Other endocrine, nutritional and metabolic operating room procedures with complications
What 23 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other endocrine, nutritional and metabolic operating room procedures with complications (DRG 629), from 2024 Medicare claims.
Average charge
$129,869
Hospital list price billed
Average payment
$24,470
Medicare + patient + other payers
Medicare paid
$18,146
Average per stay
Volume
325
Medicare hospital stays
Hospitals in the U.S. billed an average of $129,869 for other endocrine, nutritional and metabolic operating room procedures with complications, about 5.3 times the average total payment of $24,470.
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 $24,470Billed $129,869
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 endocrine, nutritional and metabolic 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 |
|---|---|---|---|---|
| California | 4 | $160,529 | $25,268 | $18,961 – $31,101 |
| Connecticut | 1 | $102,735 | $30,225 | – |
| Delaware | 1 | $88,607 | $23,135 | – |
| Florida | 3 | $146,969 | $20,806 | $18,229 – $24,706 |
| Georgia | 1 | $156,459 | $25,062 | – |
| Kentucky | 1 | $83,304 | $16,683 | – |
| Maryland | 1 | $37,336 | $32,974 | – |
| Massachusetts | 1 | $26,475 | $16,866 | – |
| New Jersey | 3 | $169,245 | $28,103 | $22,309 – $31,720 |
| New York | 2 | $210,352 | $33,408 | $27,544 – $38,037 |
| North Carolina | 1 | $53,443 | $17,646 | – |
| Texas | 3 | $112,061 | $20,434 | $17,966 – $23,143 |
| Virginia | 1 | $44,239 | $22,666 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| John Muir Medical Center - Concord CampusConcord, CA | 26 | $213,312 | $31,101 |
| South Shore HospitalSouth Weymouth, MA | 20 | $26,475 | $16,866 |
| NYU Hospitals CenterNew York, NY | 19 | $271,577 | $38,037 |
| Methodist HospitalSan Antonio, TX | 16 | $153,475 | $17,966 |
| Clovis Community Medical CenterClovis, CA | 15 | $112,641 | $18,961 |
| Norton Healthcare PavilionLouisville, KY | 15 | $83,304 | $16,683 |
| Community Medical CenterToms River, NJ | 15 | $172,834 | $22,309 |
| New York-Presbyterian HospitalNew York, NY | 15 | $132,801 | $27,544 |
| Hartford HospitalHartford, CT | 14 | $102,735 | $30,225 |
| Adventhealth OrlandoOrlando, FL | 14 | $115,850 | $24,706 |
| Baptist Medical CenterJacksonville, FL | 14 | $143,110 | $18,229 |
| Saint Barnabas Medical CenterLivingston, NJ | 14 | $170,699 | $31,720 |
| Christiana Care Health Services, INC.Newark, DE | 13 | $88,607 | $23,135 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | 13 | $163,537 | $30,892 |
| Scott & White Memorial HospitalTemple, TX | 13 | $66,769 | $23,143 |
Questions
How much does other endocrine, nutritional and metabolic operating room procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other endocrine, nutritional and metabolic operating room procedures with complications (DRG 629) at 23 hospitals in the U.S. was billed at $129,869 on average, while the average total payment was $24,470, of which Medicare paid $18,146. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other endocrine, nutritional and metabolic operating room procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New Jersey ($28,103), California ($25,268), Florida ($20,806) and lowest in Texas ($20,434), Florida ($20,806), California ($25,268).
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.