Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
What 144 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808), from 2024 Medicare claims.
Average charge
$139,548
Hospital list price billed
Average payment
$27,957
Medicare + patient + other payers
Medicare paid
$22,237
Average per stay
Volume
2,337
Medicare hospital stays
Hospitals in the U.S. billed an average of $139,548 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 5.0 times the average total payment of $27,957.
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 $27,957Billed $139,548
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
| Palos Community HospitalPalos Heights, IL | $14,922 |
|---|---|
| Deaconess Hospital INCEvansville, IN | $16,889 |
| Riverview Medical CenterRed Bank, NJ | $17,196 |
| Baptist Memorial HospitalMemphis, TN | $17,419 |
| Miami Valley HospitalDayton, OH | $17,526 |
| Adventhealth OrlandoOrlando, FL | $19,388 |
| Kingwood Medical CenterKingwood, TX | $19,975 |
| South Shore HospitalSouth Weymouth, MA | $21,721 |
| Methodist HospitalSan Antonio, TX | $22,699 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $24,219 |
Highest
| The Johns Hopkins HospitalBaltimore, MD | $68,831 |
|---|---|
| Montefiore Medical CenterBronx, NY | $58,049 |
| Centennial Medical CenterNashville, TN | $57,258 |
| Hospital of the Univ of PaPhiladelphia, PA | $43,353 |
| Hackensack University Medical CenterHackensack, NJ | $42,272 |
| Cleveland Clinic - Main CampusCleveland, OH | $40,387 |
| NYU Hospitals CenterNew York, NY | $40,345 |
| Brigham and Women's HosptialBoston, MA | $36,797 |
| New York-Presbyterian HospitalNew York, NY | $36,769 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $36,715 |
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio 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 |
|---|---|---|---|---|
| Arizona | 1 | $73,969 | $28,316 | – |
| Arkansas | 1 | $76,730 | $16,092 | – |
| California | 9 | $266,083 | $39,391 | $20,746 – $81,061 |
| Connecticut | 1 | $76,060 | $28,498 | – |
| Delaware | 1 | $47,235 | $19,966 | – |
| Florida | 16 | $110,435 | $19,495 | $14,431 – $37,768 |
| Georgia | 5 | $117,411 | $25,739 | $18,286 – $33,936 |
| Illinois | 8 | $116,310 | $27,109 | $14,922 – $41,512 |
| Indiana | 3 | $80,347 | $20,073 | $16,889 – $27,041 |
| Iowa | 1 | $100,169 | $24,981 | – |
| Kansas | 2 | $167,420 | $23,354 | $18,814 – $25,057 |
| Kentucky | 1 | $71,540 | $15,962 | – |
| Louisiana | 1 | $54,513 | $17,258 | – |
| Maine | 1 | $161,485 | $38,147 | – |
| Maryland | 3 | $67,676 | $60,568 | $16,620 – $85,705 |
| Massachusetts | 9 | $90,385 | $30,673 | $18,498 – $40,335 |
| Michigan | 2 | $85,667 | $23,894 | $20,490 – $27,866 |
| Minnesota | 2 | $133,882 | $39,239 | $36,715 – $44,286 |
| Mississippi | 3 | $85,662 | $20,397 | $18,726 – $22,763 |
| Missouri | 3 | $90,878 | $21,506 | $15,192 – $27,454 |
| Montana | 1 | $39,456 | $17,748 | – |
| Nevada | 2 | $113,878 | $22,304 | $21,117 – $23,582 |
| New Jersey | 8 | $146,290 | $24,806 | $17,196 – $42,272 |
| New York | 9 | $212,074 | $36,908 | $18,589 – $58,049 |
| North Carolina | 6 | $88,127 | $26,094 | $15,102 – $41,962 |
| North Dakota | 2 | $78,321 | $20,980 | $18,692 – $23,268 |
| Ohio | 3 | $118,675 | $25,446 | $15,561 – $40,387 |
| Oklahoma | 2 | $145,186 | $24,405 | $16,021 – $32,789 |
| Oregon | 2 | $132,879 | $34,013 | $22,490 – $41,468 |
| Pennsylvania | 7 | $229,241 | $30,210 | $20,057 – $43,353 |
| South Carolina | 3 | $118,358 | $20,509 | $17,589 – $26,712 |
| Tennessee | 5 | $214,376 | $36,967 | $17,419 – $59,300 |
| Texas | 11 | $175,927 | $24,487 | $15,568 – $48,970 |
| Utah | 1 | $87,373 | $30,299 | – |
| Vermont | 1 | $58,913 | $15,796 | – |
| Virginia | 4 | $90,141 | $25,123 | $19,984 – $28,360 |
| Washington | 2 | $71,250 | $24,127 | $22,970 – $25,106 |
| Wisconsin | 2 | $119,403 | $30,238 | $24,219 – $38,891 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Methodist HospitalSan Antonio, TX | 66 | $174,138 | $22,699 |
| NYU Hospitals CenterNew York, NY | 43 | $257,224 | $40,345 |
| University of Kansas HospitalKansas City, KS | 40 | $161,282 | $25,057 |
| Mayo Clinic HospitalPhoenix, AZ | 36 | $73,969 | $28,316 |
| Adventhealth OrlandoOrlando, FL | 34 | $109,521 | $19,388 |
| Brigham and Women's HosptialBoston, MA | 34 | $150,063 | $36,797 |
| New York-Presbyterian HospitalNew York, NY | 34 | $235,744 | $36,769 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 32 | $109,642 | $36,715 |
| Massachusetts General HospitalBoston, MA | 28 | $95,696 | $32,247 |
| Barnes Jewish HospitalSt Louis, MO | 28 | $132,317 | $27,454 |
| Hospital of the Univ of PaPhiladelphia, PA | 28 | $311,644 | $43,353 |
| Deaconess Hospital INCEvansville, IN | 26 | $61,375 | $16,889 |
| Centennial Medical CenterNashville, TN | 25 | $439,344 | $57,258 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 24 | $338,572 | $31,334 |
| Miami Valley HospitalDayton, OH | 24 | $88,654 | $17,526 |
Questions
How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in the U.S.?
In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808) at 144 hospitals in the U.S. was billed at $139,548 on average, while the average total payment was $27,957, of which Medicare paid $22,237. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for major hematological and immunological diagnoses except sickle cell crisis and coagulatio?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($60,568), California ($39,391), Tennessee ($36,967) and lowest in Florida ($19,495), Indiana ($20,073), Mississippi ($20,397).
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.