Complications of treatment with complications
What 282 hospitals in the U.S. charged and were paid for a Medicare hospital stay for complications of treatment with complications (DRG 920), from 2024 Medicare claims.
Average charge
$53,720
Hospital list price billed
Average payment
$11,515
Medicare + patient + other payers
Medicare paid
$8,567
Average per stay
Volume
5,288
Medicare hospital stays
Hospitals in the U.S. billed an average of $53,720 for complications of treatment with complications, about 4.7 times the average total payment of $11,515.
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 $11,515Billed $53,720
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
| Martin Memorial Health SystemsStuart, FL | $6,838 |
|---|---|
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $7,485 |
| Northwest Community HospitalArlington Heights, IL | $7,633 |
| Norton Healthcare PavilionLouisville, KY | $7,660 |
| Deaconess Hospital INCEvansville, IN | $7,712 |
| William Beaumont Hospital-TroyTroy, MI | $7,742 |
| Saint Francis Hospital, INCTulsa, OK | $7,938 |
| Boca Raton Regional HospitalBoca Raton, FL | $7,983 |
| Sarasota Memorial HospitalSarasota, FL | $8,117 |
| Chandler Regional Medical CenterChandler, AZ | $8,207 |
Highest
| Medstar Georgetown University HospitalWashington, DC | $21,268 |
|---|---|
| Stanford HospitalPalo Alto, CA | $21,016 |
| The Johns Hopkins HospitalBaltimore, MD | $20,544 |
| The University of Chicago Medical CenterChicago, IL | $20,338 |
| Jackson Health SystemMiami, FL | $19,676 |
| University of California San Diego Medical CenterSan Diego, CA | $18,488 |
| The Nebraska Medical CenterOmaha, NE | $17,838 |
| Mount Sinai HospitalNew York, NY | $17,823 |
| USC University HospitalLos Angeles, CA | $17,129 |
| Univ of Michigan HospitalsAnn Arbor, MI | $16,971 |
Complications of treatment 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 | 1 | $57,642 | $12,895 | – |
| Alaska | 1 | $76,781 | $10,138 | – |
| Arizona | 9 | $47,559 | $10,938 | $7,527 – $15,018 |
| Arkansas | 3 | $34,262 | $9,247 | $7,642 – $11,510 |
| California | 20 | $100,466 | $14,946 | $9,965 – $21,016 |
| Colorado | 2 | $67,745 | $10,441 | $8,275 – $11,970 |
| Connecticut | 2 | $45,878 | $13,285 | $11,863 – $13,734 |
| Delaware | 1 | $33,798 | $10,714 | – |
| Florida | 28 | $51,127 | $9,679 | $6,816 – $19,676 |
| Georgia | 5 | $35,272 | $11,873 | $8,451 – $14,427 |
| Illinois | 17 | $43,180 | $11,552 | $7,633 – $23,584 |
| Indiana | 5 | $41,581 | $9,843 | $7,712 – $12,129 |
| Iowa | 2 | $43,111 | $9,773 | $7,826 – $10,786 |
| Kansas | 3 | $51,882 | $9,368 | $7,695 – $10,009 |
| Kentucky | 4 | $34,276 | $8,695 | $7,524 – $10,802 |
| Louisiana | 3 | $41,483 | $9,095 | $7,564 – $11,352 |
| Maryland | 3 | $15,441 | $15,433 | $7,221 – $20,544 |
| Massachusetts | 12 | $35,661 | $12,692 | $8,332 – $16,132 |
| Michigan | 11 | $34,561 | $10,865 | $7,742 – $16,971 |
| Minnesota | 6 | $43,484 | $12,530 | $7,981 – $18,149 |
| Mississippi | 4 | $29,575 | $8,430 | $6,715 – $12,240 |
| Missouri | 5 | $43,120 | $11,223 | $6,773 – $16,020 |
| Nebraska | 3 | $51,812 | $13,647 | $7,904 – $17,838 |
| Nevada | 1 | $117,977 | $11,518 | – |
| New Hampshire | 1 | $46,724 | $12,814 | – |
| New Jersey | 12 | $75,336 | $11,046 | $8,720 – $12,452 |
| New York | 18 | $73,854 | $13,505 | $8,977 – $17,823 |
| North Carolina | 9 | $39,454 | $13,059 | $7,338 – $24,560 |
| North Dakota | 1 | $25,937 | $9,982 | – |
| Ohio | 9 | $37,167 | $10,409 | $8,488 – $12,714 |
| Oklahoma | 4 | $45,291 | $11,026 | $7,615 – $22,625 |
| Oregon | 2 | $38,277 | $13,638 | $12,489 – $15,519 |
| Pennsylvania | 16 | $68,106 | $10,668 | $7,702 – $14,474 |
| Rhode Island | 2 | $37,037 | $11,615 | $10,052 – $13,289 |
| South Carolina | 5 | $39,454 | $10,933 | $7,429 – $13,637 |
| South Dakota | 2 | $38,817 | $8,610 | $8,421 – $8,817 |
| Tennessee | 9 | $43,509 | $10,685 | $6,654 – $14,658 |
| Texas | 18 | $63,840 | $10,562 | $7,917 – $23,445 |
| Utah | 1 | $25,419 | $12,379 | – |
| Vermont | 1 | $42,046 | $12,144 | – |
| Virginia | 9 | $45,362 | $10,092 | $7,343 – $16,180 |
| Washington | 4 | $47,563 | $12,694 | $8,211 – $15,879 |
| West Virginia | 2 | $34,781 | $10,049 | $9,257 – $10,478 |
| Wisconsin | 4 | $49,676 | $12,428 | $8,008 – $14,922 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 87 | $61,015 | $12,758 |
| NYU Hospitals CenterNew York, NY | 56 | $110,642 | $15,568 |
| Sarasota Memorial HospitalSarasota, FL | 52 | $49,433 | $8,117 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 52 | $46,066 | $14,530 |
| Vanderbilt University HospitalNashville, TN | 46 | $47,510 | $14,658 |
| Stanford HospitalPalo Alto, CA | 45 | $182,593 | $21,016 |
| Mayo ClinicJacksonville, FL | 45 | $32,053 | $11,217 |
| Brigham and Women's HosptialBoston, MA | 45 | $48,715 | $13,933 |
| New York-Presbyterian HospitalNew York, NY | 45 | $98,314 | $14,681 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 42 | $195,272 | $14,981 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | 41 | $59,218 | $14,922 |
| Christiana Care Health Services, INC.Newark, DE | 40 | $33,798 | $10,714 |
| Methodist HospitalSan Antonio, TX | 40 | $67,200 | $8,958 |
| Massachusetts General HospitalBoston, MA | 39 | $67,949 | $15,464 |
| Yale-New Haven HospitalNew Haven, CT | 38 | $46,646 | $13,734 |
Questions
How much does complications of treatment with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for complications of treatment with complications (DRG 920) at 282 hospitals in the U.S. was billed at $53,720 on average, while the average total payment was $11,515, of which Medicare paid $8,567. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for complications of treatment with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($15,433), California ($14,946), Nebraska ($13,647) and lowest in Mississippi ($8,430), Kentucky ($8,695), Louisiana ($9,095).
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 4.7 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.