Poisoning and toxic effects of drugs with major complications
What 519 hospitals in the U.S. charged and were paid for a Medicare hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917), from 2024 Medicare claims.
Average charge
$79,443
Hospital list price billed
Average payment
$16,910
Medicare + patient + other payers
Medicare paid
$13,880
Average per stay
Volume
9,015
Medicare hospital stays
Hospitals in the U.S. billed an average of $79,443 for poisoning and toxic effects of drugs with major complications, about 4.7 times the average total payment of $16,910.
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 $16,910Billed $79,443
About 21¢ 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
| Palos Community HospitalPalos Heights, IL | $10,581 |
|---|---|
| Delray Medical CenterDelray Beach, FL | $10,731 |
| Mercy Hospital SouthSt Louis, MO | $10,950 |
| Stormont-Vail HealthcareTopeka, KS | $11,518 |
| Jackson-Madison Cnty Gen HospJackson, TN | $11,565 |
| Norton Healthcare PavilionLouisville, KY | $11,567 |
| Adventhealth Daytona BeachDaytona Beach, FL | $11,610 |
| Sarasota Memorial HospitalSarasota, FL | $11,644 |
| Baptist Memorial Hospital DesotoSouthaven, MS | $11,645 |
| Baptist Memorial HospitalMemphis, TN | $11,704 |
Highest
| Boston Medical Center CorporationBoston, MA | $42,241 |
|---|---|
| Jps Health NetworkFort Worth, TX | $41,789 |
| San Francisco General HospitalSan Francisco, CA | $35,178 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $34,440 |
| Jacobi Medical CenterBronx, NY | $33,287 |
| University of California Davis Medical CenterSacramento, CA | $33,034 |
| Yale-New Haven HospitalNew Haven, CT | $32,299 |
| The Johns Hopkins HospitalBaltimore, MD | $30,451 |
| Grady Memorial HospitalAtlanta, GA | $28,749 |
| University of Alabama HospitalBirmingham, AL | $28,683 |
Poisoning and toxic effects of drugs with 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 |
|---|---|---|---|---|
| Alabama | 3 | $87,345 | $19,934 | $9,944 – $28,683 |
| Alaska | 2 | $128,847 | $21,349 | $18,219 – $23,820 |
| Arizona | 11 | $65,504 | $16,072 | $11,005 – $31,692 |
| Arkansas | 7 | $48,670 | $12,705 | $9,320 – $16,218 |
| California | 73 | $120,724 | $19,606 | $14,117 – $35,178 |
| Colorado | 2 | $83,074 | $12,616 | $12,111 – $13,338 |
| Connecticut | 7 | $76,139 | $22,156 | $13,703 – $32,299 |
| Delaware | 3 | $49,898 | $14,064 | $12,772 – $14,819 |
| Florida | 48 | $80,088 | $13,297 | $9,560 – $24,677 |
| Georgia | 9 | $76,276 | $18,520 | $13,639 – $28,749 |
| Hawaii | 1 | $64,591 | $17,855 | – |
| Idaho | 5 | $60,193 | $13,066 | $11,926 – $14,294 |
| Illinois | 18 | $65,529 | $16,180 | $10,581 – $25,715 |
| Indiana | 8 | $55,977 | $13,720 | $10,948 – $17,722 |
| Iowa | 2 | $69,005 | $15,595 | $11,786 – $21,748 |
| Kansas | 3 | $82,033 | $12,882 | $11,518 – $14,837 |
| Kentucky | 5 | $60,299 | $14,167 | $11,563 – $20,551 |
| Louisiana | 3 | $78,533 | $10,434 | $9,820 – $11,826 |
| Maine | 1 | $54,736 | $15,177 | – |
| Maryland | 17 | $25,557 | $22,936 | $12,762 – $38,453 |
| Massachusetts | 24 | $52,267 | $19,133 | $12,029 – $42,241 |
| Michigan | 14 | $44,984 | $14,767 | $11,108 – $17,307 |
| Minnesota | 10 | $51,726 | $16,444 | $11,796 – $25,324 |
| Mississippi | 5 | $51,285 | $12,265 | $10,104 – $17,211 |
| Missouri | 9 | $64,412 | $14,696 | $10,950 – $24,283 |
| Montana | 2 | $33,165 | $13,758 | $12,782 – $14,193 |
| Nebraska | 1 | $57,586 | $12,078 | – |
| Nevada | 10 | $135,380 | $15,661 | $11,570 – $19,286 |
| New Hampshire | 6 | $60,008 | $14,806 | $11,988 – $18,471 |
| New Jersey | 23 | $99,713 | $16,544 | $11,889 – $26,170 |
| New Mexico | 3 | $47,479 | $17,297 | $13,325 – $21,547 |
| New York | 33 | $106,423 | $21,888 | $13,127 – $33,287 |
| North Carolina | 11 | $49,755 | $14,402 | $11,004 – $21,975 |
| North Dakota | 3 | $37,454 | $15,119 | $10,917 – $19,762 |
| Ohio | 9 | $74,582 | $14,542 | $10,606 – $18,828 |
| Oklahoma | 7 | $63,671 | $12,981 | $10,696 – $17,117 |
| Oregon | 8 | $50,382 | $15,793 | $13,566 – $18,120 |
| Pennsylvania | 15 | $107,697 | $17,334 | $12,694 – $25,178 |
| Rhode Island | 1 | $44,871 | $17,218 | – |
| South Carolina | 7 | $69,596 | $14,942 | $11,056 – $17,999 |
| South Dakota | 2 | $60,054 | $14,436 | $11,974 – $17,655 |
| Tennessee | 12 | $61,409 | $14,353 | $11,006 – $26,840 |
| Texas | 29 | $86,009 | $16,403 | $10,784 – $50,197 |
| Utah | 2 | $69,379 | $20,917 | $14,723 – $28,659 |
| Vermont | 1 | $69,912 | $18,035 | – |
| Virginia | 17 | $67,061 | $14,591 | $10,345 – $24,367 |
| Washington | 17 | $72,396 | $15,353 | $12,863 – $21,144 |
| West Virginia | 3 | $57,903 | $14,239 | $12,163 – $16,211 |
| Wisconsin | 6 | $88,376 | $21,436 | $9,561 – $34,440 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Oroville HospitalOroville, CA | 70 | $32,347 | $15,655 |
| Adventhealth OrlandoOrlando, FL | 59 | $79,983 | $14,499 |
| New York-Presbyterian HospitalNew York, NY | 58 | $160,888 | $25,575 |
| Saint Francis Hospital, INCTulsa, OK | 58 | $40,180 | $12,610 |
| San Francisco General HospitalSan Francisco, CA | 56 | $174,830 | $35,178 |
| Cape Cod HospitalHyannis, MA | 46 | $29,005 | $16,555 |
| Yale-New Haven HospitalNew Haven, CT | 45 | $113,388 | $32,299 |
| Maine Medical CenterPortland, ME | 43 | $54,736 | $15,177 |
| NYU Hospitals CenterNew York, NY | 42 | $147,036 | $23,932 |
| Umass Memorial Medical Center INCWorcester, MA | 41 | $89,358 | $26,860 |
| Sarasota Memorial HospitalSarasota, FL | 39 | $48,235 | $11,644 |
| University HospitalStony Brook, NY | 39 | $132,806 | $21,299 |
| Sacred Heart Medical Center - RiverbendSpringfield, OR | 38 | $55,351 | $13,566 |
| Christiana Care Health Services, INC.Newark, DE | 37 | $48,649 | $14,819 |
| Northeast Georgia Medical Center, INCGainesville, GA | 37 | $51,749 | $14,525 |
Questions
How much does poisoning and toxic effects of drugs with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917) at 519 hospitals in the U.S. was billed at $79,443 on average, while the average total payment was $16,910, of which Medicare paid $13,880. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for poisoning and toxic effects of drugs with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($22,936), Connecticut ($22,156), New York ($21,888) and lowest in Louisiana ($10,434), Mississippi ($12,265), Arkansas ($12,705).
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 4.7 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.