facebook tracking Other respiratory system operating room procedures with complications cost in Arkansas: 1 hospitals compared (DRG 167)

Other respiratory system operating room procedures with complications in Arkansas

What 1 hospital in Arkansas charged and were paid for a Medicare hospital stay for other respiratory system operating room procedures with complications (DRG 167), from 2024 Medicare claims.

DRG 167 Inpatient 2024 Medicare data
Average charge $69,727 Hospital list price billed
Average payment $12,510 Medicare + patient + other payers
Medicare paid $11,021 Average per stay
Volume 15 Medicare hospital stays

Hospitals in Arkansas billed an average of $69,727 for other respiratory system operating room procedures with complications, about 5.6 times the average total payment of $12,510. That payment is 42% below the U.S. average of $21,619.

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 $12,510Billed $69,727

About 18¢ was paid for every $1 hospitals in Arkansas billed for this stay.

Arkansas hospitals: other respiratory system operating room procedures with complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Washington Regional Med CenterFayetteville 15 $69,727 $12,510 $11,021
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Other respiratory system operating room procedures with complications in other states

Questions

How much does other respiratory system operating room procedures with complications cost in Arkansas?

In 2024 Medicare data, a hospital stay for other respiratory system operating room procedures with complications (DRG 167) at 1 hospital in Arkansas was billed at $69,727 on average, while the average total payment was $12,510, of which Medicare paid $11,021. 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 Arkansas, average charges were 5.6 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.