Other respiratory system diagnoses with major complications
What 199 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other respiratory system diagnoses with major complications (DRG 205), from 2024 Medicare claims.
Average charge
$112,096
Hospital list price billed
Average payment
$22,775
Medicare + patient + other payers
Medicare paid
$17,242
Average per stay
Volume
4,459
Medicare hospital stays
Hospitals in the U.S. billed an average of $112,096 for other respiratory system diagnoses with major complications, about 4.9 times the average total payment of $22,775.
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 $22,775Billed $112,096
About 20¢ 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
| Northwest Community HospitalArlington Heights, IL | $12,871 |
|---|---|
| Norton Healthcare PavilionLouisville, KY | $12,892 |
| Huntsville HospitalHuntsville, AL | $12,933 |
| Sarasota Memorial HospitalSarasota, FL | $12,952 |
| Deaconess Hospital INCEvansville, IN | $13,085 |
| Naples Community HospitalNaples, FL | $13,157 |
| Methodist HospitalSan Antonio, TX | $13,253 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $13,553 |
| Virtua West Jersey HospitalVoorhees, NJ | $13,803 |
| Baptist Medical CenterJacksonville, FL | $13,998 |
Highest
| Stanford HospitalPalo Alto, CA | $59,635 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $48,692 |
| University of California San Diego Medical CenterSan Diego, CA | $38,903 |
| UCLA Medical CenterLos Angeles, CA | $38,212 |
| New York-Presbyterian HospitalNew York, NY | $37,597 |
| Brigham and Women's HosptialBoston, MA | $36,944 |
| NYU Hospitals CenterNew York, NY | $34,992 |
| Montefiore Medical CenterBronx, NY | $34,623 |
| University Health SystemSan Antonio, TX | $33,434 |
| The Johns Hopkins HospitalBaltimore, MD | $31,650 |
Other respiratory system 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 |
|---|---|---|---|---|
| Alabama | 3 | $74,924 | $15,850 | $12,933 – $20,053 |
| Arizona | 4 | $126,552 | $23,626 | $14,023 – $25,286 |
| California | 20 | $218,117 | $35,316 | $15,549 – $59,635 |
| Colorado | 1 | $133,860 | $21,772 | – |
| Connecticut | 3 | $61,404 | $21,673 | $13,950 – $26,239 |
| Delaware | 2 | $49,846 | $15,752 | $13,952 – $16,544 |
| Florida | 15 | $94,295 | $17,920 | $11,501 – $27,785 |
| Georgia | 4 | $92,137 | $22,029 | $16,112 – $27,432 |
| Idaho | 1 | $94,049 | $19,435 | – |
| Illinois | 11 | $77,791 | $20,025 | $12,689 – $27,093 |
| Indiana | 5 | $68,170 | $15,860 | $13,085 – $19,873 |
| Iowa | 1 | $96,836 | $21,119 | – |
| Kansas | 1 | $111,839 | $17,867 | – |
| Kentucky | 2 | $75,175 | $17,684 | $12,892 – $21,578 |
| Louisiana | 1 | $73,986 | $11,994 | – |
| Maryland | 3 | $32,139 | $28,336 | $15,783 – $31,650 |
| Massachusetts | 13 | $78,688 | $23,918 | $12,598 – $36,944 |
| Michigan | 8 | $54,987 | $19,048 | $12,335 – $26,447 |
| Minnesota | 6 | $70,593 | $21,310 | $14,410 – $25,170 |
| Mississippi | 2 | $51,871 | $11,238 | $11,174 – $11,285 |
| Missouri | 4 | $71,378 | $19,214 | $12,676 – $24,002 |
| Nebraska | 2 | $58,575 | $17,165 | $13,330 – $20,488 |
| Nevada | 1 | $191,305 | $16,014 | – |
| New Hampshire | 2 | $39,224 | $17,154 | $11,140 – $23,167 |
| New Jersey | 11 | $104,078 | $19,678 | $13,803 – $37,053 |
| New Mexico | 1 | $57,226 | $13,839 | – |
| New York | 15 | $173,096 | $28,787 | $15,876 – $37,597 |
| North Carolina | 5 | $62,035 | $21,486 | $13,087 – $24,885 |
| North Dakota | 1 | $47,927 | $14,298 | – |
| Ohio | 5 | $77,206 | $18,468 | $11,847 – $23,839 |
| Oklahoma | 2 | $96,727 | $16,132 | $13,703 – $18,935 |
| Pennsylvania | 9 | $205,694 | $23,169 | $13,223 – $29,258 |
| South Carolina | 2 | $62,033 | $22,414 | $21,355 – $23,224 |
| South Dakota | 2 | $55,893 | $14,408 | $14,243 – $14,603 |
| Tennessee | 5 | $65,428 | $17,566 | $11,501 – $23,071 |
| Texas | 15 | $114,295 | $21,506 | $12,262 – $33,434 |
| Utah | 1 | $37,062 | $18,734 | – |
| Virginia | 5 | $66,322 | $22,442 | $13,553 – $28,963 |
| Washington | 2 | $79,251 | $20,243 | $16,763 – $22,369 |
| Wisconsin | 2 | $75,771 | $23,148 | $20,804 – $24,613 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 121 | $257,958 | $37,597 |
| Stanford HospitalPalo Alto, CA | 110 | $416,569 | $59,635 |
| UT Southwestern University HospitalDallas, TX | 103 | $139,425 | $30,638 |
| Brigham and Women's HosptialBoston, MA | 77 | $145,141 | $36,944 |
| Duke University Medical CenterDurham, NC | 68 | $67,623 | $24,885 |
| Temple University HospitalPhiladelphia, PA | 68 | $271,502 | $26,133 |
| The Johns Hopkins HospitalBaltimore, MD | 64 | $35,992 | $31,650 |
| Methodist Hospital,TheHouston, TX | 59 | $137,069 | $18,200 |
| Barnes Jewish HospitalSt Louis, MO | 57 | $83,840 | $24,002 |
| NYU Hospitals CenterNew York, NY | 56 | $220,165 | $34,992 |
| Shands Hospital at the University of FloridaGainesville, FL | 54 | $92,910 | $20,274 |
| Mayo ClinicJacksonville, FL | 54 | $76,756 | $24,788 |
| St Joseph's Hospital and Medical CenterPhoenix, AZ | 53 | $148,767 | $25,058 |
| Hospital of the Univ of PaPhiladelphia, PA | 53 | $235,090 | $29,258 |
| Baylor University Medical CenterDallas, TX | 53 | $91,240 | $24,505 |
Questions
How much does other respiratory system diagnoses with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other respiratory system diagnoses with major complications (DRG 205) at 199 hospitals in the U.S. was billed at $112,096 on average, while the average total payment was $22,775, of which Medicare paid $17,242. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other respiratory system diagnoses with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($35,316), New York ($28,787), Maryland ($28,336) and lowest in Alabama ($15,850), Indiana ($15,860), Tennessee ($17,566).
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 4.9 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.