Otitis media and uri without major complications
What 24 hospitals in the U.S. charged and were paid for a Medicare hospital stay for otitis media and uri without major complications (DRG 153), from 2024 Medicare claims.
Average charge
$49,635
Hospital list price billed
Average payment
$8,735
Medicare + patient + other payers
Medicare paid
$5,964
Average per stay
Volume
390
Medicare hospital stays
Hospitals in the U.S. billed an average of $49,635 for otitis media and uri without major complications, about 5.7 times the average total payment of $8,735.
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 $8,735Billed $49,635
About 18¢ 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
| Lehigh Valley HospitalAllentown, PA | $6,709 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $9,757 |
| New York-Presbyterian HospitalNew York, NY | $10,343 |
| University HospitalStony Brook, NY | $10,525 |
Highest
| University HospitalStony Brook, NY | $10,525 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $10,343 |
| Adventhealth OrlandoOrlando, FL | $9,757 |
| Lehigh Valley HospitalAllentown, PA | $6,709 |
Otitis media and uri 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 |
|---|---|---|---|---|
| Arizona | 1 | $14,810 | $8,005 | – |
| California | 1 | $110,374 | $12,769 | – |
| Delaware | 1 | $20,260 | $7,728 | – |
| Florida | 4 | $45,676 | $7,473 | $5,774 – $9,757 |
| Hawaii | 1 | $47,698 | $7,915 | – |
| Illinois | 1 | $25,512 | $6,862 | – |
| Maryland | 1 | $9,314 | $8,683 | – |
| Massachusetts | 1 | $32,081 | $10,120 | – |
| New Jersey | 2 | $65,613 | $7,833 | $7,476 – $8,254 |
| New York | 7 | $69,456 | $10,589 | $7,823 – $15,729 |
| Ohio | 1 | $22,532 | $7,830 | – |
| Pennsylvania | 1 | $40,873 | $6,709 | – |
| Tennessee | 1 | $43,529 | $10,570 | – |
| Texas | 1 | $49,639 | $6,374 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Lehigh Valley HospitalAllentown, PA | 34 | $40,873 | $6,709 |
| Adventhealth OrlandoOrlando, FL | 30 | $61,561 | $9,757 |
| New York-Presbyterian HospitalNew York, NY | 28 | $69,989 | $10,343 |
| University HospitalStony Brook, NY | 20 | $55,423 | $10,525 |
| Christiana Care Health Services, INC.Newark, DE | 19 | $20,260 | $7,728 |
| Naples Community HospitalNaples, FL | 19 | $34,372 | $5,774 |
| Evanston HospitalEvanston, IL | 19 | $25,512 | $6,862 |
| Anne Arundel Medical CenterAnnapolis, MD | 19 | $9,314 | $8,683 |
| Sarasota Memorial HospitalSarasota, FL | 17 | $31,079 | $5,800 |
| NYU Hospitals CenterNew York, NY | 17 | $85,260 | $11,319 |
| Staten Island University HospitalStaten Island, NY | 15 | $40,355 | $8,945 |
| Banner - University Medical Center PhoenixPhoenix, AZ | 14 | $14,810 | $8,005 |
| Stanford HospitalPalo Alto, CA | 13 | $110,374 | $12,769 |
| Morristown Memorial HospitalMorristown, NJ | 13 | $68,070 | $7,476 |
| Montefiore Medical CenterBronx, NY | 12 | $128,841 | $15,729 |
Questions
How much does otitis media and uri without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for otitis media and uri without major complications (DRG 153) at 24 hospitals in the U.S. was billed at $49,635 on average, while the average total payment was $8,735, of which Medicare paid $5,964. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for otitis media and uri without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($10,589), Florida ($7,473) and lowest in Florida ($7,473), New York ($10,589).
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 5.7 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.