Other ear, nose, mouth and throat operating room procedures with complications
What 14 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other ear, nose, mouth and throat operating room procedures with complications (DRG 144), from 2024 Medicare claims.
Average charge
$130,840
Hospital list price billed
Average payment
$22,898
Medicare + patient + other payers
Medicare paid
$18,332
Average per stay
Volume
180
Medicare hospital stays
Hospitals in the U.S. billed an average of $130,840 for other ear, nose, mouth and throat operating room procedures with complications, about 5.7 times the average total payment of $22,898.
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 $22,898Billed $130,840
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:
Other ear, nose, mouth and throat operating room procedures 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 |
|---|---|---|---|---|
| Alabama | 1 | $66,213 | $16,357 | – |
| California | 2 | $246,365 | $33,020 | $31,128 – $35,544 |
| Florida | 1 | $185,153 | $17,545 | – |
| Illinois | 1 | $78,125 | $21,772 | – |
| Indiana | 1 | $120,415 | $19,309 | – |
| Massachusetts | 1 | $54,101 | $24,357 | – |
| New York | 3 | $110,382 | $21,542 | $17,270 – $25,208 |
| Pennsylvania | 1 | $169,576 | $21,583 | – |
| South Carolina | 1 | $96,808 | $20,990 | – |
| Tennessee | 1 | $76,585 | $19,467 | – |
| Texas | 1 | $71,597 | $17,290 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| UCLA Medical CenterLos Angeles, CA | 20 | $112,214 | $31,128 |
| Massachusetts Eye and Ear InfirmaryBoston, MA | 17 | $54,101 | $24,357 |
| Stanford HospitalPalo Alto, CA | 15 | $425,232 | $35,544 |
| Hospital of the Univ of PaPhiladelphia, PA | 13 | $169,576 | $21,583 |
| University of Alabama HospitalBirmingham, AL | 12 | $66,213 | $16,357 |
| Clarian Health PartnersIndianapolis, IN | 12 | $120,415 | $19,309 |
| Mount Sinai HospitalNew York, NY | 12 | $111,128 | $25,208 |
| New York-Presbyterian HospitalNew York, NY | 12 | $107,101 | $22,149 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 12 | $112,917 | $17,270 |
| Adventhealth OrlandoOrlando, FL | 11 | $185,153 | $17,545 |
| Rush University Medical CenterChicago, IL | 11 | $78,125 | $21,772 |
| MUSC Medical CenterCharleston, SC | 11 | $96,808 | $20,990 |
| Vanderbilt University HospitalNashville, TN | 11 | $76,585 | $19,467 |
| Baylor University Medical CenterDallas, TX | 11 | $71,597 | $17,290 |
Questions
How much does other ear, nose, mouth and throat operating room procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other ear, nose, mouth and throat operating room procedures with complications (DRG 144) at 14 hospitals in the U.S. was billed at $130,840 on average, while the average total payment was $22,898, of which Medicare paid $18,332. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other ear, nose, mouth and throat operating room procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($21,542) and lowest in New York ($21,542).
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 5.7 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.