facebook tracking Cellulitis with major complications cost: hospital prices by state (DRG 602)

Cellulitis with major complications

What 589 hospitals in the U.S. charged and were paid for a Medicare hospital stay for cellulitis with major complications (DRG 602), from 2024 Medicare claims.

DRG 602 Inpatient 2024 Medicare data
Average charge $63,196 Hospital list price billed
Average payment $13,872 Medicare + patient + other payers
Medicare paid $11,351 Average per stay
Volume 10,980 Medicare hospital stays

Hospitals in the U.S. billed an average of $63,196 for cellulitis with major complications, about 4.6 times the average total payment of $13,872.

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.

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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

Southwest General Health CenterMiddleburg Heights, OH$8,770
Baptist Hospital EastLouisville, KY$9,389
Martin Memorial Health SystemsStuart, FL$9,495
Palos Community HospitalPalos Heights, IL$9,513
Delray Medical CenterDelray Beach, FL$9,584
Villages Regional Hospital theLady Lake, FL$9,712
Jupiter Medical CenterJupiter, FL$9,735
Memorial Healthcare System, INCChattanooga, TN$9,788
Rex HospitalRaleigh, NC$10,047
Mease Countryside HospitalSafety Harbor, FL$10,055

Highest

Montefiore Medical CenterBronx, NY$29,603
Massachusetts General HospitalBoston, MA$28,186
New York-Presbyterian HospitalNew York, NY$25,980
University of California San Diego Medical CenterSan Diego, CA$25,264
Mount Sinai HospitalNew York, NY$24,396
Mount Sinai WestNew York, NY$23,130
NYU Hospitals CenterNew York, NY$23,121
The Johns Hopkins HospitalBaltimore, MD$21,872
Maimonides Medical CenterBrooklyn, NY$20,728
Central Dupage HospitalWinfield, IL$20,537

Cellulitis with major 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 3 $69,422 $13,741 $9,109 – $19,793
Alaska 1 $96,961 $26,475 –
Arizona 13 $56,901 $12,496 $10,203 – $18,144
Arkansas 7 $36,790 $9,981 $9,308 – $10,982
California 63 $94,295 $16,415 $9,545 – $26,805
Colorado 3 $93,657 $14,837 $10,762 – $19,749
Connecticut 7 $56,771 $16,053 $12,475 – $19,363
Delaware 3 $44,605 $13,296 $11,537 – $14,152
Florida 46 $69,861 $11,750 $9,014 – $22,872
Georgia 12 $68,438 $14,742 $10,280 – $19,769
Hawaii 3 $69,252 $18,671 $15,737 – $24,074
Idaho 2 $33,416 $10,569 $10,209 – $10,874
Illinois 37 $49,364 $12,759 $9,513 – $20,806
Indiana 14 $47,956 $11,131 $10,157 – $13,875
Iowa 4 $49,271 $11,727 $10,107 – $16,394
Kansas 3 $71,294 $13,974 $9,490 – $18,323
Kentucky 8 $47,198 $11,398 $9,389 – $26,496
Louisiana 5 $43,735 $11,148 $9,226 – $12,834
Maine 2 $55,287 $14,241 $13,566 – $15,277
Maryland 13 $20,999 $18,810 $11,301 – $42,189
Massachusetts 28 $33,987 $14,423 $10,954 – $28,186
Michigan 15 $36,984 $12,684 $10,097 – $18,768
Minnesota 10 $48,706 $13,744 $9,918 – $18,890
Mississippi 7 $43,123 $10,326 $9,513 – $11,067
Missouri 15 $45,305 $11,899 $9,237 – $19,987
Montana 1 $39,812 $11,374 –
Nebraska 3 $33,981 $11,630 $10,691 – $15,494
Nevada 5 $106,681 $13,124 $11,404 – $14,769
New Hampshire 4 $34,687 $11,111 $10,032 – $12,383
New Jersey 28 $96,531 $14,202 $10,979 – $22,473
New Mexico 1 $27,160 $11,281 –
New York 40 $102,182 $18,269 $11,057 – $29,603
North Carolina 21 $42,184 $13,673 $9,920 – $21,783
North Dakota 3 $40,770 $13,734 $11,698 – $15,949
Ohio 25 $42,018 $12,147 $8,770 – $18,414
Oklahoma 7 $48,306 $12,122 $9,690 – $17,228
Oregon 2 $31,045 $14,237 $14,038 – $14,370
Pennsylvania 26 $63,804 $13,057 $10,149 – $19,293
Rhode Island 2 $47,626 $15,271 $13,048 – $18,348
South Carolina 7 $48,502 $12,704 $9,703 – $20,383
South Dakota 3 $54,848 $13,443 $12,417 – $14,489
Tennessee 9 $44,186 $11,927 $9,247 – $18,895
Texas 33 $68,938 $12,515 $9,523 – $24,765
Virginia 20 $38,443 $12,536 $9,350 – $22,183
Washington 7 $61,800 $14,171 $11,929 – $16,643
West Virginia 8 $42,196 $11,750 $8,870 – $15,566
Wisconsin 7 $52,598 $14,410 $10,859 – $17,485

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Hollywood Community Hospital of HollywoodLos Angeles, CA109$65,531$15,079
NYU Hospitals CenterNew York, NY98$137,441$23,121
Adventhealth OrlandoOrlando, FL87$99,861$12,924
Los Angeles Community HospitalLos Angeles, CA72$45,056$14,744
New York-Presbyterian HospitalNew York, NY69$189,343$25,980
Morristown Memorial HospitalMorristown, NJ60$130,760$16,722
Christiana Care Health Services, INC.Newark, DE58$49,735$14,152
Virtua West Jersey HospitalVoorhees, NJ54$115,110$13,693
Cedars-Sinai Medical CenterLos Angeles, CA53$209,212$19,914
William Beaumont Hospital-TroyTroy, MI52$40,684$10,097
South Shore HospitalSouth Weymouth, MA50$21,969$11,865
North Shore University HospitalManhasset, NY45$121,029$18,733
Baptist Medical CenterJacksonville, FL44$69,056$11,370
Methodist HospitalSan Antonio, TX43$100,436$11,506
Yale-New Haven HospitalNew Haven, CT41$72,557$19,363

Questions

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

In 2024 Medicare data, a hospital stay for cellulitis with major complications (DRG 602) at 589 hospitals in the U.S. was billed at $63,196 on average, while the average total payment was $13,872, of which Medicare paid $11,351. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for cellulitis with major complications?

Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($18,810), Hawaii ($18,671), New York ($18,269) and lowest in Arkansas ($9,981), Mississippi ($10,326), New Hampshire ($11,111).

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 4.6 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.