facebook tracking Chimeric antigen receptor (car) t-cell and other immunotherapies cost: hospital prices by state (DRG 018)

Chimeric antigen receptor (car) t-cell and other immunotherapies

What 49 hospitals in the U.S. charged and were paid for a Medicare hospital stay for chimeric antigen receptor (car) t-cell and other immunotherapies (DRG 018), from 2024 Medicare claims.

DRG 018 Inpatient 2024 Medicare data
Average charge $2,187,781 Hospital list price billed
Average payment $460,146 Medicare + patient + other payers
Medicare paid $434,771 Average per stay
Volume 1,360 Medicare hospital stays

Hospitals in the U.S. billed an average of $2,187,781 for chimeric antigen receptor (car) t-cell and other immunotherapies, about 4.8 times the average total payment of $460,146.

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

Froedtert Mem Lutheran HsptlMilwaukee, WI$231,932
University of Maryland Medical CenterBaltimore, MD$312,201
Strong Memorial HospitalRochester, NY$339,500
UT Southwestern University HospitalDallas, TX$349,925
University of Kansas HospitalKansas City, KS$369,791
Stanford HospitalPalo Alto, CA$394,664
Hospital of the Univ of PaPhiladelphia, PA$399,511
New York-Presbyterian HospitalNew York, NY$399,607
Cleveland Clinic - Main CampusCleveland, OH$406,443
Hackensack University Medical CenterHackensack, NJ$417,128

Highest

Carolinas Medical Center/Behav HealthCharlotte, NC$594,756
Northwestern Memorial HospitalChicago, IL$586,986
Mayo Clinic HospitalPhoenix, AZ$560,133
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA$554,836
University of Arkansas Medical SciencesLittle Rock, AR$551,797
Mayo ClinicJacksonville, FL$550,607
UPMC Presbyterian ShadysidePittsburgh, PA$541,456
Univ of Michigan HospitalsAnn Arbor, MI$529,161
The Nebraska Medical CenterOmaha, NE$527,675
Emory University HospitalAtlanta, GA$520,711

Chimeric antigen receptor (car) t-cell and other immunotherapies 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 $2,435,969 $465,198 –
Arizona 1 $1,814,948 $560,133 –
Arkansas 1 $2,005,116 $551,797 –
California 6 $2,181,383 $458,645 $357,520 – $554,836
Colorado 2 $2,534,536 $308,597 $282,683 – $323,600
Connecticut 1 $2,063,949 $529,554 –
Florida 1 $2,055,428 $550,607 –
Georgia 1 $1,868,068 $520,711 –
Illinois 3 $3,017,177 $590,488 $486,850 – $950,547
Indiana 1 $2,948,093 $497,760 –
Iowa 1 $2,089,368 $452,054 –
Kansas 1 $2,215,836 $369,791 –
Maryland 1 $359,987 $312,201 –
Massachusetts 2 $1,717,766 $431,936 $431,392 – $432,573
Michigan 1 $1,754,881 $529,161 –
Minnesota 2 $1,988,160 $557,796 $467,895 – $657,162
Missouri 1 $1,704,939 $435,401 –
Nebraska 1 $2,239,463 $527,675 –
New Jersey 1 $1,890,365 $417,128 –
New York 4 $1,812,955 $414,722 $339,500 – $543,715
North Carolina 2 $2,216,403 $539,444 $432,773 – $594,756
Ohio 1 $1,788,757 $406,443 –
Oregon 1 $1,329,374 $491,103 –
Pennsylvania 3 $4,449,725 $478,190 $399,511 – $639,965
Texas 3 $2,519,858 $372,193 $349,925 – $391,501
Utah 1 $1,096,941 $462,838 –
Virginia 2 $1,962,966 $467,676 $404,720 – $513,843
Wisconsin 2 $839,971 $252,752 $231,932 – $292,906

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
University of Kansas HospitalKansas City, KS75$2,215,836$369,791
Stanford HospitalPalo Alto, CA63$2,698,585$394,664
Brigham and Women's HosptialBoston, MA55$1,772,622$431,392
Hospital of the Univ of PaPhiladelphia, PA53$2,622,378$399,511
University of Iowa Hospital & ClinicsIowa City, IA50$2,089,368$452,054
Massachusetts General HospitalBoston, MA47$1,653,572$432,573
University of Alabama HospitalBirmingham, AL45$2,435,969$465,198
Barnes Jewish HospitalSt Louis, MO45$1,704,939$435,401
UCSF Medical CenterSan Francisco, CA44$1,856,460$500,198
Hackensack University Medical CenterHackensack, NJ44$1,890,365$417,128
Mayo Clinic HospitalPhoenix, AZ39$1,814,948$560,133
Cleveland Clinic - Main CampusCleveland, OH39$1,788,757$406,443
Emory University HospitalAtlanta, GA37$1,868,068$520,711
The University of Chicago Medical CenterChicago, IL37$2,770,449$486,850
Northwestern Memorial HospitalChicago, IL36$3,326,965$586,986

Questions

How much does chimeric antigen receptor (car) t-cell and other immunotherapies cost in the U.S.?

In 2024 Medicare data, a hospital stay for chimeric antigen receptor (car) t-cell and other immunotherapies (DRG 018) at 49 hospitals in the U.S. was billed at $2,187,781 on average, while the average total payment was $460,146, of which Medicare paid $434,771. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for chimeric antigen receptor (car) t-cell and other immunotherapies?

Among states with at least three hospitals reporting, the average total payment was highest in Illinois ($590,488), Pennsylvania ($478,190), California ($458,645) and lowest in Texas ($372,193), New York ($414,722), California ($458,645).

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 4.8 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.