Other respiratory system operating room procedures without complications
What 6 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other respiratory system operating room procedures without complications (DRG 168), from 2024 Medicare claims.
Average charge
$67,320
Hospital list price billed
Average payment
$15,575
Medicare + patient + other payers
Medicare paid
$12,187
Average per stay
Volume
76
Medicare hospital stays
Hospitals in the U.S. billed an average of $67,320 for other respiratory system operating room procedures without complications, about 4.3 times the average total payment of $15,575.
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 $15,575Billed $67,320
About 23¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
Other respiratory system operating room procedures without 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 |
|---|---|---|---|---|
| Georgia | 1 | $39,596 | $9,578 | – |
| Maryland | 1 | $30,074 | $26,594 | – |
| Missouri | 1 | $49,840 | $15,034 | – |
| North Carolina | 1 | $45,797 | $14,908 | – |
| Pennsylvania | 1 | $106,725 | $15,949 | – |
| Tennessee | 1 | $126,589 | $12,380 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Barnes Jewish HospitalSt Louis, MO | 15 | $49,840 | $15,034 |
| Hospital of the Univ of PaPhiladelphia, PA | 14 | $106,725 | $15,949 |
| St Joseph's Hospital - SavannahSavannah, GA | 12 | $39,596 | $9,578 |
| Duke University Medical CenterDurham, NC | 12 | $45,797 | $14,908 |
| Centennial Medical CenterNashville, TN | 12 | $126,589 | $12,380 |
| The Johns Hopkins HospitalBaltimore, MD | 11 | $30,074 | $26,594 |
Questions
How much does other respiratory system operating room procedures without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other respiratory system operating room procedures without complications (DRG 168) at 6 hospitals in the U.S. was billed at $67,320 on average, while the average total payment was $15,575, of which Medicare paid $12,187. 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 the U.S., average charges were 4.3 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.