Malignancy, female reproductive system with major complications
What 8 hospitals in the U.S. charged and were paid for a Medicare hospital stay for malignancy, female reproductive system with major complications (DRG 754), from 2024 Medicare claims.
Average charge
$118,241
Hospital list price billed
Average payment
$21,787
Medicare + patient + other payers
Medicare paid
$16,038
Average per stay
Volume
102
Medicare hospital stays
Hospitals in the U.S. billed an average of $118,241 for malignancy, female reproductive system with major complications, about 5.4 times the average total payment of $21,787.
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 $21,787Billed $118,241
About 18¢ 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:
Malignancy, female reproductive system 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 | 1 | $44,922 | $18,377 | – |
| Massachusetts | 1 | $63,130 | $25,684 | – |
| New Jersey | 1 | $67,646 | $18,389 | – |
| New York | 3 | $201,317 | $27,235 | $26,394 – $28,242 |
| Pennsylvania | 1 | $64,441 | $16,560 | – |
| Texas | 1 | $100,091 | $14,072 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 14 | $203,001 | $28,242 |
| Methodist HospitalSan Antonio, TX | 14 | $100,091 | $14,072 |
| Beth Israel Deaconess Medical CenterBoston, MA | 13 | $63,130 | $25,684 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 13 | $189,063 | $26,861 |
| Abington Memorial HospitalAbington, PA | 13 | $64,441 | $16,560 |
| University of Alabama HospitalBirmingham, AL | 12 | $44,922 | $18,377 |
| Riverview Medical CenterRed Bank, NJ | 12 | $67,646 | $18,389 |
| NYU Hospitals CenterNew York, NY | 11 | $213,656 | $26,394 |
Questions
How much does malignancy, female reproductive system with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for malignancy, female reproductive system with major complications (DRG 754) at 8 hospitals in the U.S. was billed at $118,241 on average, while the average total payment was $21,787, of which Medicare paid $16,038. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for malignancy, female reproductive system with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($27,235) and lowest in New York ($27,235).
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 5.4 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.