Other operating room procedures for injuries with major complications
What 199 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other operating room procedures for injuries with major complications (DRG 907), from 2024 Medicare claims.
Average charge
$207,671
Hospital list price billed
Average payment
$43,774
Medicare + patient + other payers
Medicare paid
$34,788
Average per stay
Volume
3,322
Medicare hospital stays
Hospitals in the U.S. billed an average of $207,671 for other operating room procedures for injuries with major complications, about 4.7 times the average total payment of $43,774.
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 $43,774Billed $207,671
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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
| Baptist Memorial HospitalMemphis, TN | $27,130 |
|---|---|
| Mem Hermann Southwest HospHouston, TX | $28,601 |
| Sanford Medical Center FargoFargo, ND | $29,488 |
| Methodist HospitalSan Antonio, TX | $29,929 |
| Sarasota Memorial HospitalSarasota, FL | $30,268 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $30,565 |
| University of Kansas HospitalKansas City, KS | $33,026 |
| William Beaumont HospitalRoyal Oak, MI | $34,217 |
| Tampa General HospitalTampa, FL | $36,140 |
| Adventhealth OrlandoOrlando, FL | $36,326 |
Highest
| UCSF Medical CenterSan Francisco, CA | $99,658 |
|---|---|
| Stanford HospitalPalo Alto, CA | $97,062 |
| The Johns Hopkins HospitalBaltimore, MD | $92,219 |
| University of Maryland Medical CenterBaltimore, MD | $73,815 |
| University of Virginia Medical CenterCharlottesville, VA | $73,084 |
| New York-Presbyterian HospitalNew York, NY | $66,079 |
| Lehigh Valley HospitalAllentown, PA | $60,582 |
| Northwestern Memorial HospitalChicago, IL | $59,547 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $58,731 |
| Mayo Clinic HospitalPhoenix, AZ | $57,616 |
Other operating room procedures for injuries 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 | 3 | $167,962 | $38,832 | $26,255 – $44,907 |
| Alaska | 1 | $163,515 | $35,380 | – |
| Arizona | 4 | $129,062 | $36,849 | $25,166 – $57,616 |
| Arkansas | 1 | $173,926 | $32,020 | – |
| California | 14 | $400,621 | $66,761 | $35,423 – $102,024 |
| Colorado | 3 | $279,958 | $36,406 | $30,638 – $45,449 |
| Connecticut | 1 | $199,312 | $66,714 | – |
| Delaware | 1 | $151,466 | $36,887 | – |
| Florida | 14 | $223,954 | $34,371 | $26,309 – $53,383 |
| Georgia | 4 | $182,342 | $46,921 | $31,234 – $58,824 |
| Hawaii | 1 | $145,282 | $40,667 | – |
| Idaho | 1 | $90,032 | $28,749 | – |
| Illinois | 8 | $169,246 | $40,838 | $25,166 – $59,547 |
| Indiana | 5 | $148,562 | $31,713 | $24,337 – $41,899 |
| Iowa | 1 | $171,790 | $37,465 | – |
| Kansas | 1 | $202,015 | $33,026 | – |
| Kentucky | 2 | $132,634 | $31,803 | $24,784 – $38,823 |
| Louisiana | 1 | $101,531 | $29,547 | – |
| Maine | 1 | $137,213 | $34,486 | – |
| Maryland | 2 | $91,690 | $82,404 | $73,815 – $92,219 |
| Massachusetts | 6 | $141,307 | $47,145 | $38,440 – $55,989 |
| Michigan | 5 | $129,452 | $41,093 | $27,790 – $52,273 |
| Minnesota | 4 | $155,230 | $52,798 | $34,026 – $63,466 |
| Mississippi | 3 | $108,501 | $29,518 | $22,688 – $36,457 |
| Missouri | 6 | $167,550 | $42,321 | $28,609 – $49,452 |
| Nebraska | 2 | $164,019 | $36,319 | $25,882 – $43,687 |
| Nevada | 4 | $238,407 | $36,443 | $27,425 – $46,232 |
| New Hampshire | 1 | $194,153 | $47,970 | – |
| New Jersey | 7 | $258,539 | $42,308 | $31,274 – $53,701 |
| New York | 9 | $328,994 | $56,429 | $34,576 – $76,385 |
| North Carolina | 8 | $127,296 | $41,180 | $30,565 – $54,058 |
| North Dakota | 1 | $84,390 | $29,488 | – |
| Ohio | 8 | $156,879 | $41,031 | $29,334 – $50,293 |
| Oklahoma | 6 | $261,338 | $39,197 | $30,837 – $56,609 |
| Oregon | 5 | $172,358 | $47,007 | $37,895 – $62,368 |
| Pennsylvania | 8 | $381,331 | $52,363 | $33,400 – $60,582 |
| South Carolina | 5 | $140,148 | $39,539 | $28,513 – $51,896 |
| South Dakota | 1 | $178,477 | $34,047 | – |
| Tennessee | 6 | $135,935 | $33,192 | $27,130 – $41,445 |
| Texas | 19 | $211,807 | $37,710 | $24,610 – $82,998 |
| Utah | 1 | $116,965 | $42,615 | – |
| Virginia | 6 | $175,635 | $49,321 | $28,602 – $73,084 |
| Washington | 4 | $168,446 | $38,965 | $34,495 – $48,410 |
| West Virginia | 1 | $145,991 | $57,039 | – |
| Wisconsin | 2 | $199,132 | $43,571 | $39,180 – $46,626 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 60 | $223,482 | $36,326 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 52 | $151,926 | $56,488 |
| NYU Hospitals CenterNew York, NY | 35 | $401,456 | $55,530 |
| Sarasota Memorial HospitalSarasota, FL | 33 | $212,207 | $30,268 |
| New York-Presbyterian HospitalNew York, NY | 32 | $364,183 | $66,079 |
| Duke University Medical CenterDurham, NC | 31 | $162,145 | $54,058 |
| UT Southwestern University HospitalDallas, TX | 31 | $121,229 | $41,550 |
| Vanderbilt University HospitalNashville, TN | 29 | $148,078 | $38,967 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 28 | $507,761 | $49,891 |
| UCSF Medical CenterSan Francisco, CA | 27 | $500,603 | $99,658 |
| Methodist HospitalSan Antonio, TX | 27 | $316,549 | $29,929 |
| Barnes Jewish HospitalSt Louis, MO | 26 | $181,272 | $47,097 |
| Baylor University Medical CenterDallas, TX | 26 | $223,097 | $54,376 |
| University of Virginia Medical CenterCharlottesville, VA | 26 | $239,610 | $73,084 |
| University of Alabama HospitalBirmingham, AL | 25 | $177,179 | $44,907 |
Questions
How much does other operating room procedures for injuries with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other operating room procedures for injuries with major complications (DRG 907) at 199 hospitals in the U.S. was billed at $207,671 on average, while the average total payment was $43,774, of which Medicare paid $34,788. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other operating room procedures for injuries with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($66,761), New York ($56,429), Minnesota ($52,798) and lowest in Mississippi ($29,518), Indiana ($31,713), Tennessee ($33,192).
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 4.7 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.