Pleural effusion with complications
What 16 hospitals in the U.S. charged and were paid for a Medicare hospital stay for pleural effusion with complications (DRG 187), from 2024 Medicare claims.
Average charge
$60,338
Hospital list price billed
Average payment
$10,572
Medicare + patient + other payers
Medicare paid
$8,114
Average per stay
Volume
217
Medicare hospital stays
Hospitals in the U.S. billed an average of $60,338 for pleural effusion with complications, about 5.7 times the average total payment of $10,572.
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 $10,572Billed $60,338
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:
Pleural effusion with 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 |
|---|---|---|---|---|
| Delaware | 1 | $31,491 | $9,449 | – |
| Florida | 2 | $56,013 | $8,141 | $7,812 – $8,602 |
| Illinois | 2 | $44,758 | $8,475 | $8,240 – $8,709 |
| Louisiana | 1 | $30,460 | $8,850 | – |
| Massachusetts | 1 | $53,265 | $13,480 | – |
| Missouri | 1 | $32,072 | $7,120 | – |
| Nebraska | 1 | $28,449 | $7,816 | – |
| New Jersey | 1 | $65,530 | $8,531 | – |
| New York | 4 | $94,460 | $15,590 | $10,590 – $20,173 |
| Pennsylvania | 2 | $47,543 | $7,565 | $7,139 – $7,899 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 24 | $116,389 | $20,173 |
| Sarasota Memorial HospitalSarasota, FL | 21 | $51,591 | $7,812 |
| Community Medical CenterToms River, NJ | 17 | $65,530 | $8,531 |
| NYU Hospitals CenterNew York, NY | 16 | $107,949 | $13,892 |
| Adventhealth OrlandoOrlando, FL | 15 | $62,204 | $8,602 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr, PA | 14 | $63,860 | $7,899 |
| Christiana Care Health Services, INC.Newark, DE | 11 | $31,491 | $9,449 |
| Evanston HospitalEvanston, IL | 11 | $32,094 | $8,709 |
| Central Dupage HospitalWinfield, IL | 11 | $57,421 | $8,240 |
| Ochsner Foundation HospitalNew Orleans, LA | 11 | $30,460 | $8,850 |
| Massachusetts General HospitalBoston, MA | 11 | $53,265 | $13,480 |
| Lester E Cox Medical CentersSpringfield, MO | 11 | $32,072 | $7,120 |
| The Nebraska Methodist HospitalOmaha, NE | 11 | $28,449 | $7,816 |
| Garnet Health Medical CenterGoshen, NY | 11 | $58,016 | $10,590 |
| University HospitalStony Brook, NY | 11 | $63,440 | $13,060 |
Questions
How much does pleural effusion with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for pleural effusion with complications (DRG 187) at 16 hospitals in the U.S. was billed at $60,338 on average, while the average total payment was $10,572, of which Medicare paid $8,114. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for pleural effusion with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($15,590) and lowest in New York ($15,590).
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.