Chemotherapy without acute leukemia as secondary diagnosis with major complications
What 81 hospitals in the U.S. charged and were paid for a Medicare hospital stay for chemotherapy without acute leukemia as secondary diagnosis with major complications (DRG 846), from 2024 Medicare claims.
Average charge
$145,911
Hospital list price billed
Average payment
$35,632
Medicare + patient + other payers
Medicare paid
$27,886
Average per stay
Volume
2,074
Medicare hospital stays
Hospitals in the U.S. billed an average of $145,911 for chemotherapy without acute leukemia as secondary diagnosis with major complications, about 4.1 times the average total payment of $35,632.
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 $35,632Billed $145,911
About 24¢ 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:
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
| Memorial Healthcare System, INCChattanooga, TN | $15,955 |
|---|---|
| Banner Gateway Medical CenterGilbert, AZ | $20,421 |
| Methodist Hospital,TheHouston, TX | $23,331 |
| University of Iowa Hospital & ClinicsIowa City, IA | $24,127 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $25,084 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | $26,510 |
| Franciscan Health IndianapolisIndianapolis, IN | $26,622 |
| The Johns Hopkins HospitalBaltimore, MD | $26,783 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $26,805 |
| Milton S Hershey Medical CenterHershey, PA | $27,402 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $60,526 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $54,386 |
| Duke University Medical CenterDurham, NC | $53,901 |
| University of California Davis Medical CenterSacramento, CA | $50,884 |
| Stanford HospitalPalo Alto, CA | $50,457 |
| Cleveland Clinic - Main CampusCleveland, OH | $49,445 |
| The University of Chicago Medical CenterChicago, IL | $45,504 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $44,679 |
| Hospital of the Univ of PaPhiladelphia, PA | $41,481 |
| Hackensack University Medical CenterHackensack, NJ | $41,441 |
Chemotherapy without acute leukemia as secondary diagnosis 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 |
|---|---|---|---|---|
| Arizona | 2 | $85,077 | $29,712 | $20,421 – $39,002 |
| Arkansas | 1 | $87,709 | $27,441 | – |
| California | 9 | $235,198 | $46,349 | $32,395 – $54,386 |
| Colorado | 1 | $149,592 | $26,510 | – |
| Connecticut | 1 | $64,518 | $29,371 | – |
| Florida | 3 | $132,791 | $26,229 | $16,842 – $31,172 |
| Georgia | 1 | $73,562 | $29,520 | – |
| Illinois | 5 | $92,646 | $35,319 | $27,555 – $45,504 |
| Indiana | 2 | $131,270 | $28,110 | $26,622 – $30,590 |
| Iowa | 1 | $67,655 | $24,127 | – |
| Kansas | 1 | $160,928 | $32,006 | – |
| Kentucky | 2 | $113,182 | $25,862 | $25,219 – $26,555 |
| Maryland | 2 | $47,428 | $42,405 | $26,783 – $60,526 |
| Massachusetts | 4 | $100,823 | $34,399 | $29,455 – $35,752 |
| Michigan | 2 | $57,420 | $29,688 | $26,868 – $33,212 |
| Minnesota | 2 | $93,305 | $36,760 | $28,097 – $39,145 |
| Missouri | 1 | $118,973 | $36,029 | – |
| Nebraska | 1 | $183,245 | $45,063 | – |
| New Hampshire | 1 | $93,570 | $33,406 | – |
| New Jersey | 3 | $197,441 | $36,967 | $29,025 – $41,441 |
| New York | 4 | $184,403 | $37,225 | $30,478 – $39,549 |
| North Carolina | 4 | $109,991 | $40,113 | $31,211 – $53,901 |
| Ohio | 2 | $195,354 | $43,447 | $22,684 – $49,445 |
| Oklahoma | 1 | $95,484 | $25,360 | – |
| Oregon | 1 | $124,740 | $37,196 | – |
| Pennsylvania | 4 | $219,570 | $36,155 | $25,084 – $41,481 |
| Rhode Island | 1 | $68,936 | $30,151 | – |
| South Carolina | 1 | $94,552 | $35,516 | – |
| South Dakota | 1 | $100,545 | $21,566 | – |
| Tennessee | 3 | $68,431 | $22,480 | $15,955 – $29,623 |
| Texas | 6 | $203,492 | $30,452 | $19,464 – $41,816 |
| Utah | 1 | $129,295 | $44,679 | – |
| Vermont | 1 | $105,974 | $27,195 | – |
| Virginia | 1 | $107,532 | $38,899 | – |
| Washington | 2 | $70,750 | $29,182 | $26,770 – $30,146 |
| Wisconsin | 2 | $114,221 | $30,646 | $26,805 – $35,555 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | 94 | $266,073 | $41,481 |
| UCSF Medical CenterSan Francisco, CA | 75 | $278,048 | $54,386 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 69 | $92,879 | $39,145 |
| Barnes Jewish HospitalSt Louis, MO | 58 | $118,973 | $36,029 |
| Brigham and Women's HosptialBoston, MA | 53 | $143,446 | $35,201 |
| Stanford HospitalPalo Alto, CA | 45 | $304,210 | $50,457 |
| New York-Presbyterian HospitalNew York, NY | 45 | $229,929 | $39,549 |
| Cleveland Clinic - Main CampusCleveland, OH | 45 | $222,460 | $49,445 |
| University of Washington Medical CtrSeattle, WA | 45 | $80,935 | $30,146 |
| University of California Davis Medical CenterSacramento, CA | 43 | $217,789 | $50,884 |
| University of Arkansas Medical SciencesLittle Rock, AR | 42 | $87,709 | $27,441 |
| Massachusetts General HospitalBoston, MA | 42 | $87,940 | $35,752 |
| Medical City Dallas HospitalDallas, TX | 40 | $400,109 | $29,579 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 39 | $328,273 | $37,167 |
| Northwestern Memorial HospitalChicago, IL | 39 | $88,683 | $27,555 |
Questions
How much does chemotherapy without acute leukemia as secondary diagnosis with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for chemotherapy without acute leukemia as secondary diagnosis with major complications (DRG 846) at 81 hospitals in the U.S. was billed at $145,911 on average, while the average total payment was $35,632, of which Medicare paid $27,886. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for chemotherapy without acute leukemia as secondary diagnosis with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($46,349), North Carolina ($40,113), New York ($37,225) and lowest in Tennessee ($22,480), Florida ($26,229), Texas ($30,452).
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 4.1 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.