Poisoning and toxic effects of drugs without major complications
What 66 hospitals in the U.S. charged and were paid for a Medicare hospital stay for poisoning and toxic effects of drugs without major complications (DRG 918), from 2024 Medicare claims.
Average charge
$41,675
Hospital list price billed
Average payment
$10,423
Medicare + patient + other payers
Medicare paid
$8,001
Average per stay
Volume
935
Medicare hospital stays
Hospitals in the U.S. billed an average of $41,675 for poisoning and toxic effects of drugs without major complications, about 4.0 times the average total payment of $10,423.
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 $10,423Billed $41,675
About 25¢ 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
| Adventhealth OrlandoOrlando, FL | $7,343 |
|---|---|
| Staten Island University HospitalStaten Island, NY | $10,515 |
| Umass Memorial Medical Center INCWorcester, MA | $11,725 |
| New York-Presbyterian HospitalNew York, NY | $14,131 |
| Nassau University Medical CenterEast Meadow, NY | $15,084 |
Highest
| Nassau University Medical CenterEast Meadow, NY | $15,084 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $14,131 |
| Umass Memorial Medical Center INCWorcester, MA | $11,725 |
| Staten Island University HospitalStaten Island, NY | $10,515 |
| Adventhealth OrlandoOrlando, FL | $7,343 |
Poisoning and toxic effects of drugs 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 |
|---|---|---|---|---|
| Alaska | 1 | $74,655 | $8,786 | – |
| Arizona | 2 | $43,214 | $9,471 | $7,178 – $11,572 |
| Arkansas | 1 | $17,606 | $6,172 | – |
| California | 2 | $61,028 | $9,769 | $9,341 – $10,275 |
| Delaware | 1 | $21,942 | $7,945 | – |
| Florida | 11 | $46,601 | $8,116 | $5,810 – $16,901 |
| Illinois | 4 | $36,872 | $8,603 | $6,898 – $11,786 |
| Kansas | 1 | $47,188 | $7,366 | – |
| Kentucky | 1 | $24,706 | $6,442 | – |
| Maine | 1 | $25,914 | $8,314 | – |
| Maryland | 6 | $14,111 | $12,732 | $7,229 – $16,719 |
| Massachusetts | 6 | $21,944 | $9,130 | $7,286 – $11,725 |
| Minnesota | 2 | $48,714 | $17,012 | $8,053 – $24,593 |
| Missouri | 2 | $37,514 | $9,351 | $8,690 – $9,835 |
| Montana | 1 | $26,742 | $7,262 | – |
| New Hampshire | 1 | $22,794 | $7,832 | – |
| New Jersey | 1 | $50,238 | $8,541 | – |
| New York | 10 | $61,941 | $13,451 | $9,341 – $25,387 |
| North Carolina | 1 | $30,865 | $7,871 | – |
| Oklahoma | 1 | $44,275 | $7,412 | – |
| Pennsylvania | 3 | $56,987 | $8,832 | $7,110 – $11,659 |
| South Carolina | 2 | $39,855 | $10,066 | $7,416 – $12,009 |
| Tennessee | 1 | $25,158 | $8,128 | – |
| Texas | 2 | $40,201 | $24,179 | $9,603 – $38,756 |
| West Virginia | 1 | $49,546 | $8,130 | – |
| Wisconsin | 1 | $27,965 | $10,882 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 40 | $46,420 | $7,343 |
| New York-Presbyterian HospitalNew York, NY | 25 | $82,656 | $14,131 |
| Nassau University Medical CenterEast Meadow, NY | 24 | $53,302 | $15,084 |
| Umass Memorial Medical Center INCWorcester, MA | 21 | $35,003 | $11,725 |
| Staten Island University HospitalStaten Island, NY | 20 | $47,448 | $10,515 |
| Baystate Medical CenterSpringfield, MA | 18 | $16,380 | $9,436 |
| Charleston Area Medical CenterCharleston, WV | 18 | $49,546 | $8,130 |
| Christiana Care Health Services, INC.Newark, DE | 17 | $21,942 | $7,945 |
| Sarasota Memorial HospitalSarasota, FL | 17 | $29,610 | $6,764 |
| Norton Healthcare PavilionLouisville, KY | 17 | $24,706 | $6,442 |
| University HospitalStony Brook, NY | 17 | $134,433 | $25,387 |
| St Catherine of Siena HospitalSmithtown, NY | 16 | $40,876 | $9,759 |
| Naples Community HospitalNaples, FL | 15 | $39,091 | $6,508 |
| St Joseph's HospitalTampa, FL | 15 | $45,792 | $7,700 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | 15 | $15,347 | $13,368 |
Questions
How much does poisoning and toxic effects of drugs without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for poisoning and toxic effects of drugs without major complications (DRG 918) at 66 hospitals in the U.S. was billed at $41,675 on average, while the average total payment was $10,423, of which Medicare paid $8,001. 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 without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($13,451), Maryland ($12,732), Massachusetts ($9,130) and lowest in Florida ($8,116), Illinois ($8,603), Pennsylvania ($8,832).
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 4.0 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.