facebook tracking Non-extensive operating room procedures unrelated to principal diagnosis with major complications cost in Mississippi: 2 hospitals compared (DRG 987)

Non-extensive operating room procedures unrelated to principal diagnosis with major complications in Mississippi

What 2 hospitals in Mississippi charged and were paid for a Medicare hospital stay for non-extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 987), from 2024 Medicare claims.

DRG 987 Inpatient 2024 Medicare data
Average charge $111,776 Hospital list price billed
Average payment $22,923 Medicare + patient + other payers
Medicare paid $21,422 Average per stay
Volume 25 Medicare hospital stays

Hospitals in Mississippi billed an average of $111,776 for non-extensive operating room procedures unrelated to principal diagnosis with major complications, about 4.9 times the average total payment of $22,923. That payment is 44% below the U.S. average of $41,021.

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 $22,923Billed $111,776

About 21¢ was paid for every $1 hospitals in Mississippi billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Mississippi:

Mississippi hospitals: non-extensive operating room procedures unrelated to principal diagnosis with major complications

Every Mississippi hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
North Mississippi Medical CenterTupelo 13 $98,857 $24,145 $22,183
Mississippi Baptist Medical CenterJackson 12 $125,773 $21,599 $20,597
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Non-extensive operating room procedures unrelated to principal diagnosis with major complications in other states

Questions

How much does non-extensive operating room procedures unrelated to principal diagnosis with major complications cost in Mississippi?

In 2024 Medicare data, a hospital stay for non-extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 987) at 2 hospitals in Mississippi was billed at $111,776 on average, while the average total payment was $22,923, of which Medicare paid $21,422. Your own cost depends on your insurance, deductible and the hospital.

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 Mississippi, 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.