Infectious and parasitic diseases with operating room procedures with complications
What 720 hospitals in the U.S. charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854), from 2024 Medicare claims.
Average charge
$100,093
Hospital list price billed
Average payment
$19,011
Medicare + patient + other payers
Medicare paid
$15,086
Average per stay
Volume
13,459
Medicare hospital stays
Hospitals in the U.S. billed an average of $100,093 for infectious and parasitic diseases with operating room procedures with complications, about 5.3 times the average total payment of $19,011.
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 $19,011Billed $100,093
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:
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
| Marietta Memorial HospitalMarietta, OH | $9,933 |
|---|---|
| Boone Hospital CenterColumbia, MO | $12,804 |
| Mississippi Baptist Medical CenterJackson, MS | $12,923 |
| St Bernards Medical CenterJonesboro, AR | $13,323 |
| McLeod Loris HospitalLoris, SC | $13,339 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $13,556 |
| Missouri Baptist Medical CenterTown and Country, MO | $13,606 |
| Maury Regional HospitalColumbia, TN | $13,623 |
| Palos Community HospitalPalos Heights, IL | $13,755 |
| Trinity Mother Frances SystTyler, TX | $13,799 |
Highest
| The Queens Medical CenterHonolulu, HI | $47,553 |
|---|---|
| Santa Clara Valley Medical CenterSan Jose, CA | $41,059 |
| Strong Memorial HospitalRochester, NY | $33,342 |
| Geisinger Medical CenterDanville, PA | $32,858 |
| North Shore University HospitalManhasset, NY | $31,264 |
| Massachusetts General HospitalBoston, MA | $30,966 |
| St Josephs Med Center of StocktonStockton, CA | $30,314 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | $29,817 |
| NYU Hospitals CenterNew York, NY | $29,330 |
| Medstar Washington Hospital CenterWashington, DC | $29,260 |
Infectious and parasitic diseases with operating room procedures 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 |
|---|---|---|---|---|
| Alabama | 7 | $85,326 | $15,946 | $13,443 – $17,474 |
| Alaska | 2 | $124,962 | $21,540 | $20,006 – $25,551 |
| Arizona | 18 | $99,178 | $18,639 | $14,580 – $27,916 |
| Arkansas | 11 | $64,936 | $14,794 | $13,323 – $20,321 |
| California | 80 | $158,494 | $23,690 | $15,307 – $42,581 |
| Colorado | 7 | $123,894 | $16,654 | $14,942 – $18,907 |
| Connecticut | 4 | $73,172 | $23,265 | $20,198 – $30,592 |
| Delaware | 3 | $67,991 | $17,961 | $16,127 – $18,660 |
| Florida | 52 | $149,944 | $17,364 | $13,117 – $25,482 |
| Georgia | 18 | $99,860 | $18,696 | $12,890 – $43,460 |
| Hawaii | 1 | $92,497 | $47,553 | – |
| Idaho | 4 | $65,256 | $19,790 | $14,951 – $31,276 |
| Illinois | 34 | $83,989 | $18,606 | $13,755 – $29,197 |
| Indiana | 16 | $76,337 | $16,128 | $13,656 – $22,199 |
| Iowa | 11 | $55,096 | $15,281 | $13,556 – $21,138 |
| Kansas | 9 | $99,602 | $15,854 | $13,288 – $18,364 |
| Kentucky | 11 | $66,895 | $15,215 | $12,883 – $19,947 |
| Louisiana | 11 | $82,067 | $16,100 | $12,892 – $20,484 |
| Maine | 1 | $71,892 | $19,997 | – |
| Maryland | 21 | $25,981 | $23,863 | $16,227 – $37,320 |
| Massachusetts | 15 | $44,773 | $20,631 | $15,599 – $30,966 |
| Michigan | 20 | $57,794 | $18,188 | $13,994 – $30,918 |
| Minnesota | 11 | $61,388 | $17,646 | $15,380 – $27,918 |
| Mississippi | 8 | $62,501 | $14,224 | $12,923 – $15,096 |
| Missouri | 16 | $68,824 | $15,553 | $12,804 – $22,401 |
| Montana | 5 | $47,891 | $16,054 | $15,160 – $16,720 |
| Nebraska | 3 | $62,309 | $16,614 | $15,611 – $19,539 |
| Nevada | 4 | $253,635 | $23,227 | $18,922 – $25,029 |
| New Hampshire | 4 | $107,953 | $20,642 | $17,084 – $25,481 |
| New Jersey | 26 | $128,997 | $20,534 | $14,959 – $30,535 |
| New Mexico | 3 | $57,492 | $18,679 | $15,555 – $22,168 |
| New York | 35 | $121,510 | $24,316 | $16,949 – $44,849 |
| North Carolina | 17 | $68,007 | $16,970 | $13,485 – $24,976 |
| North Dakota | 4 | $49,166 | $16,734 | $16,476 – $17,239 |
| Ohio | 22 | $71,743 | $16,680 | $9,933 – $23,620 |
| Oklahoma | 10 | $65,346 | $16,080 | $12,673 – $25,582 |
| Oregon | 7 | $63,701 | $22,318 | $18,909 – $28,620 |
| Pennsylvania | 28 | $103,502 | $18,794 | $14,021 – $32,858 |
| South Carolina | 14 | $104,330 | $16,656 | $10,896 – $27,975 |
| South Dakota | 3 | $69,969 | $18,901 | $15,396 – $25,021 |
| Tennessee | 20 | $68,099 | $16,738 | $12,408 – $21,417 |
| Texas | 58 | $128,249 | $18,115 | $13,499 – $64,986 |
| Utah | 3 | $58,499 | $16,948 | $15,167 – $21,757 |
| Vermont | 1 | $65,962 | $16,069 | – |
| Virginia | 32 | $87,343 | $16,929 | $13,965 – $30,200 |
| Washington | 14 | $95,675 | $20,750 | $16,215 – $26,526 |
| West Virginia | 6 | $86,225 | $19,383 | $14,278 – $23,155 |
| Wisconsin | 7 | $63,183 | $16,334 | $13,926 – $18,396 |
| Wyoming | 1 | $82,677 | $22,849 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 90 | $126,854 | $18,619 |
| Methodist HospitalSan Antonio, TX | 56 | $169,588 | $15,428 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | 56 | $68,311 | $16,995 |
| New York-Presbyterian HospitalNew York, NY | 53 | $203,438 | $28,942 |
| Jefferson Stratford HospitalCherry Hill, NJ | 50 | $141,499 | $19,309 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 49 | $329,289 | $26,032 |
| St Joseph's HospitalTampa, FL | 46 | $89,006 | $15,621 |
| Iowa Methodist Medical CenterDes Moines, IA | 46 | $59,338 | $14,799 |
| Community Medical CenterToms River, NJ | 46 | $129,248 | $17,513 |
| Norton Healthcare PavilionLouisville, KY | 45 | $75,587 | $15,594 |
| Cape Cod HospitalHyannis, MA | 45 | $34,122 | $21,078 |
| NYU Hospitals CenterNew York, NY | 45 | $225,083 | $29,330 |
| Charleston Area Medical CenterCharleston, WV | 45 | $111,090 | $23,155 |
| Baptist Medical CenterJacksonville, FL | 44 | $134,240 | $19,756 |
| Sutter Roseville Medical CenterRoseville, CA | 43 | $84,763 | $21,435 |
Questions
How much does infectious and parasitic diseases with operating room procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854) at 720 hospitals in the U.S. was billed at $100,093 on average, while the average total payment was $19,011, of which Medicare paid $15,086. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for infectious and parasitic diseases with operating room procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($24,316), Maryland ($23,863), California ($23,690) and lowest in Mississippi ($14,224), Arkansas ($14,794), Kentucky ($15,215).
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 5.3 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.