Other respiratory system diagnoses without major complications
What 97 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other respiratory system diagnoses without major complications (DRG 206), from 2024 Medicare claims.
Average charge
$66,416
Hospital list price billed
Average payment
$11,447
Medicare + patient + other payers
Medicare paid
$8,215
Average per stay
Volume
1,679
Medicare hospital stays
Hospitals in the U.S. billed an average of $66,416 for other respiratory system diagnoses without major complications, about 5.8 times the average total payment of $11,447.
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 $11,447Billed $66,416
About 17¢ 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
| Methodist HospitalSan Antonio, TX | $7,935 |
|---|---|
| Lehigh Valley HospitalAllentown, PA | $8,138 |
| Christiana Care Health Services, INC.Newark, DE | $8,427 |
| Adventhealth OrlandoOrlando, FL | $9,051 |
| Centinela Hospital Medical CenterInglewood, CA | $9,995 |
| Saint Francis Medical CenterLynwood, CA | $10,407 |
| North Shore University HospitalManhasset, NY | $11,542 |
| Brigham and Women's HosptialBoston, MA | $11,613 |
| Inova Fairfax HospitalFalls Church, VA | $11,959 |
| University HospitalStony Brook, NY | $12,314 |
Highest
| Duke University Medical CenterDurham, NC | $21,093 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $18,730 |
| Stanford HospitalPalo Alto, CA | $17,841 |
| The Johns Hopkins HospitalBaltimore, MD | $17,617 |
| Mayo ClinicJacksonville, FL | $16,975 |
| Barnes Jewish HospitalSt Louis, MO | $16,798 |
| UT Southwestern University HospitalDallas, TX | $14,845 |
| Temple University HospitalPhiladelphia, PA | $13,230 |
| NYU Hospitals CenterNew York, NY | $13,086 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $12,525 |
Other respiratory system diagnoses without 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 | $27,681 | $6,993 | – |
| Arizona | 1 | $143,034 | $15,782 | – |
| California | 16 | $69,989 | $11,535 | $8,930 – $19,426 |
| Connecticut | 1 | $43,201 | $12,149 | – |
| Delaware | 1 | $22,186 | $8,427 | – |
| Florida | 14 | $59,876 | $8,831 | $5,916 – $16,975 |
| Illinois | 2 | $37,124 | $9,132 | $8,654 – $9,673 |
| Indiana | 2 | $87,163 | $13,634 | $7,018 – $17,916 |
| Kansas | 1 | $57,862 | $8,350 | – |
| Louisiana | 1 | $36,934 | $7,263 | – |
| Maryland | 2 | $18,448 | $16,477 | $13,816 – $17,617 |
| Massachusetts | 9 | $30,587 | $9,856 | $7,191 – $11,972 |
| Michigan | 2 | $39,723 | $11,914 | $10,763 – $12,970 |
| Minnesota | 2 | $43,019 | $13,587 | $7,048 – $19,192 |
| Missouri | 1 | $69,239 | $16,798 | – |
| Nebraska | 1 | $50,595 | $10,985 | – |
| Nevada | 1 | $120,982 | $8,161 | – |
| New Jersey | 3 | $52,541 | $9,078 | $7,836 – $10,480 |
| New York | 9 | $99,138 | $13,784 | $7,905 – $18,730 |
| North Carolina | 5 | $60,440 | $14,657 | $6,555 – $21,093 |
| Ohio | 2 | $50,658 | $10,088 | $9,943 – $10,221 |
| Oklahoma | 1 | $46,378 | $8,003 | – |
| Pennsylvania | 7 | $95,898 | $9,835 | $6,418 – $13,646 |
| Rhode Island | 1 | $29,878 | $10,675 | – |
| South Carolina | 1 | $35,554 | $12,292 | – |
| Tennessee | 2 | $69,178 | $11,756 | $6,874 – $15,282 |
| Texas | 4 | $103,579 | $13,959 | $7,935 – $22,677 |
| Virginia | 1 | $36,360 | $11,959 | – |
| Washington | 1 | $43,192 | $11,237 | – |
| West Virginia | 1 | $19,026 | $6,052 | – |
| Wisconsin | 1 | $61,948 | $12,430 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Centinela Hospital Medical CenterInglewood, CA | 95 | $28,987 | $9,995 |
| New York-Presbyterian HospitalNew York, NY | 45 | $147,877 | $18,730 |
| Duke University Medical CenterDurham, NC | 39 | $97,163 | $21,093 |
| NYU Hospitals CenterNew York, NY | 36 | $96,912 | $13,086 |
| UT Southwestern University HospitalDallas, TX | 36 | $81,826 | $14,845 |
| Lehigh Valley HospitalAllentown, PA | 32 | $44,313 | $8,138 |
| Stanford HospitalPalo Alto, CA | 29 | $215,129 | $17,841 |
| The Johns Hopkins HospitalBaltimore, MD | 28 | $19,755 | $17,617 |
| Brigham and Women's HosptialBoston, MA | 28 | $49,453 | $11,613 |
| Temple University HospitalPhiladelphia, PA | 28 | $201,481 | $13,230 |
| Barnes Jewish HospitalSt Louis, MO | 26 | $69,239 | $16,798 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 25 | $186,871 | $12,525 |
| Adventhealth OrlandoOrlando, FL | 25 | $51,016 | $9,051 |
| University HospitalStony Brook, NY | 25 | $54,227 | $12,314 |
| Christiana Care Health Services, INC.Newark, DE | 23 | $22,186 | $8,427 |
Questions
How much does other respiratory system diagnoses without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other respiratory system diagnoses without major complications (DRG 206) at 97 hospitals in the U.S. was billed at $66,416 on average, while the average total payment was $11,447, of which Medicare paid $8,215. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other respiratory system diagnoses without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in North Carolina ($14,657), Texas ($13,959), New York ($13,784) and lowest in Florida ($8,831), New Jersey ($9,078), Pennsylvania ($9,835).
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 5.8 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.