facebook tracking Other respiratory system diagnoses with major complications cost in New Hampshire: 2 hospitals compared (DRG 205)

Other respiratory system diagnoses with major complications in New Hampshire

What 2 hospitals in New Hampshire charged and were paid for a Medicare hospital stay for other respiratory system diagnoses with major complications (DRG 205), from 2024 Medicare claims.

DRG 205 Inpatient 2024 Medicare data
Average charge $39,224 Hospital list price billed
Average payment $17,154 Medicare + patient + other payers
Medicare paid $13,054 Average per stay
Volume 26 Medicare hospital stays

Hospitals in New Hampshire billed an average of $39,224 for other respiratory system diagnoses with major complications, about 2.3 times the average total payment of $17,154. That payment is 25% below the U.S. average 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 $17,154Billed $39,224

About 44¢ was paid for every $1 hospitals in New Hampshire billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New Hampshire:

New Hampshire hospitals: other respiratory system diagnoses with major complications

Every New Hampshire hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Mary Hitchcock Mem HospitalLebanon 13 $45,615 $23,167 $16,099
Wentworth-Douglass HospitalDover 13 $32,833 $11,140 $10,010
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Other respiratory system diagnoses with major complications in other states

Questions

How much does other respiratory system diagnoses with major complications cost in New Hampshire?

In 2024 Medicare data, a hospital stay for other respiratory system diagnoses with major complications (DRG 205) at 2 hospitals in New Hampshire was billed at $39,224 on average, while the average total payment was $17,154, of which Medicare paid $13,054. Your own cost depends on your insurance, deductible and the hospital.

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 New Hampshire, average charges were 2.3 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.