital | Aventura | 99 | $129,352 | $13,444 | – | – | |
| Desoto Memorial Hospital | Arcadia | 21 | $34,871 | $13,843 | – | – | |
| Tampa General Hospital | Tampa | 76 | $66,177 | $13,892 | – | $24,230$15,950–$30,004 · 19 planes | |
| HCA Florida Kendall Hospital | Miami | 74 | $128,594 | $14,044 | – | – | |
| HCA Florida Osceola Hospital | Kissimmee | 35 | $126,046 | $14,153 | – | $16,124$9,083–$24,048 · 41 planes | |
| Ascension Sacred Heart Gulf | Port Saint Joe | 13 | $27,506 | $14,407 | – | – | |
| UF Health Shands Hospital | Gainesville | 138 | $55,276 | $14,438 | – | $18,996$12,038–$23,685 · 18 planes | |
| Broward Health Medical Center | Fort Lauderdale | 59 | $66,848 | $14,563 | – | – | |
| Mayo Clinic | Jacksonville | 94 | $51,338 | $15,494 | – | – | |
| Lower Keys Medical Center | Key West | 33 | $70,415 | $15,919 | – | – | |
| Memorial Regional Hospital | Hollywood | 59 | $115,818 | $15,929 | – | – | |
| Homestead Hospital | Homestead | 50 | $84,931 | $16,390 | – | – | |
| Shands Jacksonville | Jacksonville | 48 | $57,649 | $17,263 | – | – | |
| Larkin Community Hospital Palm Springs Campus | Hialeah | 43 | $69,698 | $20,197 | – | – | |
| Jackson Health System | Miami | 111 | $61,724 | $21,379 | $11,200 | $15,389$12,811–$61,088 · 44 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
La neumonía es una infección que llena de líquido los sacos de aire de los pulmones y causa tos, fiebre y dificultad para respirar. Se hospitaliza cuando cuesta respirar, el oxígeno está bajo o el paciente es mayor o frágil.
Esta página trata la versión más compleja: pacientes que además tuvieron una complicación mayor u otra afección grave, como insuficiencia renal, una infección grave o insuficiencia respiratoria. Estas hospitalizaciones duran más y cuestan más.
Qué esperar
El tratamiento es con antibióticos, oxígeno si hace falta, líquidos y radiografías de tórax. La mayoría de las hospitalizaciones duran de tres a cinco días, seguidas de recuperación en casa.
Qué hace subir o bajar la factura
La factura depende sobre todo de la duración de la hospitalización y de si se necesita oxígeno o cuidados intensivos.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por neumonía, con complicaciones mayores en Florida?
En 159 hospitales de Florida, la factura típica por neumonía, con complicaciones mayores fue de $70,906 en 2024, y Medicare y el paciente juntos pagaron típicamente $10,758. El hospital típico de EE. UU. facturó $46,587.
¿Qué hospitales de Florida facturan menos y más por neumonía, con complicaciones mayores?
La factura promedio más baja es la de Jackson Hospital, $21,626. La más alta es la de HCA Florida Orange Park Hospital, $181,473. 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.