Other multiple significant trauma with major complications
What 54 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other multiple significant trauma with major complications (DRG 963), from 2024 Medicare claims.
Average charge
$149,213
Hospital list price billed
Average payment
$35,483
Medicare + patient + other payers
Medicare paid
$29,419
Average per stay
Volume
792
Medicare hospital stays
Hospitals in the U.S. billed an average of $149,213 for other multiple significant trauma with major complications, about 4.2 times the average total payment of $35,483.
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 $35,483Billed $149,213
About 24¢ 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:
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
| Memorial Hermann Texas Medical CenterHouston, TX | $32,607 |
|---|---|
| Harborview Medical CenterSeattle, WA | $32,803 |
| O U Medical CenterOklahoma City, OK | $37,283 |
| Vanderbilt University HospitalNashville, TN | $40,534 |
| University of Maryland Medical CenterBaltimore, MD | $152,628 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $152,628 |
|---|---|
| Vanderbilt University HospitalNashville, TN | $40,534 |
| O U Medical CenterOklahoma City, OK | $37,283 |
| Harborview Medical CenterSeattle, WA | $32,803 |
| Memorial Hermann Texas Medical CenterHouston, TX | $32,607 |
Other multiple significant trauma 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 |
|---|---|---|---|---|
| Alabama | 1 | $159,988 | $24,572 | – |
| California | 3 | $356,404 | $51,374 | $43,611 – $58,477 |
| Delaware | 1 | $79,503 | $24,100 | – |
| Florida | 3 | $149,245 | $22,233 | $17,821 – $28,116 |
| Georgia | 1 | $270,409 | $45,514 | – |
| Illinois | 2 | $136,753 | $32,226 | $26,316 – $39,211 |
| Indiana | 2 | $91,240 | $21,681 | $19,379 – $24,337 |
| Iowa | 1 | $159,749 | $31,231 | – |
| Kentucky | 2 | $117,489 | $25,698 | $24,926 – $26,793 |
| Maryland | 3 | $92,995 | $85,285 | $25,354 – $152,628 |
| Massachusetts | 6 | $98,693 | $34,006 | $22,198 – $41,414 |
| Minnesota | 3 | $117,506 | $38,259 | $21,558 – $64,701 |
| Missouri | 4 | $128,944 | $27,676 | $20,864 – $34,568 |
| New Jersey | 4 | $222,959 | $35,247 | $31,002 – $39,123 |
| New York | 4 | $190,462 | $33,727 | $24,552 – $46,373 |
| North Carolina | 1 | $149,042 | $21,596 | – |
| Oklahoma | 2 | $170,966 | $29,906 | $19,578 – $37,283 |
| Oregon | 2 | $122,632 | $35,895 | $33,015 – $38,536 |
| Pennsylvania | 1 | $129,842 | $28,300 | – |
| South Carolina | 1 | $91,168 | $34,104 | – |
| Tennessee | 2 | $136,558 | $34,825 | $24,478 – $40,534 |
| Texas | 1 | $112,235 | $32,607 | – |
| Virginia | 1 | $84,683 | $27,308 | – |
| Washington | 1 | $136,397 | $32,803 | – |
| Wisconsin | 2 | $123,022 | $29,019 | $28,163 – $30,185 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Vanderbilt University HospitalNashville, TN | 29 | $169,393 | $40,534 |
| Harborview Medical CenterSeattle, WA | 28 | $136,397 | $32,803 |
| University of Maryland Medical CenterBaltimore, MD | 21 | $164,987 | $152,628 |
| O U Medical CenterOklahoma City, OK | 21 | $246,700 | $37,283 |
| Memorial Hermann Texas Medical CenterHouston, TX | 20 | $112,235 | $32,607 |
| Cooper University HospitalCamden, NJ | 19 | $200,895 | $31,002 |
| Grady Memorial HospitalAtlanta, GA | 17 | $270,409 | $45,514 |
| University of Kentucky HospLexington, KY | 17 | $117,066 | $24,926 |
| Umass Memorial Medical Center INCWorcester, MA | 17 | $163,891 | $41,414 |
| St John's Mercy Medical CenterSt Louis, MO | 17 | $105,809 | $20,864 |
| NYU Hospitals CenterNew York, NY | 17 | $299,489 | $46,373 |
| UCI Health-OrangeOrange, CA | 16 | $262,228 | $51,869 |
| Massachusetts General HospitalBoston, MA | 16 | $125,106 | $33,774 |
| Lahey Clinic HospitalBurlington, MA | 16 | $80,559 | $38,442 |
| St Louis University HospitalSt Louis, MO | 16 | $147,186 | $33,314 |
Questions
How much does other multiple significant trauma with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other multiple significant trauma with major complications (DRG 963) at 54 hospitals in the U.S. was billed at $149,213 on average, while the average total payment was $35,483, of which Medicare paid $29,419. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other multiple significant trauma with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($85,285), California ($51,374), Minnesota ($38,259) and lowest in Florida ($22,233), Missouri ($27,676), New York ($33,727).
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 4.2 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.