facebook tracking Other infectious and parasitic diseases diagnoses with complications cost: hospital prices by state (DRG 868)

Other infectious and parasitic diseases diagnoses with complications

What 3 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other infectious and parasitic diseases diagnoses with complications (DRG 868), from 2024 Medicare claims.

DRG 868 Inpatient 2024 Medicare data
Average charge $56,026 Hospital list price billed
Average payment $12,922 Medicare + patient + other payers
Medicare paid $9,269 Average per stay
Volume 37 Medicare hospital stays

Hospitals in the U.S. billed an average of $56,026 for other infectious and parasitic diseases diagnoses with complications, about 4.3 times the average total payment of $12,922.

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 $12,922Billed $56,026

About 23¢ 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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Other infectious and parasitic diseases diagnoses 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
Massachusetts 1 $19,777 $11,168 –
New Jersey 1 $67,590 $10,284 –
New York 1 $74,594 $16,562 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
University HospitalStony Brook, NY14$74,594$16,562
Morristown Memorial HospitalMorristown, NJ12$67,590$10,284
Cape Cod HospitalHyannis, MA11$19,777$11,168

Questions

How much does other infectious and parasitic diseases diagnoses with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for other infectious and parasitic diseases diagnoses with complications (DRG 868) at 3 hospitals in the U.S. was billed at $56,026 on average, while the average total payment was $12,922, of which Medicare paid $9,269. 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 4.3 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.