facebook tracking Aftercare with complications cost: hospital prices by state (DRG 949)

Aftercare with complications

What 8 hospitals in the U.S. charged and were paid for a Medicare hospital stay for aftercare with complications (DRG 949), from 2024 Medicare claims.

DRG 949 Inpatient 2024 Medicare data
Average charge $45,525 Hospital list price billed
Average payment $37,136 Medicare + patient + other payers
Medicare paid $33,191 Average per stay
Volume 237 Medicare hospital stays

Hospitals in the U.S. billed an average of $45,525 for aftercare with complications, about 1.2 times the average total payment of $37,136.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $37,136Billed $45,525

About 82¢ was paid for every $1 hospitals in the U.S. billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:

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Lowest and highest payments

Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Highest

Aftercare with complications cost by state

Volume-weighted averages for each state's hospitals. Select a state to see every hospital.

State Hospitals Avg charge Avg payment Range
Maryland 7 $43,092 $38,154 $7,885 – $84,172
Minnesota 1 $70,551 $26,671 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
The Johns Hopkins HospitalBaltimore, MD60$33,181$29,560
Sinai Hospital of BaltimoreBaltimore, MD44$41,383$36,468
Johns Hopkins Bayview Medical CenterBaltimore, MD34$33,389$29,162
Good Samaritan HospitalBaltimore, MD29$30,133$26,732
Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD24$95,096$84,172
Mayo Clinic - Saint Marys HospitalRochester, MN21$70,551$26,671
Levindale Hebrew Geriatric Center and HospitalBaltimore, MD14$79,070$70,668
Union Memorial HospitalBaltimore, MD11$8,884$7,885

Questions

How much does aftercare with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for aftercare with complications (DRG 949) at 8 hospitals in the U.S. was billed at $45,525 on average, while the average total payment was $37,136, of which Medicare paid $33,191. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for aftercare with complications?

Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($38,154) and lowest in Maryland ($38,154).

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 1.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.