facebook tracking Operating room procedures for obesity with complications cost: hospital prices by state (DRG 620)

Operating room procedures for obesity with complications

What 17 hospitals in the U.S. charged and were paid for a Medicare hospital stay for operating room procedures for obesity with complications (DRG 620), from 2024 Medicare claims.

DRG 620 Inpatient 2024 Medicare data
Average charge $94,244 Hospital list price billed
Average payment $16,848 Medicare + patient + other payers
Medicare paid $12,721 Average per stay
Volume 247 Medicare hospital stays

Hospitals in the U.S. billed an average of $94,244 for operating room procedures for obesity with complications, about 5.6 times the average total payment of $16,848.

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 $16,848Billed $94,244

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:

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Operating room procedures for obesity with 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
Arkansas 2 $71,885 $11,310 $10,251 – $11,673
California 3 $117,375 $18,307 $15,453 – $22,956
Florida 3 $150,057 $16,190 $12,652 – $20,013
Maine 1 $52,653 $21,741 –
Massachusetts 2 $63,892 $19,456 $19,064 – $19,769
Minnesota 1 $66,135 $17,958 –
New York 1 $173,459 $25,198 –
North Dakota 1 $38,559 $12,999 –
Ohio 2 $63,623 $17,566 $16,699 – $18,433
Wisconsin 1 $83,190 $16,594 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Northwest Medical Center-SpringdaleSpringdale, AR35$84,493$11,673
Enloe Medical CenterChico, CA21$84,089$15,453
Community Regional Medical CenterFresno, CA19$59,462$18,770
Brigham and Women's HosptialBoston, MA15$67,782$19,769
Adventhealth OrlandoOrlando, FL14$178,556$12,652
University of Wi Hospitals & Clinics AuthorityMadison, WI14$83,190$16,594
Mayo Clinic - Saint Marys HospitalRochester, MN13$66,135$17,958
Arkansas Heart Hospital-EncoreBryant, AR12$35,112$10,251
Mayo ClinicJacksonville, FL12$82,325$16,813
Umass Memorial Medical Center INCWorcester, MA12$59,030$19,064
NYU Hospitals CenterNew York, NY12$173,459$25,198
Summa Health System - Akron CampusAkron, OH12$62,661$18,433
Cleveland Clinic - Main CampusCleveland, OH12$64,585$16,699
University of California Davis Medical CenterSacramento, CA11$280,953$22,956
Tampa General HospitalTampa, FL11$187,675$20,013

Questions

How much does operating room procedures for obesity with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for operating room procedures for obesity with complications (DRG 620) at 17 hospitals in the U.S. was billed at $94,244 on average, while the average total payment was $16,848, of which Medicare paid $12,721. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for operating room procedures for obesity with complications?

Among states with at least three hospitals reporting, the average total payment was highest in California ($18,307), Florida ($16,190) and lowest in Florida ($16,190), California ($18,307).

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 5.6 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.