facebook tracking Other respiratory system operating room procedures with major complications cost in Kansas: 3 hospitals compared (DRG 166)

Other respiratory system operating room procedures with major complications in Kansas

What 3 hospitals in Kansas charged and were paid for a Medicare hospital stay for other respiratory system operating room procedures with major complications (DRG 166), from 2024 Medicare claims.

DRG 166 Inpatient 2024 Medicare data
Average charge $190,502 Hospital list price billed
Average payment $32,817 Medicare + patient + other payers
Medicare paid $30,340 Average per stay
State rank #4 of 22 1 = lowest average payment

Hospitals in Kansas billed an average of $190,502 for other respiratory system operating room procedures with major complications, about 5.8 times the average total payment of $32,817. That payment is 26% below the U.S. average of $44,318.

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 $32,817Billed $190,502

About 17¢ was paid for every $1 hospitals in Kansas billed for this stay.

Kansas hospitals: other respiratory system operating room procedures with major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
University of Kansas HospitalKansas City 16 $175,675 $34,051 $30,472
Hays Medical CenterHays 12 $93,286 $35,164 $33,940
Wesley Medical CenterWichita 12 $307,487 $28,824 $26,565
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Lowest and highest payments in Kansas

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Wesley Medical CenterWichita, KS$28,824
University of Kansas HospitalKansas City, KS$34,051
Hays Medical CenterHays, KS$35,164

Highest

Hays Medical CenterHays, KS$35,164
University of Kansas HospitalKansas City, KS$34,051
Wesley Medical CenterWichita, KS$28,824

Other respiratory system operating room procedures with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for other respiratory system operating room procedures with major complications (DRG 166) at 3 hospitals in Kansas was billed at $190,502 on average, while the average total payment was $32,817, of which Medicare paid $30,340. 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 Kansas, 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.