facebook tracking Autologous bone marrow transplant with complications cost: hospital prices by state (DRG 016)

Autologous bone marrow transplant with complications

What 54 hospitals in the U.S. charged and were paid for a Medicare hospital stay for autologous bone marrow transplant with complications (DRG 016), from 2024 Medicare claims.

DRG 016 Inpatient 2024 Medicare data
Average charge $281,844 Hospital list price billed
Average payment $74,516 Medicare + patient + other payers
Medicare paid $55,916 Average per stay
Volume 1,153 Medicare hospital stays

Hospitals in the U.S. billed an average of $281,844 for autologous bone marrow transplant with complications, about 3.8 times the average total payment of $74,516.

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 $74,516Billed $281,844

About 26¢ was paid for every $1 hospitals in the U.S. billed for this stay.

Advertisement

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

Karmanos Cancer CenterDetroit, MI$51,187
Centennial Medical CenterNashville, TN$52,939
Medical City Dallas HospitalDallas, TX$56,735
Carolinas Medical Center/Behav HealthCharlotte, NC$59,744
Mayo ClinicJacksonville, FL$60,951
University of Maryland Medical CenterBaltimore, MD$61,108
University of Kansas HospitalKansas City, KS$61,930
Clarian Health PartnersIndianapolis, IN$63,765
The Nebraska Medical CenterOmaha, NE$66,737
University of Alabama HospitalBirmingham, AL$67,512

Highest

UCSF Medical CenterSan Francisco, CA$108,862
Strong Memorial HospitalRochester, NY$96,486
Presbyterian/St Luke's Medical CenterDenver, CO$96,246
Medical College of Virginia HospitalsRichmond, VA$87,674
Hospital of the Univ of PaPhiladelphia, PA$87,636
Emory University HospitalAtlanta, GA$77,068
University of Wi Hospitals & Clinics AuthorityMadison, WI$74,366
Temple University HospitalPhiladelphia, PA$73,548
Barnes Jewish HospitalSt Louis, MO$70,611
University of Arkansas Medical SciencesLittle Rock, AR$69,842

Autologous bone marrow transplant 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
Alabama 1 $184,482 $67,512 –
Arizona 1 $147,926 $74,309 –
Arkansas 1 $200,294 $69,842 –
California 4 $452,539 $101,134 $78,165 – $125,635
Colorado 1 $607,101 $96,246 –
Connecticut 1 $140,110 $86,951 –
Florida 1 $106,314 $60,951 –
Georgia 1 $181,657 $77,068 –
Illinois 3 $211,266 $74,162 $68,657 – $87,271
Indiana 2 $211,820 $55,689 $41,400 – $63,765
Iowa 1 $224,908 $61,708 –
Kansas 1 $287,099 $61,930 –
Maryland 1 $66,933 $61,108 –
Massachusetts 1 $207,784 $92,227 –
Michigan 2 $237,875 $74,672 $51,187 – $104,680
Minnesota 1 $89,596 $67,981 –
Missouri 1 $256,794 $70,611 –
Nebraska 1 $215,130 $66,737 –
New Jersey 2 $211,456 $65,224 $54,398 – $68,657
New York 2 $247,733 $98,940 $96,486 – $102,170
North Carolina 2 $149,856 $66,320 $59,744 – $75,526
North Dakota 1 $77,664 $52,109 –
Ohio 2 $235,946 $67,125 $63,299 – $69,931
Oklahoma 1 $356,888 $64,220 –
Oregon 1 $307,510 $95,797 –
Pennsylvania 4 $387,676 $82,004 $73,548 – $88,786
South Dakota 1 $134,270 $47,299 –
Tennessee 1 $760,969 $52,939 –
Texas 6 $391,099 $59,125 $52,768 – $69,041
Utah 1 $137,861 $61,180 –
Virginia 2 $329,938 $95,032 $87,674 – $105,333
Wisconsin 2 $205,422 $69,881 $60,913 – $74,366

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Northwestern Memorial HospitalChicago, IL50$193,305$68,657
Emory University HospitalAtlanta, GA48$181,657$77,068
Barnes Jewish HospitalSt Louis, MO46$256,794$70,611
Presbyterian/St Luke's Medical CenterDenver, CO41$607,101$96,246
Hackensack University Medical CenterHackensack, NJ41$217,024$68,657
University of Alabama HospitalBirmingham, AL36$184,482$67,512
University of Kansas HospitalKansas City, KS35$287,099$61,930
Medical City Dallas HospitalDallas, TX35$659,010$56,735
Mayo ClinicJacksonville, FL34$106,314$60,951
Temple University HospitalPhiladelphia, PA34$502,530$73,548
Hospital of the Univ of PaPhiladelphia, PA29$356,082$87,636
University of Arkansas Medical SciencesLittle Rock, AR28$200,294$69,842
University of Wi Hospitals & Clinics AuthorityMadison, WI28$212,464$74,366
Strong Memorial HospitalRochester, NY25$155,907$96,486
UCSF Medical CenterSan Francisco, CA23$442,440$108,862

Questions

How much does autologous bone marrow transplant with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for autologous bone marrow transplant with complications (DRG 016) at 54 hospitals in the U.S. was billed at $281,844 on average, while the average total payment was $74,516, of which Medicare paid $55,916. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for autologous bone marrow transplant with complications?

Among states with at least three hospitals reporting, the average total payment was highest in California ($101,134), Pennsylvania ($82,004), Illinois ($74,162) and lowest in Texas ($59,125), Illinois ($74,162), Pennsylvania ($82,004).

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 3.8 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.