Other infectious and parasitic diseases diagnoses with major complications
What 9 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other infectious and parasitic diseases diagnoses with major complications (DRG 867), from 2024 Medicare claims.
Average charge
$74,508
Hospital list price billed
Average payment
$20,592
Medicare + patient + other payers
Medicare paid
$17,151
Average per stay
Volume
262
Medicare hospital stays
Hospitals in the U.S. billed an average of $74,508 for other infectious and parasitic diseases diagnoses with major complications, about 3.6 times the average total payment of $20,592.
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 $20,592Billed $74,508
About 28¢ 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 infectious and parasitic diseases diagnoses with major 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 |
|---|---|---|---|---|
| Connecticut | 1 | $88,774 | $25,972 | – |
| Florida | 1 | $162,818 | $15,350 | – |
| Massachusetts | 1 | $28,411 | $17,149 | – |
| New York | 2 | $274,054 | $40,019 | $34,082 – $45,606 |
| North Carolina | 1 | $44,446 | $19,521 | – |
| Tennessee | 3 | $36,420 | $17,352 | $12,835 – $48,203 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Henderson County Community HospitalLexington, TN | 135 | $25,232 | $15,781 |
| Haywood County Community HospitalBrownsville, TN | 35 | $23,220 | $12,835 |
| NYU Hospitals CenterNew York, NY | 17 | $339,475 | $45,606 |
| New York-Presbyterian HospitalNew York, NY | 16 | $204,545 | $34,082 |
| Yale-New Haven HospitalNew Haven, CT | 12 | $88,774 | $25,972 |
| Adventhealth OrlandoOrlando, FL | 12 | $162,818 | $15,350 |
| South Shore HospitalSouth Weymouth, MA | 12 | $28,411 | $17,149 |
| Vanderbilt University HospitalNashville, TN | 12 | $200,778 | $48,203 |
| ECU Health Medical CenterGreenville, NC | 11 | $44,446 | $19,521 |
Questions
How much does other infectious and parasitic diseases diagnoses with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other infectious and parasitic diseases diagnoses with major complications (DRG 867) at 9 hospitals in the U.S. was billed at $74,508 on average, while the average total payment was $20,592, of which Medicare paid $17,151. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other infectious and parasitic diseases diagnoses with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Tennessee ($17,352) and lowest in Tennessee ($17,352).
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 3.6 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.