Chronic obstructive pulmonary disease with major complications
What 1,595 hospitals in the U.S. charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease with major complications (DRG 190), from 2024 Medicare claims.
Average charge
$50,958
Hospital list price billed
Average payment
$10,575
Medicare + patient + other payers
Medicare paid
$8,467
Average per stay
Volume
49,661
Medicare hospital stays
Hospitals in the U.S. billed an average of $50,958 for chronic obstructive pulmonary disease with major complications, about 4.8 times the average total payment of $10,575.
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 $10,575Billed $50,958
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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
| Fletcher Allen Hospital of VermontBurlington, VT | $6,633 |
|---|---|
| Piedmont Columbus Regional NorthsideColumbus, GA | $6,698 |
| Terrebonne General Medical CenterHouma, LA | $6,782 |
| Boone Hospital CenterColumbia, MO | $6,898 |
| Crestwood Medical CenterHuntsville, AL | $7,020 |
| Lakewood Ranch Medical CenterBradenton, FL | $7,063 |
| Baxter Regional Medical CenterMountain Home, AR | $7,091 |
| Weirton Medical CenterWeirton, WV | $7,116 |
| Thibodaux Regional Medical CenterThibodaux, LA | $7,120 |
| Reynolds Memorial HospitalGlen Dale, WV | $7,145 |
Highest
| Parkland Health and Hospital SystemDallas, TX | $48,267 |
|---|---|
| Queens Hospital CenterJamaica, NY | $41,305 |
| San Antonio Community HospitalUpland, CA | $31,978 |
| Elmhurst Hospital CenterNew York, NY | $31,548 |
| Jacobi Medical CenterBronx, NY | $28,686 |
| Stanford HospitalPalo Alto, CA | $26,055 |
| University of Maryland Medical CenterBaltimore, MD | $25,831 |
| Los Angeles General Medical CenterLos Angeles, CA | $25,804 |
| Grady Memorial HospitalAtlanta, GA | $25,422 |
| San Francisco General HospitalSan Francisco, CA | $23,092 |
Chronic obstructive pulmonary disease 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 | 34 | $46,111 | $8,684 | $7,020 – $13,438 |
| Alaska | 4 | $55,859 | $17,670 | $16,292 – $18,656 |
| Arizona | 29 | $52,936 | $9,741 | $8,126 – $16,641 |
| Arkansas | 23 | $35,146 | $8,145 | $6,817 – $11,867 |
| California | 144 | $94,847 | $13,416 | $6,810 – $33,910 |
| Colorado | 18 | $67,509 | $9,598 | $7,779 – $11,937 |
| Connecticut | 22 | $47,210 | $12,195 | $8,851 – $19,178 |
| Delaware | 6 | $34,854 | $10,403 | $9,593 – $11,589 |
| Florida | 113 | $60,700 | $9,296 | $6,733 – $17,887 |
| Georgia | 53 | $50,218 | $10,496 | $6,698 – $25,422 |
| Hawaii | 3 | $51,551 | $12,936 | $10,223 – $13,894 |
| Idaho | 6 | $40,536 | $9,456 | $7,730 – $11,735 |
| Illinois | 70 | $44,433 | $10,302 | $7,417 – $57,621 |
| Indiana | 46 | $40,276 | $8,830 | $7,576 – $17,834 |
| Iowa | 14 | $34,358 | $8,539 | $7,394 – $13,111 |
| Kansas | 11 | $46,343 | $8,815 | $7,177 – $10,390 |
| Kentucky | 32 | $37,508 | $8,217 | $7,211 – $9,932 |
| Louisiana | 24 | $44,454 | $8,296 | $6,351 – $16,316 |
| Maine | 7 | $34,183 | $9,759 | $7,141 – $11,123 |
| Maryland | 41 | $16,718 | $15,078 | $10,290 – $26,789 |
| Massachusetts | 47 | $24,768 | $11,034 | $8,286 – $20,886 |
| Michigan | 52 | $33,292 | $9,767 | $7,526 – $17,310 |
| Minnesota | 21 | $38,118 | $10,878 | $7,950 – $18,323 |
| Mississippi | 20 | $47,207 | $8,048 | $6,861 – $12,468 |
| Missouri | 31 | $48,218 | $9,390 | $6,898 – $24,044 |
| Montana | 7 | $26,950 | $8,887 | $8,404 – $9,311 |
| Nebraska | 8 | $38,743 | $9,144 | $6,946 – $11,913 |
| Nevada | 13 | $87,276 | $11,244 | $9,024 – $13,407 |
| New Hampshire | 6 | $29,730 | $9,622 | $8,266 – $13,075 |
| New Jersey | 51 | $89,076 | $10,768 | $8,503 – $16,403 |
| New Mexico | 9 | $57,347 | $9,992 | $7,191 – $11,787 |
| New York | 92 | $66,522 | $14,027 | $9,210 – $43,771 |
| North Carolina | 62 | $34,391 | $9,657 | $7,280 – $17,636 |
| North Dakota | 4 | $29,268 | $9,396 | $8,998 – $9,912 |
| Ohio | 71 | $39,787 | $9,135 | $6,109 – $15,116 |
| Oklahoma | 25 | $52,690 | $8,829 | $7,710 – $13,891 |
| Oregon | 13 | $32,275 | $11,378 | $9,522 – $12,991 |
| Pennsylvania | 73 | $53,753 | $9,862 | $6,567 – $17,526 |
| Rhode Island | 8 | $35,094 | $11,874 | $8,404 – $14,299 |
| South Carolina | 27 | $41,285 | $9,332 | $6,733 – $13,797 |
| South Dakota | 3 | $43,060 | $9,150 | $8,572 – $9,428 |
| Tennessee | 41 | $40,200 | $8,859 | $6,467 – $15,389 |
| Texas | 89 | $53,844 | $11,024 | $7,073 – $120,408 |
| Utah | 4 | $34,752 | $11,371 | $7,966 – $14,433 |
| Vermont | 2 | $29,411 | $7,777 | $6,633 – $12,049 |
| Virginia | 49 | $33,937 | $9,380 | $7,352 – $17,682 |
| Washington | 19 | $51,963 | $11,518 | $9,034 – $19,007 |
| West Virginia | 18 | $40,604 | $8,776 | $7,116 – $11,011 |
| Wisconsin | 18 | $36,317 | $9,683 | $7,502 – $12,744 |
| Wyoming | 7 | $30,059 | $12,340 | $10,529 – $14,508 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 210 | $71,454 | $9,963 |
| Southcoast Hospital Group, INCFall River, MA | 177 | $27,213 | $9,903 |
| Sarasota Memorial HospitalSarasota, FL | 158 | $46,795 | $8,461 |
| New York-Presbyterian HospitalNew York, NY | 144 | $114,624 | $16,524 |
| South Shore HospitalSouth Weymouth, MA | 141 | $15,753 | $9,655 |
| Virtua West Jersey HospitalVoorhees, NJ | 140 | $100,008 | $9,202 |
| Meritus Medical CenterHagerstown, MD | 134 | $11,158 | $10,290 |
| Umass Memorial Medical Center INCWorcester, MA | 134 | $41,045 | $15,125 |
| Forsyth Memorial HospitalWinston-Salem, NC | 127 | $29,988 | $8,959 |
| Martin Memorial Health SystemsStuart, FL | 120 | $38,268 | $7,321 |
| Norton Healthcare PavilionLouisville, KY | 114 | $42,349 | $8,003 |
| Carroll Hospital CenterWestminster, MD | 113 | $13,515 | $11,936 |
| Lowell General HospitalLowell, MA | 112 | $22,493 | $9,591 |
| Community Medical CenterToms River, NJ | 112 | $90,227 | $10,569 |
| New Hanover Regional Medical CenterWilmington, NC | 112 | $35,856 | $9,624 |
Questions
How much does chronic obstructive pulmonary disease with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease with major complications (DRG 190) at 1,595 hospitals in the U.S. was billed at $50,958 on average, while the average total payment was $10,575, of which Medicare paid $8,467. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for chronic obstructive pulmonary disease with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Alaska ($17,670), Maryland ($15,078), New York ($14,027) and lowest in Mississippi ($8,048), Arkansas ($8,145), Kentucky ($8,217).
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.