Pneumothorax with complications
What 137 hospitals in the U.S. charged and were paid for a Medicare hospital stay for pneumothorax with complications (DRG 200), from 2024 Medicare claims.
Average charge
$60,773
Hospital list price billed
Average payment
$12,018
Medicare + patient + other payers
Medicare paid
$8,523
Average per stay
Volume
2,005
Medicare hospital stays
Hospitals in the U.S. billed an average of $60,773 for pneumothorax with complications, about 5.1 times the average total payment of $12,018.
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.
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
| Sarasota Memorial HospitalSarasota, FL | $8,063 |
|---|---|
| North Mississippi Medical CenterTupelo, MS | $8,513 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | $8,897 |
| Evanston HospitalEvanston, IL | $9,878 |
| Lehigh Valley HospitalAllentown, PA | $10,131 |
| Renown Regional Medical CenterReno, NV | $10,491 |
| Huntsville HospitalHuntsville, AL | $10,588 |
| Inova Fairfax HospitalFalls Church, VA | $11,563 |
| University Hospital S U N Y Health Science CenterSyracuse, NY | $12,605 |
| Baystate Medical CenterSpringfield, MA | $12,843 |
Highest
| New York-Presbyterian HospitalNew York, NY | $25,887 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $17,721 |
| Rhode Island HospitalProvidence, RI | $13,871 |
| Baystate Medical CenterSpringfield, MA | $12,843 |
| University Hospital S U N Y Health Science CenterSyracuse, NY | $12,605 |
| Inova Fairfax HospitalFalls Church, VA | $11,563 |
| Huntsville HospitalHuntsville, AL | $10,588 |
| Renown Regional Medical CenterReno, NV | $10,491 |
| Lehigh Valley HospitalAllentown, PA | $10,131 |
| Evanston HospitalEvanston, IL | $9,878 |
Pneumothorax 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 |
|---|---|---|---|---|
| Alabama | 1 | $41,607 | $10,588 | – |
| Arizona | 4 | $58,377 | $11,037 | $8,549 – $13,747 |
| Arkansas | 2 | $32,880 | $8,369 | $8,184 – $8,555 |
| California | 8 | $119,200 | $12,841 | $10,515 – $19,012 |
| Colorado | 1 | $79,612 | $14,484 | – |
| Delaware | 2 | $33,039 | $10,180 | $8,958 – $11,300 |
| Florida | 11 | $89,497 | $9,746 | $6,307 – $14,511 |
| Georgia | 5 | $64,257 | $12,565 | $10,200 – $17,282 |
| Illinois | 4 | $55,024 | $11,499 | $9,878 – $17,374 |
| Indiana | 1 | $37,620 | $9,342 | – |
| Iowa | 1 | $15,224 | $7,892 | – |
| Kansas | 2 | $79,671 | $9,620 | $8,767 – $10,473 |
| Kentucky | 3 | $36,040 | $10,127 | $7,997 – $11,564 |
| Louisiana | 2 | $34,558 | $10,168 | $9,738 – $10,598 |
| Maryland | 4 | $19,438 | $17,566 | $9,353 – $24,624 |
| Massachusetts | 6 | $31,422 | $13,155 | $10,046 – $14,269 |
| Michigan | 2 | $32,431 | $10,514 | $10,323 – $10,721 |
| Minnesota | 1 | $32,480 | $13,962 | – |
| Mississippi | 2 | $30,680 | $8,325 | $7,950 – $8,513 |
| Missouri | 3 | $39,772 | $10,580 | $9,163 – $13,332 |
| Nebraska | 2 | $32,618 | $10,490 | $8,711 – $11,796 |
| Nevada | 2 | $89,545 | $10,988 | $10,491 – $11,608 |
| New Hampshire | 1 | $31,579 | $12,811 | – |
| New Jersey | 5 | $91,713 | $16,124 | $11,692 – $20,631 |
| New York | 8 | $95,125 | $15,944 | $9,436 – $25,887 |
| North Carolina | 7 | $42,917 | $12,269 | $8,897 – $16,077 |
| Ohio | 1 | $37,654 | $13,280 | – |
| Oklahoma | 2 | $82,338 | $11,052 | $8,825 – $12,833 |
| Oregon | 2 | $42,511 | $13,552 | $11,737 – $15,368 |
| Pennsylvania | 8 | $71,204 | $10,591 | $7,705 – $13,455 |
| Rhode Island | 1 | $34,198 | $13,871 | – |
| South Carolina | 4 | $64,518 | $12,068 | $10,073 – $15,205 |
| South Dakota | 2 | $33,481 | $9,778 | $9,223 – $10,433 |
| Tennessee | 5 | $66,056 | $11,050 | $8,882 – $14,476 |
| Texas | 6 | $56,171 | $10,647 | $8,608 – $14,455 |
| Utah | 1 | $39,094 | $17,008 | – |
| Virginia | 10 | $47,848 | $11,423 | $8,416 – $17,721 |
| Washington | 3 | $44,209 | $11,808 | $9,884 – $13,276 |
| Wisconsin | 1 | $41,377 | $8,424 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Rhode Island HospitalProvidence, RI | 43 | $34,198 | $13,871 |
| Lehigh Valley HospitalAllentown, PA | 32 | $107,386 | $10,131 |
| New York-Presbyterian HospitalNew York, NY | 27 | $164,230 | $25,887 |
| Inova Fairfax HospitalFalls Church, VA | 25 | $32,702 | $11,563 |
| Sarasota Memorial HospitalSarasota, FL | 23 | $61,847 | $8,063 |
| Huntsville HospitalHuntsville, AL | 22 | $41,607 | $10,588 |
| Evanston HospitalEvanston, IL | 22 | $32,957 | $9,878 |
| North Mississippi Medical CenterTupelo, MS | 22 | $31,539 | $8,513 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 21 | $42,554 | $8,897 |
| Baystate Medical CenterSpringfield, MA | 20 | $22,436 | $12,843 |
| Renown Regional Medical CenterReno, NV | 20 | $53,544 | $10,491 |
| University Hospital S U N Y Health Science CenterSyracuse, NY | 20 | $96,802 | $12,605 |
| University of Virginia Medical CenterCharlottesville, VA | 20 | $66,661 | $17,721 |
| Ocala Regional Medical CenterOcala, FL | 19 | $110,010 | $9,166 |
| University of Maryland Medical CenterBaltimore, MD | 19 | $26,789 | $24,624 |
Questions
How much does pneumothorax with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for pneumothorax with complications (DRG 200) at 137 hospitals in the U.S. was billed at $60,773 on average, while the average total payment was $12,018, of which Medicare paid $8,523. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for pneumothorax with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($17,566), New Jersey ($16,124), New York ($15,944) and lowest in Florida ($9,746), Kentucky ($10,127), Missouri ($10,580).
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 5.1 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.