Dental and oral diseases with complications
What 22 hospitals in the U.S. charged and were paid for a Medicare hospital stay for dental and oral diseases with complications (DRG 158), from 2024 Medicare claims.
Average charge
$54,960
Hospital list price billed
Average payment
$10,651
Medicare + patient + other payers
Medicare paid
$7,734
Average per stay
Volume
296
Medicare hospital stays
Hospitals in the U.S. billed an average of $54,960 for dental and oral diseases with complications, about 5.2 times the average total payment of $10,651.
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 $10,651Billed $54,960
About 19¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
Dental and oral diseases 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 |
|---|---|---|---|---|
| Arizona | 1 | $27,716 | $7,953 | – |
| California | 2 | $151,349 | $16,342 | $15,415 – $17,126 |
| Delaware | 1 | $27,330 | $11,392 | – |
| Florida | 3 | $56,348 | $8,468 | $6,939 – $10,967 |
| Illinois | 1 | $38,787 | $9,502 | – |
| Indiana | 2 | $38,608 | $9,577 | $7,065 – $11,730 |
| Maryland | 1 | $8,261 | $7,683 | – |
| Massachusetts | 1 | $32,014 | $18,117 | – |
| Michigan | 2 | $36,818 | $10,277 | $9,258 – $11,218 |
| Missouri | 1 | $46,872 | $11,072 | – |
| New Jersey | 1 | $60,889 | $10,484 | – |
| New York | 2 | $108,284 | $14,261 | $12,137 – $16,965 |
| North Carolina | 1 | $26,265 | $7,738 | – |
| Ohio | 2 | $33,120 | $9,201 | $8,979 – $9,486 |
| Pennsylvania | 1 | $60,039 | $9,087 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Miami Valley HospitalDayton, OH | 18 | $34,203 | $8,979 |
| Adventhealth OrlandoOrlando, FL | 17 | $65,792 | $8,084 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 17 | $41,641 | $6,939 |
| Christiana Care Health Services, INC.Newark, DE | 16 | $27,330 | $11,392 |
| Barnes Jewish HospitalSt Louis, MO | 15 | $46,872 | $11,072 |
| Clarian Health PartnersIndianapolis, IN | 14 | $45,717 | $11,730 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 14 | $83,381 | $12,137 |
| Ohio State University HospitalsColumbus, OH | 14 | $31,728 | $9,486 |
| Stanford HospitalPalo Alto, CA | 13 | $199,138 | $17,126 |
| Tampa General HospitalTampa, FL | 13 | $63,229 | $10,967 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | 13 | $38,787 | $9,502 |
| Anne Arundel Medical CenterAnnapolis, MD | 13 | $8,261 | $7,683 |
| Univ of Michigan HospitalsAnn Arbor, MI | 13 | $33,778 | $11,218 |
| Morristown Memorial HospitalMorristown, NJ | 13 | $60,889 | $10,484 |
| Lehigh Valley HospitalAllentown, PA | 13 | $60,039 | $9,087 |
Questions
How much does dental and oral diseases with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for dental and oral diseases with complications (DRG 158) at 22 hospitals in the U.S. was billed at $54,960 on average, while the average total payment was $10,651, of which Medicare paid $7,734. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for dental and oral diseases with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Florida ($8,468) and lowest in Florida ($8,468).
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 5.2 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.