facebook tracking Infectious and parasitic diseases with operating room procedures with major complications cost: hospital prices by state (DRG 853)

Infectious and parasitic diseases with operating room procedures with major complications

What 1,779 hospitals in the U.S. charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853), from 2024 Medicare claims.

DRG 853 Inpatient 2024 Medicare data
Average charge $232,698 Hospital list price billed
Average payment $46,667 Medicare + patient + other payers
Medicare paid $40,557 Average per stay
Volume 79,560 Medicare hospital stays

Hospitals in the U.S. billed an average of $232,698 for infectious and parasitic diseases with operating room procedures with major complications, about 5.0 times the average total payment of $46,667.

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 $46,667Billed $232,698

About 20¢ 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:

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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$24,307
Weirton Medical CenterWeirton, WV$25,041
Cedar Park Regional Medical CenterCedar Park, TX$25,098
Ascension Via Christi Hospital ManhattanManhattan, KS$27,373
Flowers HospitalDothan, AL$28,185
Muskogee Regional Medical CenterMuskogee, OK$28,247
Southwest Mississippi Med CntrMcComb, MS$28,267
Mercy Health Center, INCOklahoma City, OK$28,394
CHRISTUS Schumpert Health SystemShreveport, LA$28,562
Sarasota Memorial Hospital - VeniceNorth Venice, FL$28,703

Highest

San Francisco General HospitalSan Francisco, CA$179,688
John H Stroger Jr HospitalChicago, IL$167,310
UCLA Medical CenterLos Angeles, CA$133,633
Stanford HospitalPalo Alto, CA$127,814
Santa Clara Valley Medical CenterSan Jose, CA$122,949
Kings County Hospital CenterBrooklyn, NY$121,671
The Johns Hopkins HospitalBaltimore, MD$119,157
UCSF Medical CenterSan Francisco, CA$119,142
University Hospital of Brooklyn ( Downstate )Brooklyn, NY$113,661
California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA$113,151

Infectious and parasitic diseases with operating room procedures 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
Alabama 29 $215,343 $36,849 $28,185 – $67,644
Alaska 6 $310,671 $61,444 $53,559 – $87,045
Arizona 39 $212,728 $44,142 $33,166 – $69,571
Arkansas 19 $145,588 $34,571 $24,807 – $51,097
California 193 $381,141 $61,793 $39,269 – $179,688
Colorado 28 $306,209 $43,665 $33,240 – $59,021
Connecticut 21 $190,314 $54,542 $37,806 – $73,200
Delaware 5 $144,228 $47,535 $37,826 – $51,376
Florida 137 $296,739 $39,334 $25,952 – $73,247
Georgia 53 $235,068 $45,270 $30,506 – $94,999
Hawaii 8 $197,887 $61,666 $42,613 – $84,284
Idaho 9 $169,087 $40,593 $30,713 – $46,708
Illinois 78 $184,681 $45,860 $30,387 – $167,310
Indiana 37 $170,660 $38,763 $24,917 – $60,036
Iowa 19 $128,070 $36,412 $30,240 – $52,818
Kansas 19 $235,739 $38,745 $27,261 – $56,883
Kentucky 26 $166,962 $38,369 $26,180 – $53,645
Louisiana 26 $193,159 $36,543 $28,562 – $118,479
Maine 5 $178,548 $54,069 $33,487 – $66,083
Maryland 37 $60,467 $54,470 $31,814 – $119,157
Massachusetts 39 $130,443 $54,082 $33,472 – $87,441
Michigan 54 $136,718 $42,207 $28,358 – $87,044
Minnesota 20 $163,038 $49,556 $30,094 – $86,264
Mississippi 22 $155,024 $34,387 $27,696 – $48,633
Missouri 44 $178,458 $40,296 $28,404 – $70,974
Montana 8 $99,060 $40,711 $36,724 – $47,407
Nebraska 13 $145,207 $41,110 $30,508 – $55,028
Nevada 16 $458,214 $46,472 $32,746 – $87,827
New Hampshire 11 $170,594 $47,162 $32,339 – $70,473
New Jersey 52 $296,211 $49,397 $33,249 – $79,291
New Mexico 8 $169,583 $44,641 $33,850 – $63,343
New York 87 $294,909 $63,371 $36,965 – $140,168
North Carolina 49 $150,891 $42,351 $29,406 – $73,556
North Dakota 6 $127,078 $42,774 $36,513 – $49,029
Ohio 69 $173,833 $41,133 $24,307 – $79,819
Oklahoma 21 $195,108 $38,364 $26,324 – $74,602
Oregon 21 $156,454 $54,140 $36,041 – $73,669
Pennsylvania 81 $236,858 $44,755 $28,000 – $90,552
Rhode Island 7 $144,583 $45,644 $34,674 – $60,104
South Carolina 31 $200,975 $40,592 $24,166 – $68,299
South Dakota 5 $175,977 $43,714 $33,843 – $53,967
Tennessee 38 $185,024 $38,222 $26,589 – $65,294
Texas 134 $286,380 $41,406 $25,098 – $153,382
Utah 12 $157,420 $40,936 $31,123 – $52,520
Vermont 3 $140,692 $43,568 $23,617 – $49,689
Virginia 43 $179,039 $42,494 $29,919 – $99,222
Washington 38 $203,714 $48,955 $32,122 – $75,514
West Virginia 13 $153,984 $40,068 $25,041 – $46,080
Wisconsin 32 $144,773 $43,242 $30,664 – $69,968
Wyoming 2 $157,415 $53,410 $49,064 – $58,201

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Adventhealth OrlandoOrlando, FL501$316,481$44,039
New York-Presbyterian HospitalNew York, NY418$543,207$85,645
NYU Hospitals CenterNew York, NY320$470,762$76,490
Cedars-Sinai Medical CenterLos Angeles, CA305$920,692$84,676
Mem Hermann Southwest HospHouston, TX229$195,925$44,196
Wesley Medical CenterWichita, KS213$406,783$35,519
Norton Healthcare PavilionLouisville, KY208$174,419$37,894
Methodist HospitalSan Antonio, TX205$367,558$38,727
Saint Francis Hospital, INCTulsa, OK195$143,448$35,568
Sunrise Hospital and Medical CenterLas Vegas, NV193$654,975$45,827
Montefiore Medical CenterBronx, NY190$519,773$79,572
Christiana Care Health Services, INC.Newark, DE189$159,907$51,376
Baystate Medical CenterSpringfield, MA186$101,269$55,377
Lehigh Valley HospitalAllentown, PA176$277,743$43,737
Baptist Medical CenterJacksonville, FL173$242,110$42,649

Questions

How much does infectious and parasitic diseases with operating room procedures with major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853) at 1,779 hospitals in the U.S. was billed at $232,698 on average, while the average total payment was $46,667, of which Medicare paid $40,557. 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 major complications?

Among states with at least three hospitals reporting, the average total payment was highest in New York ($63,371), California ($61,793), Hawaii ($61,666) and lowest in Mississippi ($34,387), Arkansas ($34,571), Iowa ($36,412).

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 5.0 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.