Connective tissue disorders with major complications
What 52 hospitals in the U.S. charged and were paid for a Medicare hospital stay for connective tissue disorders with major complications (DRG 545), from 2024 Medicare claims.
Average charge
$154,833
Hospital list price billed
Average payment
$34,517
Medicare + patient + other payers
Medicare paid
$28,251
Average per stay
Volume
863
Medicare hospital stays
Hospitals in the U.S. billed an average of $154,833 for connective tissue disorders with major complications, about 4.5 times the average total payment of $34,517.
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 $34,517Billed $154,833
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
| Adventhealth OrlandoOrlando, FL | $19,448 |
|---|---|
| Methodist HospitalSan Antonio, TX | $20,079 |
| Evanston HospitalEvanston, IL | $21,565 |
| Cleveland Clinic - Main CampusCleveland, OH | $23,447 |
| Yale-New Haven HospitalNew Haven, CT | $30,376 |
| Northwestern Memorial HospitalChicago, IL | $30,750 |
| NYU Hospitals CenterNew York, NY | $33,430 |
| Barnes Jewish HospitalSt Louis, MO | $33,738 |
| New York-Presbyterian HospitalNew York, NY | $35,936 |
| Beth Israel Deaconess Medical CenterBoston, MA | $40,637 |
Highest
| Stanford HospitalPalo Alto, CA | $69,641 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $62,340 |
| The Johns Hopkins HospitalBaltimore, MD | $55,647 |
| Brigham and Women's HosptialBoston, MA | $49,976 |
| Beth Israel Deaconess Medical CenterBoston, MA | $40,637 |
| New York-Presbyterian HospitalNew York, NY | $35,936 |
| Barnes Jewish HospitalSt Louis, MO | $33,738 |
| NYU Hospitals CenterNew York, NY | $33,430 |
| Northwestern Memorial HospitalChicago, IL | $30,750 |
| Yale-New Haven HospitalNew Haven, CT | $30,376 |
Connective tissue disorders 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 |
|---|---|---|---|---|
| Arizona | 1 | $176,130 | $59,337 | – |
| California | 4 | $368,271 | $55,162 | $29,855 – $69,641 |
| Connecticut | 2 | $101,158 | $27,397 | $21,169 – $30,376 |
| Delaware | 1 | $125,393 | $37,233 | – |
| Florida | 3 | $99,857 | $17,882 | $16,421 – $19,448 |
| Georgia | 1 | $75,893 | $34,978 | – |
| Illinois | 5 | $79,179 | $25,396 | $16,764 – $32,346 |
| Maine | 1 | $98,816 | $26,417 | – |
| Maryland | 2 | $52,114 | $45,806 | $21,650 – $55,647 |
| Massachusetts | 4 | $121,787 | $38,052 | $18,804 – $49,976 |
| Michigan | 1 | $148,660 | $43,553 | – |
| Minnesota | 1 | $225,656 | $79,685 | – |
| Missouri | 1 | $116,641 | $33,738 | – |
| New Jersey | 1 | $138,622 | $23,848 | – |
| New Mexico | 1 | $52,329 | $18,848 | – |
| New York | 8 | $206,022 | $33,706 | $24,812 – $43,076 |
| North Carolina | 2 | $109,371 | $31,947 | $19,176 – $42,465 |
| Ohio | 2 | $100,001 | $22,344 | $20,531 – $23,447 |
| Oregon | 1 | $102,643 | $37,612 | – |
| Pennsylvania | 3 | $229,134 | $29,943 | $21,118 – $36,169 |
| South Carolina | 1 | $84,844 | $35,807 | – |
| Tennessee | 1 | $143,973 | $34,264 | – |
| Texas | 2 | $180,035 | $22,952 | $20,079 – $26,783 |
| Virginia | 1 | $81,231 | $23,560 | – |
| Wisconsin | 1 | $94,108 | $28,022 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 56 | $219,765 | $35,936 |
| Beth Israel Deaconess Medical CenterBoston, MA | 28 | $77,128 | $40,637 |
| The Johns Hopkins HospitalBaltimore, MD | 27 | $63,536 | $55,647 |
| Evanston HospitalEvanston, IL | 26 | $68,376 | $21,565 |
| Stanford HospitalPalo Alto, CA | 25 | $581,879 | $69,641 |
| NYU Hospitals CenterNew York, NY | 24 | $186,591 | $33,430 |
| Yale-New Haven HospitalNew Haven, CT | 23 | $104,010 | $30,376 |
| Brigham and Women's HosptialBoston, MA | 23 | $209,244 | $49,976 |
| Cleveland Clinic - Main CampusCleveland, OH | 23 | $102,663 | $23,447 |
| Northwestern Memorial HospitalChicago, IL | 22 | $76,773 | $30,750 |
| UCSF Medical CenterSan Francisco, CA | 20 | $346,761 | $62,340 |
| Adventhealth OrlandoOrlando, FL | 20 | $134,766 | $19,448 |
| Barnes Jewish HospitalSt Louis, MO | 20 | $116,641 | $33,738 |
| Methodist HospitalSan Antonio, TX | 20 | $190,432 | $20,079 |
| Massachusetts General HospitalBoston, MA | 19 | $140,221 | $32,981 |
Questions
How much does connective tissue disorders with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for connective tissue disorders with major complications (DRG 545) at 52 hospitals in the U.S. was billed at $154,833 on average, while the average total payment was $34,517, of which Medicare paid $28,251. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for connective tissue disorders with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($55,162), Massachusetts ($38,052), New York ($33,706) and lowest in Florida ($17,882), Illinois ($25,396), Pennsylvania ($29,943).
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 4.5 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.