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Healthcare Pricing Data: KISSIMMEE, FL

2 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

2

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

13.9x

Across all procedures

vs National Average

+133%

Chargemaster rates

About This Data

KISSIMMEE, FL has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 13.9x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in KISSIMMEE is CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC (DRG 233), with an average chargemaster rate of $589,498 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$178,356215.6x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$173,222212.6x
SEIZURES WITHOUT MCC101$133,859220.5x
RENAL FAILURE WITH MCC682$125,059211.3x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$120,44628.8x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$118,925212.0x
HEART FAILURE AND SHOCK WITH MCC291$106,518210.9x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$95,618216.3x
RENAL FAILURE WITH CC683$91,767215.2x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$91,20429.7x
CHEST PAIN313$80,962214.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$80,032215.0x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$589,498112.0x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$502,139114.2x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$480,36719.3x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$445,993110.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$381,333111.8x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$367,816113.9x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$360,72819.0x
MEDICAL BACK PROBLEMS WITH MCC551$326,040125.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$321,072114.2x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC085$291,417116.6x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$269,286114.0x
OTHER VASCULAR PROCEDURES WITH CC253$265,590113.8x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$263,775116.9x
OTHER VASCULAR PROCEDURES WITH MCC252$261,133110.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$232,781116.2x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$231,149115.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$223,277117.2x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$205,322114.4x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error