Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
What 203 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 809), from 2024 Medicare claims.
Average charge
$73,295
Hospital list price billed
Average payment
$15,246
Medicare + patient + other payers
Medicare paid
$11,264
Average per stay
Volume
3,674
Medicare hospital stays
Hospitals in the U.S. billed an average of $73,295 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 4.8 times the average total payment of $15,246.
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 $15,246Billed $73,295
About 21¢ 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
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $8,763 |
|---|---|
| Sarasota Memorial HospitalSarasota, FL | $9,487 |
| Norton Healthcare PavilionLouisville, KY | $9,731 |
| Methodist HospitalSan Antonio, TX | $9,871 |
| South Shore HospitalSouth Weymouth, MA | $9,954 |
| Riverview Medical CenterRed Bank, NJ | $10,121 |
| Winchester Medical Center INCWinchester, VA | $10,146 |
| New Hanover Regional Medical CenterWilmington, NC | $10,289 |
| Sanford Usd Medical CenterSioux Falls, SD | $10,455 |
| Deaconess Hospital INCEvansville, IN | $10,503 |
Highest
| The Johns Hopkins HospitalBaltimore, MD | $38,191 |
|---|---|
| Stanford HospitalPalo Alto, CA | $31,896 |
| Barnes Jewish HospitalSt Louis, MO | $31,325 |
| New York-Presbyterian HospitalNew York, NY | $28,123 |
| Mayo Clinic HospitalPhoenix, AZ | $24,522 |
| Massachusetts General HospitalBoston, MA | $22,640 |
| Hospital of the Univ of PaPhiladelphia, PA | $22,618 |
| The University of Chicago Medical CenterChicago, IL | $21,687 |
| Baylor University Medical CenterDallas, TX | $19,692 |
| Duke University Medical CenterDurham, NC | $19,045 |
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 |
|---|---|---|---|---|
| Alabama | 1 | $37,259 | $13,894 | – |
| Arizona | 3 | $64,246 | $19,287 | $8,892 – $24,522 |
| Arkansas | 4 | $34,892 | $10,359 | $8,347 – $12,336 |
| California | 14 | $137,212 | $19,074 | $11,765 – $48,446 |
| Colorado | 2 | $144,065 | $15,537 | $10,886 – $19,800 |
| Connecticut | 2 | $45,038 | $15,231 | $14,796 – $15,628 |
| Delaware | 2 | $38,703 | $11,365 | $10,547 – $11,827 |
| Florida | 15 | $73,291 | $12,736 | $8,763 – $20,427 |
| Georgia | 5 | $78,534 | $15,044 | $10,465 – $20,334 |
| Idaho | 1 | $50,577 | $10,019 | – |
| Illinois | 7 | $59,823 | $16,439 | $8,222 – $23,941 |
| Indiana | 4 | $67,390 | $12,766 | $9,546 – $17,692 |
| Iowa | 1 | $46,219 | $12,621 | – |
| Kansas | 1 | $83,693 | $12,822 | – |
| Kentucky | 3 | $53,533 | $10,376 | $7,895 – $12,763 |
| Louisiana | 4 | $44,558 | $9,200 | $8,268 – $10,617 |
| Maryland | 9 | $25,218 | $22,648 | $12,283 – $43,606 |
| Massachusetts | 10 | $55,805 | $16,685 | $9,954 – $37,582 |
| Michigan | 5 | $42,756 | $13,721 | $9,409 – $18,631 |
| Minnesota | 5 | $54,203 | $15,761 | $9,332 – $21,003 |
| Mississippi | 3 | $37,634 | $11,446 | $8,678 – $14,539 |
| Missouri | 3 | $80,093 | $20,650 | $9,280 – $31,325 |
| Nebraska | 2 | $43,941 | $12,657 | $9,434 – $15,163 |
| Nevada | 2 | $116,592 | $14,060 | $13,297 – $14,963 |
| New Hampshire | 2 | $45,234 | $13,371 | $9,271 – $18,496 |
| New Jersey | 13 | $90,521 | $13,736 | $9,795 – $17,339 |
| New York | 13 | $106,540 | $19,103 | $10,052 – $28,123 |
| North Carolina | 8 | $53,296 | $16,696 | $10,224 – $26,316 |
| North Dakota | 2 | $42,349 | $11,400 | $10,736 – $12,452 |
| Ohio | 6 | $69,817 | $18,292 | $8,272 – $44,365 |
| Oklahoma | 4 | $65,404 | $12,861 | $10,263 – $15,848 |
| Oregon | 2 | $54,001 | $13,924 | $11,462 – $15,715 |
| Pennsylvania | 11 | $116,751 | $15,524 | $9,033 – $22,618 |
| Rhode Island | 1 | $48,744 | $16,881 | – |
| South Carolina | 4 | $52,541 | $13,649 | $9,078 – $17,952 |
| South Dakota | 1 | $48,507 | $10,455 | – |
| Tennessee | 5 | $85,401 | $13,412 | $7,780 – $15,835 |
| Texas | 11 | $83,893 | $12,419 | $9,239 – $19,692 |
| Vermont | 1 | $51,359 | $12,510 | – |
| Virginia | 6 | $67,290 | $15,836 | $10,146 – $34,098 |
| Washington | 1 | $42,857 | $14,304 | – |
| West Virginia | 1 | $39,021 | $11,744 | – |
| Wisconsin | 2 | $47,633 | $14,590 | $13,851 – $15,562 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| University of Kansas HospitalKansas City, KS | 61 | $83,693 | $12,822 |
| Adventhealth OrlandoOrlando, FL | 50 | $95,661 | $15,719 |
| Duke University Medical CenterDurham, NC | 49 | $69,057 | $19,045 |
| Methodist HospitalSan Antonio, TX | 49 | $67,931 | $9,871 |
| Mayo Clinic HospitalPhoenix, AZ | 44 | $72,660 | $24,522 |
| The Johns Hopkins HospitalBaltimore, MD | 41 | $43,545 | $38,191 |
| Hackensack University Medical CenterHackensack, NJ | 40 | $99,639 | $17,339 |
| Morristown Memorial HospitalMorristown, NJ | 40 | $104,510 | $14,282 |
| University of Washington Medical CtrSeattle, WA | 38 | $42,857 | $14,304 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 37 | $50,491 | $18,393 |
| Hospital of the Univ of PaPhiladelphia, PA | 37 | $206,041 | $22,618 |
| Brigham and Women's HosptialBoston, MA | 35 | $63,978 | $16,097 |
| Cleveland Clinic - Main CampusCleveland, OH | 35 | $64,064 | $18,436 |
| New York-Presbyterian HospitalNew York, NY | 34 | $103,306 | $28,123 |
| Northside HospitalAtlanta, GA | 33 | $119,049 | $13,552 |
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 809) at 203 hospitals in the U.S. was billed at $73,295 on average, while the average total payment was $15,246, of which Medicare paid $11,264. 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 ($22,648), Missouri ($20,650), Arizona ($19,287) and lowest in Louisiana ($9,200), Arkansas ($10,359), Kentucky ($10,376).
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 4.8 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.