ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec
What 272 hospitals in the U.S. charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.
Average charge
$1,160,394
Hospital list price billed
Average payment
$246,178
Medicare + patient + other payers
Medicare paid
$209,580
Average per stay
Volume
6,749
Medicare hospital stays
Hospitals in the U.S. billed an average of $1,160,394 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 4.7 times the average total payment of $246,178.
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 $246,178Billed $1,160,394
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
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
| East Texas Medical CenterTyler, TX | $123,345 |
|---|---|
| Texas Health Presbyterian Hospital DallasDallas, TX | $128,139 |
| Miami Valley HospitalDayton, OH | $130,112 |
| Medical Center of PlanoPlano, TX | $133,748 |
| Saint Francis Hospital, INCTulsa, OK | $142,091 |
| Methodist HospitalSan Antonio, TX | $145,603 |
| University of Kansas HospitalKansas City, KS | $145,821 |
| Baptist Memorial HospitalMemphis, TN | $148,166 |
| Jewish HospitalLouisville, KY | $149,466 |
| Erlanger Medical CenterChattanooga, TN | $149,560 |
Highest
| Stanford HospitalPalo Alto, CA | $624,169 |
|---|---|
| USC University HospitalLos Angeles, CA | $450,877 |
| UCSF Medical CenterSan Francisco, CA | $433,445 |
| UCLA Medical CenterLos Angeles, CA | $422,338 |
| University of California Davis Medical CenterSacramento, CA | $419,418 |
| Methodist Hospital,TheHouston, TX | $415,642 |
| New York-Presbyterian HospitalNew York, NY | $411,959 |
| Hospital of the Univ of PaPhiladelphia, PA | $407,445 |
| University of Virginia Medical CenterCharlottesville, VA | $405,040 |
| Tufts Medical CenterBoston, MA | $378,894 |
ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec 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 | $1,150,610 | $209,114 | $103,236 – $243,294 |
| Arizona | 4 | $862,828 | $250,024 | $190,918 – $366,490 |
| Arkansas | 3 | $468,220 | $152,932 | $139,089 – $162,712 |
| California | 24 | $2,127,516 | $358,945 | $153,780 – $624,169 |
| Colorado | 2 | $1,821,086 | $284,633 | $251,862 – $374,011 |
| Connecticut | 3 | $938,127 | $232,179 | $207,824 – $255,200 |
| Delaware | 1 | $535,809 | $207,528 | – |
| Florida | 28 | $1,087,128 | $185,180 | $76,096 – $324,342 |
| Georgia | 8 | $1,044,230 | $235,892 | $133,651 – $354,409 |
| Idaho | 1 | $402,866 | $166,223 | – |
| Illinois | 11 | $1,000,925 | $254,136 | $128,568 – $355,858 |
| Indiana | 5 | $762,365 | $177,582 | $143,133 – $220,238 |
| Iowa | 2 | $585,265 | $162,471 | $151,221 – $173,721 |
| Kansas | 1 | $743,173 | $145,821 | – |
| Kentucky | 3 | $611,223 | $158,905 | $134,871 – $172,931 |
| Louisiana | 6 | $636,347 | $167,825 | $115,911 – $221,516 |
| Maine | 1 | $1,091,821 | $246,684 | – |
| Maryland | 2 | $280,755 | $253,565 | $236,966 – $285,045 |
| Massachusetts | 8 | $953,405 | $306,230 | $242,090 – $378,894 |
| Michigan | 6 | $844,530 | $245,960 | $150,058 – $371,256 |
| Minnesota | 5 | $890,712 | $290,720 | $116,739 – $371,694 |
| Mississippi | 1 | $663,017 | $180,010 | – |
| Missouri | 5 | $772,170 | $221,943 | $149,703 – $284,969 |
| Nebraska | 3 | $610,395 | $173,496 | $114,636 – $200,281 |
| Nevada | 3 | $1,370,608 | $190,618 | $178,652 – $211,113 |
| New Hampshire | 1 | $866,477 | $271,302 | – |
| New Jersey | 9 | $1,052,952 | $216,794 | $175,375 – $284,461 |
| New Mexico | 1 | $369,755 | $222,577 | – |
| New York | 22 | $1,612,921 | $308,737 | $197,337 – $411,959 |
| North Carolina | 9 | $765,138 | $220,832 | $150,898 – $314,299 |
| North Dakota | 1 | $437,880 | $154,012 | – |
| Ohio | 11 | $899,182 | $209,200 | $115,288 – $253,048 |
| Oklahoma | 5 | $1,051,333 | $172,598 | $101,752 – $206,983 |
| Oregon | 2 | $586,315 | $243,836 | $195,149 – $273,049 |
| Pennsylvania | 13 | $1,705,039 | $265,561 | $173,301 – $407,445 |
| Rhode Island | 1 | $693,276 | $253,024 | – |
| South Carolina | 6 | $790,021 | $180,925 | $125,501 – $219,860 |
| South Dakota | 1 | $413,314 | $235,436 | – |
| Tennessee | 8 | $923,701 | $173,446 | $121,726 – $228,040 |
| Texas | 21 | $1,236,213 | $223,618 | $117,162 – $415,642 |
| Utah | 2 | $651,192 | $224,018 | $166,778 – $281,258 |
| Vermont | 1 | $651,279 | $165,642 | – |
| Virginia | 6 | $1,124,984 | $278,091 | $137,156 – $405,040 |
| Washington | 5 | $836,650 | $248,159 | $207,973 – $307,365 |
| West Virginia | 2 | $649,722 | $167,676 | $112,380 – $192,464 |
| Wisconsin | 3 | $861,598 | $270,526 | $200,802 – $372,171 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | 133 | $1,084,238 | $253,048 |
| New York-Presbyterian HospitalNew York, NY | 114 | $2,247,115 | $411,959 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 84 | $883,000 | $371,694 |
| Adventhealth OrlandoOrlando, FL | 77 | $1,080,869 | $173,426 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | 77 | $1,047,446 | $273,630 |
| Shands Hospital at the University of FloridaGainesville, FL | 75 | $881,122 | $195,508 |
| Brigham and Women's HosptialBoston, MA | 72 | $1,222,378 | $305,848 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 69 | $3,991,515 | $372,321 |
| Hospital of the Univ of PaPhiladelphia, PA | 66 | $2,726,336 | $407,445 |
| Stanford HospitalPalo Alto, CA | 64 | $5,161,515 | $624,169 |
| Northwestern Memorial HospitalChicago, IL | 63 | $1,798,599 | $343,202 |
| Massachusetts General HospitalBoston, MA | 63 | $1,201,916 | $288,440 |
| Barnes Jewish HospitalSt Louis, MO | 60 | $826,674 | $284,969 |
| NYU Hospitals CenterNew York, NY | 60 | $1,917,114 | $325,159 |
| Montefiore Medical CenterBronx, NY | 58 | $1,863,362 | $334,930 |
Questions
How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in the U.S.?
In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 272 hospitals in the U.S. was billed at $1,160,394 on average, while the average total payment was $246,178, of which Medicare paid $209,580. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec?
Among states with at least three hospitals reporting, the average total payment was highest in California ($358,945), New York ($308,737), Massachusetts ($306,230) and lowest in Arkansas ($152,932), Kentucky ($158,905), Louisiana ($167,825).
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.