facebook tracking Hypertension without major complications cost: hospital prices by state (DRG 305)

Hypertension without major complications

What 790 hospitals in the U.S. charged and were paid for a Medicare hospital stay for hypertension without major complications (DRG 305), from 2024 Medicare claims.

DRG 305 Inpatient 2024 Medicare data
Average charge $41,650 Hospital list price billed
Average payment $7,204 Medicare + patient + other payers
Medicare paid $5,196 Average per stay
Volume 17,181 Medicare hospital stays

Hospitals in the U.S. billed an average of $41,650 for hypertension without major complications, about 5.8 times the average total payment of $7,204.

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 $7,204Billed $41,650

About 17¢ 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:

Advertisement

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

Boone Hospital CenterColumbia, MO$4,714
Delray Medical CenterDelray Beach, FL$4,897
Baxter Regional Medical CenterMountain Home, AR$4,919
Missouri Baptist Medical CenterTown and Country, MO$4,963
Villages Regional Hospital theLady Lake, FL$4,996
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL$5,015
Slidell Memorial HospitalSlidell, LA$5,057
South Bay HospitalGreater Sun Center, FL$5,072
Sarasota Memorial Hospital - VeniceNorth Venice, FL$5,103
Jupiter Medical CenterJupiter, FL$5,157

Highest

Jackson Health SystemMiami, FL$15,217
St John's Episcopal Hospital at South ShoreFar Rockaway, NY$14,443
Sinai Hospital of BaltimoreBaltimore, MD$12,878
New York-Presbyterian HospitalNew York, NY$12,172
Montefiore Medical CenterBronx, NY$12,087
Mayo Clinic HospitalPhoenix, AZ$11,555
NYU Hospitals CenterNew York, NY$11,234
Good Samaritan HospitalBaltimore, MD$11,165
Carolinas Medical Center/Behav HealthCharlotte, NC$10,944
Beth Israel Medical CenterNew York, NY$10,770

Hypertension without 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 12 $26,606 $6,079 $5,002 – $7,151
Arizona 17 $43,732 $7,006 $5,515 – $11,555
Arkansas 13 $22,856 $5,539 $4,919 – $6,933
California 55 $64,140 $8,766 $7,284 – $15,568
Colorado 3 $53,774 $6,409 $6,244 – $6,526
Connecticut 9 $35,101 $8,557 $7,023 – $11,183
Delaware 4 $26,718 $6,931 $6,563 – $7,214
Florida 99 $51,050 $6,794 $4,897 – $15,217
Georgia 29 $36,378 $7,344 $5,078 – $10,577
Hawaii 1 $29,689 $9,366 –
Idaho 4 $34,094 $6,906 $6,097 – $8,448
Illinois 37 $32,451 $6,832 $5,194 – $11,366
Indiana 13 $25,909 $6,139 $5,402 – $7,730
Iowa 4 $24,151 $5,913 $5,316 – $6,165
Kansas 8 $51,878 $6,584 $5,194 – $7,275
Kentucky 10 $31,675 $5,734 $5,164 – $7,160
Louisiana 8 $28,109 $6,081 $5,057 – $7,341
Maine 2 $29,229 $6,893 $6,201 – $7,499
Maryland 22 $11,504 $10,353 $5,246 – $15,743
Massachusetts 21 $19,157 $7,527 $6,078 – $10,498
Michigan 23 $25,090 $7,064 $5,348 – $10,775
Minnesota 7 $26,425 $6,686 $5,867 – $9,595
Mississippi 9 $29,216 $5,880 $5,047 – $6,284
Missouri 25 $31,554 $6,421 $4,714 – $10,733
Montana 2 $18,630 $5,896 $5,849 – $5,942
Nebraska 1 $25,995 $6,170 –
Nevada 10 $91,616 $7,762 $6,564 – $9,261
New Hampshire 3 $45,305 $6,548 $5,789 – $7,137
New Jersey 34 $53,871 $7,450 $5,789 – $10,752
New Mexico 1 $49,490 $5,368 –
New York 46 $53,155 $10,027 $6,944 – $27,176
North Carolina 22 $28,042 $7,226 $5,048 – $11,888
North Dakota 1 $25,591 $6,571 –
Ohio 35 $30,434 $6,598 $4,735 – $10,305
Oklahoma 10 $31,735 $6,580 $5,505 – $10,861
Oregon 1 $25,955 $8,288 –
Pennsylvania 38 $39,683 $6,806 $5,375 – $10,161
Rhode Island 1 $27,086 $9,296 –
South Carolina 16 $33,914 $6,485 $4,618 – $8,680
South Dakota 3 $35,065 $6,717 $6,401 – $7,464
Tennessee 24 $32,996 $6,560 $4,879 – $12,777
Texas 63 $52,236 $7,037 $5,037 – $11,106
Utah 1 $38,740 $8,553 –
Virginia 22 $33,176 $6,332 $5,458 – $7,894
Washington 8 $40,044 $7,189 $6,603 – $8,079
West Virginia 7 $26,495 $6,487 $5,074 – $8,107
Wisconsin 3 $31,320 $6,658 $5,868 – $7,215
Wyoming 2 $28,857 $7,878 $7,575 – $8,237

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Adventhealth OrlandoOrlando, FL236$53,507$7,125
Methodist HospitalSan Antonio, TX151$65,919$6,480
Sarasota Memorial HospitalSarasota, FL91$35,048$6,005
Orlando Regional HealthcareOrlando, FL89$51,451$8,237
Ocala Regional Medical CenterOcala, FL83$61,701$6,562
Deaconess Hospital INCEvansville, IN81$22,639$6,077
Norton Healthcare PavilionLouisville, KY80$33,498$5,714
Baptist Medical CenterJacksonville, FL79$42,770$6,790
University HospitalStony Brook, NY79$62,241$10,244
NYU Hospitals CenterNew York, NY71$80,766$11,234
Sarasota Memorial Hospital - VeniceNorth Venice, FL70$34,754$5,103
Martin Memorial Health SystemsStuart, FL67$32,002$5,411
Naples Community HospitalNaples, FL65$38,370$5,830
Physicians Regional Medical Center - Pine RidgeNaples, FL62$56,387$5,552
South Shore HospitalSouth Weymouth, MA62$13,701$6,392

Questions

How much does hypertension without major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for hypertension without major complications (DRG 305) at 790 hospitals in the U.S. was billed at $41,650 on average, while the average total payment was $7,204, of which Medicare paid $5,196. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for hypertension without major complications?

Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($10,353), New York ($10,027), California ($8,766) and lowest in Arkansas ($5,539), Kentucky ($5,734), Mississippi ($5,880).

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 5.8 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.