facebook tracking Chronic obstructive pulmonary disease with complications cost: hospital prices by state (DRG 191)

Chronic obstructive pulmonary disease with complications

What 583 hospitals in the U.S. charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease with complications (DRG 191), from 2024 Medicare claims.

DRG 191 Inpatient 2024 Medicare data
Average charge $39,874 Hospital list price billed
Average payment $8,280 Medicare + patient + other payers
Medicare paid $6,374 Average per stay
Volume 11,485 Medicare hospital stays

Hospitals in the U.S. billed an average of $39,874 for chronic obstructive pulmonary disease with complications, about 4.8 times the average total payment of $8,280.

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 $8,280Billed $39,874

About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.

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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

Baxter Regional Medical CenterMountain Home, AR$5,451
Waukesha Memorial HospitalWaukesha, WI$5,534
Baptist Health Medical Center-Little RockLittle Rock, AR$5,628
Hardin Memorial HospitalElizabethtown, KY$5,886
King's Daughters' Medical CenterAshland, KY$5,887
Palos Community HospitalPalos Heights, IL$5,942
Floyd Memorial Hospital and Health ServicesNew Albany, IN$5,964
Saint Luke's East Lee's Summit HospitalLee's Summit, MO$6,041
Main Line Hospital PaoliPaoli, PA$6,044
Doylestown HospitalDoylestown, PA$6,058

Highest

Chronic obstructive pulmonary disease 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 9 $32,194 $7,679 $5,833 – $13,516
Arizona 9 $43,729 $6,979 $6,027 – $10,006
Arkansas 7 $24,161 $6,077 $5,451 – $7,153
California 37 $77,069 $10,589 $8,185 – $18,874
Connecticut 7 $34,444 $9,315 $7,803 – $11,392
Delaware 4 $28,146 $7,933 $6,945 – $8,622
Florida 64 $54,585 $7,721 $5,529 – $15,639
Georgia 10 $37,956 $8,245 $5,927 – $11,332
Illinois 34 $35,586 $7,943 $5,711 – $12,619
Indiana 15 $29,776 $6,871 $5,964 – $8,148
Iowa 4 $20,102 $6,424 $5,712 – $7,119
Kansas 1 $36,447 $5,365 –
Kentucky 11 $30,608 $6,219 $5,886 – $7,487
Louisiana 7 $35,412 $6,404 $5,477 – $8,045
Maine 1 $21,364 $8,334 –
Maryland 24 $13,166 $11,798 $8,209 – $19,862
Massachusetts 36 $19,943 $8,468 $6,791 – $16,706
Michigan 24 $26,580 $7,726 $5,829 – $11,413
Minnesota 5 $27,486 $8,207 $6,708 – $10,646
Mississippi 4 $38,254 $6,524 $5,876 – $6,805
Missouri 21 $34,278 $7,364 $5,528 – $11,670
Nebraska 3 $27,104 $7,632 $6,303 – $9,969
Nevada 2 $117,685 $8,536 $7,738 – $9,235
New Hampshire 4 $23,110 $6,818 $6,481 – $7,318
New Jersey 34 $63,166 $8,249 $6,389 – $11,732
New York 41 $52,066 $10,763 $7,062 – $42,167
North Carolina 30 $28,350 $8,215 $5,710 – $13,939
North Dakota 1 $17,415 $7,069 –
Ohio 24 $31,919 $7,124 $4,741 – $9,587
Oklahoma 5 $46,584 $7,084 $6,062 – $9,294
Oregon 1 $17,854 $8,322 –
Pennsylvania 36 $46,736 $7,801 $5,727 – $12,221
Rhode Island 2 $24,402 $8,995 $8,009 – $9,706
South Carolina 10 $32,936 $7,377 $5,730 – $9,981
South Dakota 1 $38,240 $7,435 –
Tennessee 7 $32,876 $7,494 $6,252 – $9,078
Texas 20 $48,141 $7,863 $5,533 – $12,353
Virginia 15 $28,537 $7,530 $6,328 – $13,734
Washington 1 $42,768 $7,924 –
West Virginia 7 $27,045 $6,752 $5,684 – $7,530
Wisconsin 4 $28,062 $7,131 $5,534 – $10,267

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Southcoast Hospital Group, INCFall River, MA87$18,110$7,590
South Shore HospitalSouth Weymouth, MA79$14,485$7,412
Adventhealth OrlandoOrlando, FL69$62,743$7,826
NYU Hospitals CenterNew York, NY62$78,719$12,088
Lehigh Valley HospitalAllentown, PA62$41,920$7,812
Christiana Care Health Services, INC.Newark, DE60$27,191$8,622
Norton Healthcare PavilionLouisville, KY58$32,920$6,353
Community Medical CenterToms River, NJ54$61,442$7,632
Lakeland Regional Medical CenterLakeland, FL53$34,344$7,133
Huntsville HospitalHuntsville, AL51$27,097$6,452
Meritus Medical CenterHagerstown, MD51$9,345$8,691
Northwestern Medicine McHenryMcHenry, IL49$33,872$6,829
Temple University HospitalPhiladelphia, PA49$102,426$11,956
William Beaumont Hospital-TroyTroy, MI48$28,985$6,160
Virtua West Jersey HospitalVoorhees, NJ48$75,538$6,812

Questions

How much does chronic obstructive pulmonary disease with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease with complications (DRG 191) at 583 hospitals in the U.S. was billed at $39,874 on average, while the average total payment was $8,280, of which Medicare paid $6,374. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for chronic obstructive pulmonary disease with complications?

Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($11,798), New York ($10,763), California ($10,589) and lowest in Arkansas ($6,077), Kentucky ($6,219), Louisiana ($6,404).

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.