facebook tracking Postoperative and post-traumatic infections with major complications cost: hospital prices by state (DRG 862)

Postoperative and post-traumatic infections with major complications

What 277 hospitals in the U.S. charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections with major complications (DRG 862), from 2024 Medicare claims.

DRG 862 Inpatient 2024 Medicare data
Average charge $90,028 Hospital list price billed
Average payment $20,381 Medicare + patient + other payers
Medicare paid $16,013 Average per stay
Volume 5,074 Medicare hospital stays

Hospitals in the U.S. billed an average of $90,028 for postoperative and post-traumatic infections with major complications, about 4.4 times the average total payment of $20,381.

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 $20,381Billed $90,028

About 23¢ 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:

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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

Jupiter Medical CenterJupiter, FL$11,917
Norton Healthcare PavilionLouisville, KY$12,335
Deaconess Hospital INCEvansville, IN$12,571
Huntsville HospitalHuntsville, AL$12,836
St Vincent Infirmary Medical CenterLittle Rock, AR$13,248
Methodist HospitalSan Antonio, TX$13,271
Bryan Medical CenterLincoln, NE$13,504
Baptist Medical CenterJacksonville, FL$13,540
Baptist Memorial HospitalMemphis, TN$13,656
Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ$13,922

Highest

The Johns Hopkins HospitalBaltimore, MD$75,149
Stanford HospitalPalo Alto, CA$45,785
Mount Sinai HospitalNew York, NY$42,179
NYU Hospitals CenterNew York, NY$35,256
Umass Memorial Medical Center INCWorcester, MA$33,833
University of California San Diego Medical CenterSan Diego, CA$33,018
UCSF Medical CenterSan Francisco, CA$32,772
Univ of Michigan HospitalsAnn Arbor, MI$30,577
University of Kentucky HospLexington, KY$29,382
New York-Presbyterian HospitalNew York, NY$28,779

Postoperative and post-traumatic infections 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 4 $68,492 $15,477 $12,178 – $20,510
Alaska 1 $71,461 $17,408 –
Arizona 10 $70,592 $16,773 $13,569 – $22,784
Arkansas 3 $51,805 $16,014 $12,678 – $23,669
California 25 $163,219 $27,790 $17,389 – $45,785
Colorado 4 $81,907 $15,884 $14,033 – $19,296
Connecticut 2 $77,178 $20,794 $20,567 – $21,056
Delaware 1 $52,681 $16,892 –
Florida 21 $95,100 $16,663 $11,917 – $32,839
Georgia 7 $79,844 $19,782 $15,166 – $30,188
Hawaii 1 $159,486 $30,916 –
Idaho 2 $50,302 $13,804 $13,441 – $14,233
Illinois 12 $69,969 $20,148 $13,436 – $40,655
Indiana 5 $67,286 $15,465 $12,571 – $19,736
Kansas 3 $111,763 $17,172 $15,755 – $17,931
Kentucky 3 $84,381 $18,315 $12,335 – $29,382
Louisiana 2 $105,717 $17,515 $15,476 – $19,739
Maine 1 $48,939 $16,828 –
Maryland 9 $43,941 $39,397 $15,420 – $116,792
Massachusetts 12 $63,970 $23,596 $12,281 – $33,833
Michigan 7 $57,609 $20,497 $15,037 – $30,577
Minnesota 5 $58,283 $21,236 $14,820 – $28,443
Mississippi 4 $58,271 $13,819 $9,813 – $17,782
Missouri 3 $56,281 $18,242 $12,357 – $22,342
Montana 2 $51,182 $14,960 $14,261 – $15,560
Nebraska 2 $59,118 $16,891 $13,504 – $21,293
Nevada 2 $98,264 $17,559 $17,373 – $17,638
New Hampshire 1 $70,653 $22,042 –
New Jersey 12 $133,825 $20,412 $14,235 – $31,740
New Mexico 2 $38,261 $17,180 $14,171 – $22,196
New York 15 $145,550 $26,545 $14,915 – $42,179
North Carolina 6 $51,279 $20,179 $14,190 – $24,913
North Dakota 2 $39,934 $15,260 $15,235 – $15,281
Ohio 12 $67,881 $16,007 $11,781 – $23,351
Oklahoma 6 $104,254 $17,560 $12,911 – $23,072
Oregon 3 $61,706 $23,272 $17,390 – $25,909
Pennsylvania 11 $109,177 $18,232 $14,030 – $24,186
Rhode Island 1 $67,636 $29,056 –
South Carolina 6 $67,260 $18,341 $11,986 – $27,081
South Dakota 2 $74,487 $15,707 $14,375 – $17,894
Tennessee 9 $77,572 $17,522 $11,604 – $26,461
Texas 14 $86,779 $16,502 $12,257 – $29,512
Utah 1 $52,352 $19,835 –
Vermont 1 $49,361 $15,978 –
Virginia 9 $71,361 $19,138 $13,275 – $28,726
Washington 5 $77,378 $18,227 $16,587 – $20,154
Wisconsin 4 $69,992 $20,304 $14,474 – $23,233
Wyoming 1 $40,881 $17,142 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Adventhealth OrlandoOrlando, FL68$126,830$19,371
Mayo Clinic - Saint Marys HospitalRochester, MN68$50,093$22,856
NYU Hospitals CenterNew York, NY58$236,673$35,256
UCSF Medical CenterSan Francisco, CA55$148,520$32,772
Stanford HospitalPalo Alto, CA47$323,025$45,785
Mayo ClinicJacksonville, FL46$49,492$18,892
University of Kansas HospitalKansas City, KS44$106,219$17,412
Lehigh Valley HospitalAllentown, PA44$111,654$17,551
Massachusetts General HospitalBoston, MA43$81,888$24,666
Baptist Medical CenterJacksonville, FL40$82,377$13,540
Methodist HospitalSan Antonio, TX40$102,677$13,271
Sarasota Memorial HospitalSarasota, FL39$89,806$14,064
New York-Presbyterian HospitalNew York, NY39$183,191$28,779
Brigham and Women's HosptialBoston, MA37$112,587$28,647
University of Wi Hospitals & Clinics AuthorityMadison, WI37$63,502$23,233

Questions

How much does postoperative and post-traumatic infections with major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections with major complications (DRG 862) at 277 hospitals in the U.S. was billed at $90,028 on average, while the average total payment was $20,381, of which Medicare paid $16,013. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for postoperative and post-traumatic infections with major complications?

Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($39,397), California ($27,790), New York ($26,545) and lowest in Mississippi ($13,819), Indiana ($15,465), Alabama ($15,477).

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 4.4 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.