Other factors influencing health status
What 148 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other factors influencing health status (DRG 951), from 2024 Medicare claims.
Average charge
$27,034
Hospital list price billed
Average payment
$6,140
Medicare + patient + other payers
Medicare paid
$4,596
Average per stay
Volume
3,008
Medicare hospital stays
Hospitals in the U.S. billed an average of $27,034 for other factors influencing health status, about 4.4 times the average total payment of $6,140.
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 $6,140Billed $27,034
About 23¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Baptist Hospital EastLouisville, KY | $3,854 |
|---|---|
| Western Baptist HospitalPaducah, KY | $4,513 |
| Mercy Hospital SouthSt Louis, MO | $4,540 |
| Iowa Methodist Medical CenterDes Moines, IA | $4,636 |
| Mercy Health Center, INCOklahoma City, OK | $4,653 |
| St Mary's HospitalMadison, WI | $4,692 |
| Fletcher Allen Hospital of VermontBurlington, VT | $4,762 |
| Winchester Medical Center INCWinchester, VA | $4,770 |
| St Anthony HospitalGig Harbor, WA | $4,866 |
| St Patrick Hospital and Health Sciences CenterMissoula, MT | $4,875 |
Highest
| Jackson Health SystemMiami, FL | $13,926 |
|---|---|
| Strong Memorial HospitalRochester, NY | $12,980 |
| New York-Presbyterian HospitalNew York, NY | $9,928 |
| Fairbanks Memorial HospitalFairbanks, AK | $9,709 |
| Providence Sacred Heart Medical CenterSpokane, WA | $8,742 |
| Lenox Hill HospitalNew York, NY | $8,450 |
| North Shore University HospitalManhasset, NY | $8,066 |
| Central Dupage HospitalWinfield, IL | $7,921 |
| Umass Memorial Medical Center INCWorcester, MA | $7,830 |
| Jefferson Stratford HospitalCherry Hill, NJ | $7,822 |
Other factors influencing health status 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 | 2 | $9,544 | $4,480 | $4,467 – $4,498 |
| Alaska | 2 | $47,807 | $7,290 | $6,267 – $9,709 |
| Arizona | 1 | $24,245 | $5,986 | – |
| California | 9 | $42,139 | $6,736 | $6,016 – $7,413 |
| Connecticut | 4 | $22,144 | $6,582 | $5,972 – $6,775 |
| Delaware | 1 | $12,695 | $5,427 | – |
| Florida | 4 | $22,444 | $7,683 | $4,536 – $13,926 |
| Hawaii | 1 | $30,634 | $7,015 | – |
| Idaho | 2 | $23,756 | $5,510 | $5,461 – $5,573 |
| Illinois | 5 | $24,788 | $6,074 | $4,000 – $7,921 |
| Indiana | 3 | $20,290 | $5,151 | $4,170 – $5,969 |
| Iowa | 2 | $17,501 | $4,441 | $4,198 – $4,636 |
| Kansas | 1 | $45,942 | $5,253 | – |
| Kentucky | 2 | $22,373 | $4,094 | $3,854 – $4,513 |
| Maine | 4 | $19,172 | $5,530 | $4,991 – $6,291 |
| Maryland | 5 | $5,720 | $5,221 | $1,849 – $6,709 |
| Massachusetts | 6 | $18,790 | $6,514 | $4,945 – $8,693 |
| Michigan | 2 | $12,577 | $5,728 | $5,708 – $5,752 |
| Minnesota | 2 | $24,618 | $7,613 | $4,605 – $10,157 |
| Missouri | 4 | $15,545 | $4,834 | $4,403 – $5,282 |
| Montana | 2 | $13,106 | $4,871 | $4,862 – $4,875 |
| Nevada | 1 | $19,669 | $5,487 | – |
| New Hampshire | 4 | $24,410 | $5,380 | $5,228 – $5,552 |
| New Jersey | 3 | $28,657 | $5,828 | $4,762 – $7,822 |
| New York | 20 | $37,278 | $7,507 | $5,024 – $12,980 |
| North Carolina | 14 | $16,743 | $5,674 | $3,942 – $8,681 |
| Oklahoma | 2 | $16,209 | $4,983 | $4,653 – $5,780 |
| Oregon | 2 | $17,560 | $6,490 | $6,413 – $6,566 |
| Pennsylvania | 3 | $24,634 | $5,034 | $4,203 – $5,490 |
| South Carolina | 4 | $19,466 | $5,397 | $3,725 – $7,180 |
| Texas | 1 | $37,105 | $5,655 | – |
| Vermont | 2 | $24,568 | $4,573 | $4,269 – $4,762 |
| Virginia | 2 | $20,299 | $4,617 | $4,327 – $4,770 |
| Washington | 21 | $31,976 | $5,950 | $4,854 – $8,742 |
| West Virginia | 2 | $23,559 | $5,537 | $5,026 – $5,940 |
| Wisconsin | 3 | $23,434 | $4,890 | $4,517 – $5,490 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Strong Memorial HospitalRochester, NY | 60 | $20,679 | $12,980 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 58 | $47,164 | $7,580 |
| St Michael Medical CenterBremerton, WA | 55 | $42,967 | $5,658 |
| Providence Alaska Medical CtrAnchorage, AK | 52 | $53,684 | $6,267 |
| North Shore University HospitalManhasset, NY | 52 | $91,894 | $8,066 |
| Valley HospitalRidgewood, NJ | 49 | $25,007 | $5,050 |
| Olympic Medical CenterPort Angeles, WA | 49 | $17,740 | $5,008 |
| University of Washington Medical CtrSeattle, WA | 46 | $36,199 | $7,683 |
| Buffalo General HospitalBuffalo, NY | 44 | $14,743 | $6,673 |
| Providence Regional Medical Center EverettEverett, WA | 43 | $41,924 | $6,450 |
| Lenox Hill HospitalNew York, NY | 38 | $52,697 | $8,450 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh, NY | 38 | $30,523 | $6,238 |
| Forsyth Memorial HospitalWinston-Salem, NC | 37 | $19,016 | $5,391 |
| Baptist Hospital EastLouisville, KY | 35 | $16,526 | $3,854 |
| Providence St Peter HospitalOlympia, WA | 35 | $28,420 | $5,380 |
Questions
How much does other factors influencing health status cost in the U.S.?
In 2024 Medicare data, a hospital stay for other factors influencing health status (DRG 951) at 148 hospitals in the U.S. was billed at $27,034 on average, while the average total payment was $6,140, of which Medicare paid $4,596. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other factors influencing health status?
Among states with at least three hospitals reporting, the average total payment was highest in Florida ($7,683), New York ($7,507), California ($6,736) and lowest in Missouri ($4,834), Wisconsin ($4,890), Pennsylvania ($5,034).
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 4.4 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.