Other disorders of the eye with major complications or thrombolytic agent
What 3 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other disorders of the eye with major complications or thrombolytic agent (DRG 124), from 2024 Medicare claims.
Average charge
$82,876
Hospital list price billed
Average payment
$15,678
Medicare + patient + other payers
Medicare paid
$11,479
Average per stay
Volume
35
Medicare hospital stays
Hospitals in the U.S. billed an average of $82,876 for other disorders of the eye with major complications or thrombolytic agent, about 5.3 times the average total payment of $15,678.
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 $15,678Billed $82,876
About 19¢ 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:
Other disorders of the eye with major complications or thrombolytic agent 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 |
|---|---|---|---|---|
| California | 1 | $64,272 | $14,110 | – |
| Florida | 1 | $65,668 | $10,693 | – |
| New York | 1 | $121,819 | $23,137 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 13 | $65,668 | $10,693 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | 11 | $64,272 | $14,110 |
| Mount Sinai HospitalNew York, NY | 11 | $121,819 | $23,137 |
Questions
How much does other disorders of the eye with major complications or thrombolytic agent cost in the U.S.?
In 2024 Medicare data, a hospital stay for other disorders of the eye with major complications or thrombolytic agent (DRG 124) at 3 hospitals in the U.S. was billed at $82,876 on average, while the average total payment was $15,678, of which Medicare paid $11,479. 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 the U.S., average charges were 5.3 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.