FL CMS Medicare PUF 2023 Avg payment #2 of 56

Florida procedure costs

222 hospitals · 13,744 Medicare providers · 6,430 procedure codes with Florida locality adjustments.

The short answer

Florida has 222 hospitals and 13,744 Medicare-billing providers across 6,430 procedure codes. The average Medicare payment per procedure is $320.44; the average submitted (billed) charge is $1,774.37.

Procedure codes
6,430
Providers per hospital
61.9
Billed-to-Medicare ratio
5.5x
Markup rank
#29 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

222
Hospitals
13,744
Providers
$320.44
Avg Medicare Payment
$1,774.37
Avg Billed Charge

Florida against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$320 higher than 96% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). Below this entry. $250–$275: 11 states (20%). Below this entry. $275–$300: 4 states (7%). Below this entry. $300–$325: 4 states (7%). This entry sits in this band. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Florida

Highest average Medicare payment per procedure billed in Florida. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Florida

Sipuleucel-T, Minimum Of 50 …42069Microprocessor Control Unit …12375Power Module For Use With El…10631Removal Of Plaque And Insert…8817Revascularization, Endovascu…7909Insertion Of New Or Replacem…7571Procenta, Per 200 Mg7497Implantable Neurostimulator,…7103
Top procedures by Medicare payment - Florida-Average Medicare payment per procedure (CMS 2023)

The cost spread in Florida

The highest- and lowest-paying procedures Medicare reimbursed in Florida, side by side.

Top Procedures by Volume

Procedure Medicare Services
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $11.65 17.0M
Injection, Daptomycin, 1 Mg $0.04 16.6M
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.40 11.9M
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.12 11.5M
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.89 10.7M
Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually Travelled $1.07 10.1M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $86.84 9.5M
Injection, Denosumab, 1 Mg $18.27 6.6M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $60.78 6.0M
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 5.8M
Injection, Tocilizumab, 1 Mg $4.63 5.4M
Injection, Ferric Carboxymaltose, 1 Mg $0.87 5.0M
Injection, Pembrolizumab, 1 Mg $42.43 5.0M
Ground Mileage, Per Statute Mile $7.01 4.9M
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $17.46 4.9M
Injection, Onabotulinumtoxina, 1 Unit $4.90 4.5M
Injection, Iron Sucrose, 1 Mg $0.16 4.0M
Injection, Romosozumab-Aqqg, 1 Mg $7.89 4.0M
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.10 3.7M
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $62.31 3.7M
Injection, Testosterone Cypionate, 1 Mg $0.02 3.7M
Injection, Filgrastim-Sndz, Biosimilar, (zarxio), 1 Microgram $0.16 3.6M
Injection, Faricimab-Svoa, 0.1 Mg $29.01 3.3M
Injection, Nivolumab, 1 Mg $23.50 3.1M
Blood Test, Comprehensive Group Of Blood Chemicals $10.34 3.0M
Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test And Automated Differential White Blood Cell Count $7.60 2.9M
Injection, Filgrastim-Aafi, Biosimilar, (nivestym), 1 Microgram $0.26 2.8M
Injection, Azacitidine, 1 Mg $0.34 2.7M
Destruction Of Precancer Skin Growth, 2-14 Growths $4.68 2.5M
Injection, Oxaliplatin, 0.5 Mg $0.06 2.4M

Florida Healthcare Cost Landscape

CMS lists 222 hospitals in Florida across 136 cities. MIAMI holds 10 (5%). The three densest cities together hold 12% of the state roster. Statewide that is 13,744 Medicare-billing providers, 61.9 per listed hospital.

163 hospitals carry a CMS overall star rating (11 five-star, 42 four-star, 45 three-star, 39 two-star, 26 one-star) ; five-star share among rated facilities is 7%. 59 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 169 (76%); Psychiatric 29 (13%); Critical Access Hospitals 12 (5%); Acute Care - Veterans Administration 7 (3%).

Among the 30 highest-volume procedure codes billed in Florida, Drugs (Administered) leads with 77.1M services (43% of this top-volume slice) across 14 codes. Next is Temporary Codes at 17%.

Submitted charges average $1,774.37 against $320.44 Medicare payment (5.5x billed-to-Medicare). That ratio ranks #29 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #2 of 56.

Volume leaders are not the high-payment codes. Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count is in the top volume slice but not the highest Medicare payments; Sipuleucel-T, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-Gm-Csf, Including Leukapheresis And All Other Preparatory Procedures, Per Infusion is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Florida, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Florida hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 136 distinct cities appear on 222 listed facilities.

City Hospitals Share of state roster
MIAMI 10 5%
JACKSONVILLE 8 4%
ORLANDO 8 4%
SAINT PETERSBURG 6 3%
TAMPA 6 3%
BRADENTON 5 2%
HIALEAH 4 2%
MELBOURNE 4 2%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Florida: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (222 here).

Similar average Medicare payment

Nearest states with published averages ($320.44 here).

Hospitals in Florida

96th Medical Group (Eglin AFB)
Eglin AFB · -
AdventHealth Carrollwood
TAMPA · ★★★☆☆
ADVENTHEALTH DADE CITY
DADE CITY · ★★★★☆
ADVENTHEALTH DAYTONA BEACH
DAYTONA BEACH · ★★★★☆
ADVENTHEALTH DELAND
DELAND · ★★★★☆
ADVENTHEALTH FISH MEMORIAL
ORANGE CITY · ★★★★★
ADVENTHEALTH HEART OF FLORIDA
DAVENPORT · ★★☆☆☆
ADVENTHEALTH LAKE WALES
LAKE WALES · ★★★☆☆
ADVENTHEALTH NEW SMYRNA BEACH
NEW SMYRNA BEACH · ★★★★☆
ADVENTHEALTH NORTH PINELLAS
TARPON SPRINGS · ★★★☆☆
ADVENTHEALTH OCALA
OCALA · ★★★★☆
ADVENTHEALTH ORLANDO
ORLANDO · ★★★☆☆
AdventHealth Palm Coast
PALM COAST · ★★★☆☆
ADVENTHEALTH PALM COAST PARKWAY
PALM COAST · -
Adventhealth Port Charlotte
PORT CHARLOTTE · ★☆☆☆☆
ADVENTHEALTH RIVERVIEW
RIVERVIEW · -
ADVENTHEALTH SEBRING
SEBRING · ★★★☆☆
ADVENTHEALTH TAMPA
TAMPA · ★★★☆☆
ADVENTHEALTH WATERMAN
TAVARES · ★★★★☆
ADVENTHEALTH WAUCHULA
WAUCHULA · -
ADVENTHEALTH WESLEY CHAPEL
WESLEY CHAPEL · ★★★★☆
Adventhealth Zephyrhills
ZEPHYRHILLS · ★★★★★
ASCENSION SACRED HEART BAY
PANAMA CITY · ★★★☆☆
ASCENSION SACRED HEART GULF
PORT SAINT JOE · -
ASCENSION ST VINCENT'S CLAY COUNTY
MIDDLEBURG · ★★★☆☆
ASCENSION ST VINCENT'S RIVERSIDE
JACKSONVILLE · ★★☆☆☆
ASCENSION ST VINCENT'S SOUTHSIDE
JACKSONVILLE · ★★★★☆
ASCENSION ST VINCENT'S ST JOHNS COUNTY
ST. JOHNS · -
ASPIRE HEALTH PARTNERS
ORLANDO · -
BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE
JACKSONVILLE · ★★★★☆

View all 222 hospitals in Florida →

How Florida Compares Nationally

Florida's average Medicare payment is #2 of 56 in this extract. Submitted-over-Medicare markup ranks #29 of 56 (5.5x). Hospital-count peers (nearest CMS roster size to 222): Ohio 196, Illinois 194, New York 190, Pennsylvania 188. Payment peers (nearest average Medicare payment to $320.44): Maryland $310.43, Texas $303.51, California $347.40, Arizona $286.66.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Florida, not an out-of-pocket quote.

Related registry pages

Florida averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Florida CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.