Interstitial lung disease with major complications
What 217 hospitals in the U.S. charged and were paid for a Medicare hospital stay for interstitial lung disease with major complications (DRG 196), from 2024 Medicare claims.
Average charge
$104,150
Hospital list price billed
Average payment
$21,088
Medicare + patient + other payers
Medicare paid
$16,628
Average per stay
Volume
3,667
Medicare hospital stays
Hospitals in the U.S. billed an average of $104,150 for interstitial lung disease with major complications, about 4.9 times the average total payment of $21,088.
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 $21,088Billed $104,150
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:
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
| Forrest General HospitalHattiesburg, MS | $11,675 |
|---|---|
| Naples Community HospitalNaples, FL | $13,288 |
| Sarasota Memorial HospitalSarasota, FL | $13,779 |
| South Shore HospitalSouth Weymouth, MA | $13,869 |
| Methodist HospitalSan Antonio, TX | $14,169 |
| Memorial Healthcare System, INCChattanooga, TN | $14,920 |
| Valley HospitalRidgewood, NJ | $15,149 |
| Adventhealth OrlandoOrlando, FL | $15,454 |
| Union HospitalLynn, MA | $16,842 |
| University of Kansas HospitalKansas City, KS | $17,253 |
Highest
| Stanford HospitalPalo Alto, CA | $130,835 |
|---|---|
| Barnes Jewish HospitalSt Louis, MO | $42,461 |
| The Johns Hopkins HospitalBaltimore, MD | $40,781 |
| University of California San Diego Medical CenterSan Diego, CA | $38,155 |
| Northwestern Memorial HospitalChicago, IL | $33,848 |
| University of Alabama HospitalBirmingham, AL | $32,923 |
| Mount Sinai HospitalNew York, NY | $31,163 |
| Montefiore Medical CenterBronx, NY | $30,293 |
| Beth Israel Deaconess Medical CenterBoston, MA | $29,637 |
| Vanderbilt University HospitalNashville, TN | $28,426 |
Interstitial lung disease 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 | 3 | $129,952 | $25,952 | $13,560 – $32,923 |
| Alaska | 1 | $107,673 | $17,797 | – |
| Arizona | 4 | $78,993 | $19,562 | $12,961 – $25,250 |
| Arkansas | 1 | $50,006 | $12,681 | – |
| California | 20 | $235,904 | $33,736 | $13,445 – $130,835 |
| Colorado | 4 | $104,778 | $18,126 | $14,553 – $21,343 |
| Connecticut | 3 | $72,587 | $21,796 | $17,314 – $25,284 |
| Delaware | 2 | $63,753 | $17,850 | $14,997 – $19,753 |
| Florida | 17 | $95,055 | $16,442 | $12,494 – $25,087 |
| Georgia | 4 | $103,810 | $16,755 | $13,915 – $18,968 |
| Illinois | 13 | $82,343 | $21,238 | $12,338 – $33,848 |
| Indiana | 1 | $79,953 | $18,870 | – |
| Iowa | 1 | $30,630 | $12,259 | – |
| Kansas | 2 | $114,695 | $16,469 | $14,510 – $17,253 |
| Kentucky | 1 | $72,835 | $12,367 | – |
| Louisiana | 3 | $53,771 | $13,141 | $11,842 – $15,210 |
| Maryland | 5 | $31,280 | $27,658 | $10,620 – $40,781 |
| Massachusetts | 11 | $59,898 | $20,823 | $13,586 – $29,637 |
| Michigan | 4 | $52,889 | $19,359 | $15,717 – $26,933 |
| Minnesota | 4 | $81,349 | $24,968 | $18,135 – $31,751 |
| Mississippi | 3 | $39,618 | $12,619 | $11,675 – $13,816 |
| Missouri | 4 | $90,451 | $27,124 | $12,400 – $42,461 |
| Montana | 1 | $30,319 | $15,159 | – |
| Nebraska | 3 | $54,448 | $18,044 | $14,081 – $23,846 |
| Nevada | 3 | $147,506 | $17,065 | $14,499 – $20,295 |
| New Hampshire | 3 | $64,294 | $20,388 | $15,275 – $29,445 |
| New Jersey | 15 | $113,247 | $17,433 | $13,843 – $19,914 |
| New Mexico | 1 | $50,485 | $13,798 | – |
| New York | 17 | $143,886 | $24,503 | $14,900 – $31,163 |
| North Carolina | 4 | $68,751 | $20,633 | $14,046 – $26,831 |
| North Dakota | 1 | $59,426 | $16,936 | – |
| Ohio | 4 | $73,835 | $23,916 | $14,525 – $42,597 |
| Oklahoma | 2 | $58,873 | $16,979 | $15,354 – $19,196 |
| Oregon | 2 | $45,517 | $18,502 | $18,248 – $18,755 |
| Pennsylvania | 10 | $116,251 | $18,689 | $13,323 – $24,918 |
| South Carolina | 3 | $68,953 | $18,069 | $16,858 – $19,606 |
| South Dakota | 2 | $57,759 | $16,968 | $15,180 – $18,260 |
| Tennessee | 6 | $72,582 | $17,968 | $12,568 – $28,426 |
| Texas | 11 | $110,660 | $17,309 | $13,110 – $25,338 |
| Vermont | 1 | $77,404 | $16,563 | – |
| Virginia | 11 | $63,747 | $17,741 | $12,634 – $24,505 |
| Washington | 3 | $79,618 | $22,013 | $14,946 – $28,290 |
| Wisconsin | 3 | $88,667 | $26,309 | $16,139 – $39,827 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Inova Fairfax HospitalFalls Church, VA | 52 | $62,971 | $24,505 |
| NYU Hospitals CenterNew York, NY | 49 | $153,211 | $26,366 |
| Methodist HospitalSan Antonio, TX | 49 | $116,587 | $14,169 |
| New York-Presbyterian HospitalNew York, NY | 47 | $171,395 | $27,403 |
| University of Alabama HospitalBirmingham, AL | 45 | $175,579 | $32,923 |
| Methodist Hospital,TheHouston, TX | 40 | $157,846 | $20,295 |
| Mayo Clinic HospitalPhoenix, AZ | 39 | $76,574 | $25,250 |
| UT Southwestern University HospitalDallas, TX | 39 | $90,158 | $22,253 |
| Barnes Jewish HospitalSt Louis, MO | 37 | $123,585 | $42,461 |
| Mayo ClinicJacksonville, FL | 34 | $68,011 | $25,087 |
| Massachusetts General HospitalBoston, MA | 33 | $142,131 | $28,077 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 32 | $293,166 | $27,034 |
| University HospitalStony Brook, NY | 32 | $156,049 | $28,212 |
| Duke University Medical CenterDurham, NC | 32 | $69,804 | $26,831 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | 32 | $84,720 | $23,682 |
Questions
How much does interstitial lung disease with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for interstitial lung disease with major complications (DRG 196) at 217 hospitals in the U.S. was billed at $104,150 on average, while the average total payment was $21,088, of which Medicare paid $16,628. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for interstitial lung disease with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($33,736), Maryland ($27,658), Missouri ($27,124) and lowest in Mississippi ($12,619), Louisiana ($13,141), Florida ($16,442).
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 4.9 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.