HIV with major related condition with major complications
What 23 hospitals in the U.S. charged and were paid for a Medicare hospital stay for hiv with major related condition with major complications (DRG 974), from 2024 Medicare claims.
Average charge
$220,691
Hospital list price billed
Average payment
$46,016
Medicare + patient + other payers
Medicare paid
$38,450
Average per stay
Volume
404
Medicare hospital stays
Hospitals in the U.S. billed an average of $220,691 for hiv with major related condition with major complications, about 4.8 times the average total payment of $46,016.
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 $46,016Billed $220,691
About 21¢ 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:
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
| Christiana Care Health Services, INC.Newark, DE | $26,849 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $43,098 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $47,275 |
| University of California San Diego Medical CenterSan Diego, CA | $47,557 |
| Mount Sinai WestNew York, NY | $48,072 |
| Montefiore Medical CenterBronx, NY | $48,101 |
| Bronxcare Hospital CenterBronx, NY | $49,846 |
Highest
| Bronxcare Hospital CenterBronx, NY | $49,846 |
|---|---|
| Montefiore Medical CenterBronx, NY | $48,101 |
| Mount Sinai WestNew York, NY | $48,072 |
| University of California San Diego Medical CenterSan Diego, CA | $47,557 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $47,275 |
| New York-Presbyterian HospitalNew York, NY | $43,098 |
| Christiana Care Health Services, INC.Newark, DE | $26,849 |
HIV with major related condition 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 |
|---|---|---|---|---|
| California | 3 | $322,671 | $48,697 | $47,275 – $52,540 |
| Delaware | 1 | $82,361 | $26,849 | – |
| Florida | 3 | $176,263 | $32,290 | $26,688 – $40,719 |
| Georgia | 1 | $143,144 | $41,107 | – |
| Maryland | 2 | $58,832 | $53,319 | $52,129 – $54,616 |
| Massachusetts | 1 | $119,223 | $38,662 | – |
| New York | 9 | $237,483 | $46,540 | $34,274 – $60,388 |
| Texas | 2 | $193,954 | $75,547 | $75,479 – $75,645 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 39 | $316,589 | $43,098 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 31 | $496,786 | $47,275 |
| Mount Sinai WestNew York, NY | 27 | $238,279 | $48,072 |
| Montefiore Medical CenterBronx, NY | 26 | $379,689 | $48,101 |
| University of California San Diego Medical CenterSan Diego, CA | 22 | $170,240 | $47,557 |
| Bronxcare Hospital CenterBronx, NY | 22 | $70,801 | $49,846 |
| Christiana Care Health Services, INC.Newark, DE | 21 | $82,361 | $26,849 |
| UCSF Medical CenterSan Francisco, CA | 18 | $209,111 | $52,540 |
| Adventhealth OrlandoOrlando, FL | 17 | $177,328 | $26,688 |
| Jackson Health SystemMiami, FL | 17 | $165,898 | $40,719 |
| NYU Hospitals CenterNew York, NY | 16 | $214,052 | $39,091 |
| Parkland Health and Hospital SystemDallas, TX | 16 | $220,933 | $75,479 |
| George Washington Univ HospitalWashington, DC | 14 | $312,023 | $41,787 |
| Mount Sinai HospitalNew York, NY | 14 | $280,358 | $57,305 |
| North Broward Medical CenterPompano Beach, FL | 13 | $188,425 | $28,595 |
Questions
How much does hiv with major related condition with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for hiv with major related condition with major complications (DRG 974) at 23 hospitals in the U.S. was billed at $220,691 on average, while the average total payment was $46,016, of which Medicare paid $38,450. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for hiv with major related condition with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($48,697), New York ($46,540), Florida ($32,290) and lowest in Florida ($32,290), New York ($46,540), California ($48,697).
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 4.8 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.