Complications of treatment with major complications
What 395 hospitals in the U.S. charged and were paid for a Medicare hospital stay for complications of treatment with major complications (DRG 919), from 2024 Medicare claims.
Average charge
$97,787
Hospital list price billed
Average payment
$21,165
Medicare + patient + other payers
Medicare paid
$16,740
Average per stay
Volume
8,121
Medicare hospital stays
Hospitals in the U.S. billed an average of $97,787 for complications of treatment with major complications, about 4.6 times the average total payment of $21,165.
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 $21,165Billed $97,787
About 22¢ 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
| Deaconess Hospital INCEvansville, IN | $12,479 |
|---|---|
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | $12,717 |
| Northwest Community HospitalArlington Heights, IL | $12,735 |
| Iowa Methodist Medical CenterDes Moines, IA | $13,100 |
| Baptist Memorial HospitalMemphis, TN | $13,492 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $13,854 |
| Sarasota Memorial HospitalSarasota, FL | $13,864 |
| Norton Healthcare PavilionLouisville, KY | $13,921 |
| Saint Francis Hospital, INCTulsa, OK | $13,995 |
| Memorial Hospital CentralColorado Springs, CO | $14,120 |
Highest
| University of California Davis Medical CenterSacramento, CA | $62,651 |
|---|---|
| Stanford HospitalPalo Alto, CA | $56,859 |
| UCLA Medical CenterLos Angeles, CA | $52,220 |
| The Johns Hopkins HospitalBaltimore, MD | $50,371 |
| North Shore University HospitalManhasset, NY | $38,955 |
| Emory University HospitalAtlanta, GA | $37,664 |
| University of Washington Medical CtrSeattle, WA | $37,441 |
| UNC HospitalsChapel Hill, NC | $37,404 |
| University of California San Diego Medical CenterSan Diego, CA | $37,343 |
| University of Virginia Medical CenterCharlottesville, VA | $36,587 |
Complications of treatment 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 | 3 | $71,919 | $16,517 | $13,829 – $19,459 |
| Alaska | 1 | $73,644 | $18,296 | – |
| Arizona | 7 | $71,607 | $18,291 | $12,717 – $22,996 |
| Arkansas | 4 | $50,140 | $15,336 | $13,495 – $20,180 |
| California | 44 | $172,316 | $28,875 | $16,945 – $62,651 |
| Colorado | 4 | $117,235 | $19,537 | $14,120 – $26,911 |
| Connecticut | 4 | $92,129 | $28,063 | $16,956 – $34,284 |
| Delaware | 3 | $51,544 | $16,208 | $14,556 – $16,786 |
| Florida | 33 | $85,613 | $16,204 | $11,864 – $28,516 |
| Georgia | 8 | $78,266 | $22,345 | $13,076 – $37,664 |
| Hawaii | 1 | $68,312 | $21,991 | – |
| Idaho | 2 | $43,699 | $14,257 | $14,032 – $14,517 |
| Illinois | 22 | $79,529 | $20,638 | $11,596 – $35,501 |
| Indiana | 4 | $66,149 | $16,765 | $12,479 – $24,217 |
| Iowa | 4 | $56,123 | $15,294 | $12,308 – $19,191 |
| Kansas | 5 | $114,990 | $17,854 | $12,107 – $23,089 |
| Kentucky | 2 | $54,791 | $16,133 | $13,921 – $18,080 |
| Louisiana | 2 | $49,746 | $13,519 | $11,182 – $15,855 |
| Maine | 1 | $46,939 | $18,621 | – |
| Maryland | 6 | $35,023 | $31,230 | $14,377 – $50,371 |
| Massachusetts | 14 | $63,169 | $23,081 | $14,709 – $31,528 |
| Michigan | 9 | $62,880 | $20,442 | $12,503 – $30,028 |
| Minnesota | 7 | $74,615 | $24,292 | $13,447 – $35,173 |
| Mississippi | 5 | $50,828 | $15,016 | $11,991 – $24,206 |
| Missouri | 7 | $65,227 | $18,163 | $13,535 – $22,613 |
| Montana | 2 | $37,447 | $15,924 | $13,676 – $17,775 |
| Nebraska | 3 | $78,316 | $19,689 | $14,508 – $25,498 |
| Nevada | 6 | $150,571 | $20,098 | $15,257 – $31,803 |
| New Hampshire | 1 | $69,013 | $23,946 | – |
| New Jersey | 19 | $130,936 | $19,438 | $14,132 – $27,309 |
| New Mexico | 2 | $41,171 | $18,681 | $17,483 – $20,315 |
| New York | 24 | $143,781 | $27,734 | $15,168 – $55,064 |
| North Carolina | 11 | $69,750 | $22,374 | $12,155 – $37,404 |
| North Dakota | 1 | $45,008 | $15,217 | – |
| Ohio | 15 | $65,411 | $17,100 | $13,884 – $23,700 |
| Oklahoma | 7 | $83,384 | $15,511 | $12,556 – $24,242 |
| Oregon | 6 | $55,735 | $19,660 | $16,460 – $25,270 |
| Pennsylvania | 20 | $112,119 | $19,066 | $12,640 – $30,216 |
| Rhode Island | 2 | $61,516 | $25,477 | $18,971 – $31,169 |
| South Carolina | 4 | $65,360 | $19,776 | $11,798 – $24,024 |
| South Dakota | 1 | $54,151 | $14,457 | – |
| Tennessee | 7 | $103,915 | $19,491 | $11,822 – $27,289 |
| Texas | 28 | $108,790 | $18,223 | $12,217 – $35,945 |
| Utah | 2 | $49,752 | $19,282 | $16,330 – $21,525 |
| Virginia | 14 | $68,128 | $19,449 | $11,368 – $36,587 |
| Washington | 8 | $82,118 | $21,636 | $15,180 – $37,441 |
| West Virginia | 2 | $91,103 | $21,737 | $17,366 – $26,380 |
| Wisconsin | 6 | $81,053 | $23,650 | $16,204 – $26,007 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 106 | $105,847 | $15,331 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 88 | $282,542 | $25,973 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 79 | $75,915 | $28,659 |
| Methodist HospitalSan Antonio, TX | 77 | $133,646 | $15,760 |
| Stanford HospitalPalo Alto, CA | 74 | $456,920 | $56,859 |
| Massachusetts General HospitalBoston, MA | 67 | $91,711 | $25,518 |
| Brigham and Women's HosptialBoston, MA | 66 | $124,251 | $31,528 |
| Mayo Clinic HospitalPhoenix, AZ | 65 | $73,275 | $22,996 |
| UT Southwestern University HospitalDallas, TX | 60 | $71,159 | $20,227 |
| New York-Presbyterian HospitalNew York, NY | 59 | $180,122 | $27,287 |
| Barnes Jewish HospitalSt Louis, MO | 57 | $82,689 | $21,947 |
| NYU Hospitals CenterNew York, NY | 57 | $185,599 | $30,769 |
| Vanderbilt University HospitalNashville, TN | 57 | $101,454 | $27,093 |
| Mayo ClinicJacksonville, FL | 55 | $88,054 | $28,516 |
| Beth Israel Deaconess Medical CenterBoston, MA | 53 | $46,622 | $25,568 |
Questions
How much does complications of treatment with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for complications of treatment with major complications (DRG 919) at 395 hospitals in the U.S. was billed at $97,787 on average, while the average total payment was $21,165, of which Medicare paid $16,740. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for complications of treatment with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($31,230), California ($28,875), Connecticut ($28,063) and lowest in Mississippi ($15,016), Iowa ($15,294), Arkansas ($15,336).
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 4.6 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.