facebook tracking Other operating room procedures for multiple significant trauma with complications cost: hospital prices by state (DRG 958)

Other operating room procedures for multiple significant trauma with complications

What 11 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other operating room procedures for multiple significant trauma with complications (DRG 958), from 2024 Medicare claims.

DRG 958 Inpatient 2024 Medicare data
Average charge $170,201 Hospital list price billed
Average payment $46,839 Medicare + patient + other payers
Medicare paid $39,298 Average per stay
Volume 155 Medicare hospital stays

Hospitals in the U.S. billed an average of $170,201 for other operating room procedures for multiple significant trauma with complications, about 3.6 times the average total payment of $46,839.

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 $46,839Billed $170,201

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:

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Other operating room procedures for multiple significant trauma 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
Alabama 1 $221,398 $40,984 –
Kentucky 1 $112,710 $36,487 –
Maryland 1 $78,768 $72,258 –
North Carolina 2 $112,046 $38,317 $32,149 – $45,606
Oklahoma 1 $381,378 $43,443 –
Tennessee 3 $147,390 $41,725 $33,043 – $47,128
Texas 1 $254,611 $47,207 –
Washington 1 $185,515 $50,931 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
University of Maryland Medical CenterBaltimore, MD22$78,768$72,258
Harborview Medical CenterSeattle, WA20$185,515$50,931
University of Alabama HospitalBirmingham, AL16$221,398$40,984
Vanderbilt University HospitalNashville, TN14$170,130$43,914
New Hanover Regional Medical CenterWilmington, NC13$89,654$32,149
O U Medical CenterOklahoma City, OK13$381,378$43,443
Regional One HealthMemphis, TN12$156,843$47,128
Memorial Hermann Texas Medical CenterHouston, TX12$254,611$47,207
University of Louisville HospitalLouisville, KY11$112,710$36,487
ECU Health Medical CenterGreenville, NC11$138,510$45,606
Univ of Tn Mem HospitalKnoxville, TN11$108,138$33,043

Questions

How much does other operating room procedures for multiple significant trauma with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for other operating room procedures for multiple significant trauma with complications (DRG 958) at 11 hospitals in the U.S. was billed at $170,201 on average, while the average total payment was $46,839, of which Medicare paid $39,298. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for other operating room procedures for multiple significant trauma with complications?

Among states with at least three hospitals reporting, the average total payment was highest in Tennessee ($41,725) and lowest in Tennessee ($41,725).

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.