Postoperative or post-traumatic infections with operating room procedures with complications
What 149 hospitals in the U.S. charged and were paid for a Medicare hospital stay for postoperative or post-traumatic infections with operating room procedures with complications (DRG 857), from 2024 Medicare claims.
Average charge
$113,002
Hospital list price billed
Average payment
$23,758
Medicare + patient + other payers
Medicare paid
$18,673
Average per stay
Volume
2,444
Medicare hospital stays
Hospitals in the U.S. billed an average of $113,002 for postoperative or post-traumatic infections with operating room procedures with complications, about 4.8 times the average total payment of $23,758.
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 $23,758Billed $113,002
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
| Sarasota Memorial HospitalSarasota, FL | $16,261 |
|---|---|
| Norton Healthcare PavilionLouisville, KY | $17,885 |
| St Thomas HospitalNashville, TN | $18,074 |
| University of Kansas HospitalKansas City, KS | $18,766 |
| University Hospitals & ClinicsColumbia, MO | $19,510 |
| Methodist Hospital,TheHouston, TX | $19,878 |
| Adventhealth OrlandoOrlando, FL | $22,731 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $22,907 |
| Mayo Clinic HospitalPhoenix, AZ | $23,065 |
| Morristown Memorial HospitalMorristown, NJ | $23,250 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $46,788 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $40,770 |
| Stanford HospitalPalo Alto, CA | $37,467 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $36,135 |
| Hospital for Special SurgeryNew York, NY | $32,166 |
| Medstar Georgetown University HospitalWashington, DC | $31,006 |
| Massachusetts General HospitalBoston, MA | $29,583 |
| New York-Presbyterian HospitalNew York, NY | $28,567 |
| Ohio State University HospitalsColumbus, OH | $28,402 |
| Rush University Medical CenterChicago, IL | $28,100 |
Postoperative or post-traumatic infections with operating room procedures 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 | $111,528 | $24,791 | – |
| Arizona | 2 | $66,473 | $20,313 | $16,186 – $23,065 |
| Arkansas | 1 | $47,064 | $21,583 | – |
| California | 9 | $253,206 | $32,551 | $22,518 – $41,374 |
| Colorado | 1 | $158,668 | $24,986 | – |
| Connecticut | 2 | $115,308 | $27,727 | $24,411 – $30,807 |
| Delaware | 1 | $64,858 | $20,409 | – |
| Florida | 16 | $130,066 | $18,419 | $11,206 – $27,058 |
| Georgia | 1 | $90,983 | $19,102 | – |
| Illinois | 8 | $92,023 | $22,636 | $15,020 – $32,908 |
| Indiana | 2 | $107,151 | $20,931 | $17,908 – $23,576 |
| Iowa | 1 | $113,089 | $22,309 | – |
| Kansas | 1 | $103,023 | $18,766 | – |
| Kentucky | 2 | $86,382 | $19,638 | $17,885 – $22,092 |
| Maine | 1 | $94,306 | $25,610 | – |
| Maryland | 4 | $40,260 | $37,667 | $21,151 – $46,788 |
| Massachusetts | 4 | $92,866 | $27,270 | $21,980 – $29,583 |
| Michigan | 3 | $60,794 | $22,692 | $19,486 – $27,270 |
| Minnesota | 5 | $71,259 | $26,995 | $16,216 – $36,135 |
| Mississippi | 3 | $58,973 | $16,716 | $12,396 – $22,659 |
| Missouri | 5 | $86,975 | $22,756 | $16,584 – $28,325 |
| Nebraska | 1 | $101,090 | $30,005 | – |
| Nevada | 1 | $67,000 | $19,091 | – |
| New Hampshire | 1 | $72,094 | $25,021 | – |
| New Jersey | 4 | $137,131 | $20,315 | $15,169 – $23,250 |
| New York | 9 | $157,730 | $28,300 | $18,385 – $39,113 |
| North Carolina | 6 | $62,751 | $20,972 | $12,661 – $24,509 |
| North Dakota | 1 | $37,175 | $16,685 | – |
| Ohio | 8 | $96,428 | $21,434 | $15,043 – $28,402 |
| Oklahoma | 1 | $126,515 | $14,741 | – |
| Oregon | 2 | $74,107 | $24,537 | $18,697 – $32,500 |
| Pennsylvania | 7 | $160,100 | $23,592 | $17,294 – $27,457 |
| Rhode Island | 1 | $77,324 | $28,087 | – |
| South Carolina | 1 | $94,185 | $26,075 | – |
| South Dakota | 1 | $89,537 | $17,402 | – |
| Tennessee | 5 | $86,391 | $19,432 | $14,858 – $26,076 |
| Texas | 12 | $121,041 | $20,401 | $15,166 – $35,397 |
| Utah | 1 | $49,641 | $21,611 | – |
| Vermont | 1 | $61,685 | $22,203 | – |
| Virginia | 4 | $80,416 | $26,113 | $18,851 – $31,694 |
| Washington | 3 | $93,382 | $22,042 | $18,239 – $24,259 |
| West Virginia | 2 | $113,977 | $22,118 | $20,935 – $23,623 |
| Wisconsin | 2 | $102,242 | $25,475 | $24,808 – $25,920 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 45 | $87,271 | $36,135 |
| Massachusetts General HospitalBoston, MA | 39 | $121,578 | $29,583 |
| University of Kansas HospitalKansas City, KS | 34 | $103,023 | $18,766 |
| Hospital for Special SurgeryNew York, NY | 32 | $137,055 | $32,166 |
| Thomas Jefferson University HospitalPhiladelphia, PA | 32 | $133,828 | $27,457 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 31 | $340,150 | $25,527 |
| Duke University Medical CenterDurham, NC | 30 | $49,974 | $24,509 |
| St Thomas HospitalNashville, TN | 30 | $81,704 | $18,074 |
| Adventhealth OrlandoOrlando, FL | 29 | $147,363 | $22,731 |
| University of Maryland Medical CenterBaltimore, MD | 28 | $50,685 | $46,788 |
| Inova Fairfax HospitalFalls Church, VA | 27 | $67,178 | $26,265 |
| Sarasota Memorial HospitalSarasota, FL | 26 | $117,109 | $16,261 |
| NYU Hospitals CenterNew York, NY | 26 | $182,211 | $26,162 |
| The Johns Hopkins HospitalBaltimore, MD | 25 | $45,902 | $40,770 |
| MUSC Medical CenterCharleston, SC | 25 | $94,185 | $26,075 |
Questions
How much does postoperative or post-traumatic infections with operating room procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for postoperative or post-traumatic infections with operating room procedures with complications (DRG 857) at 149 hospitals in the U.S. was billed at $113,002 on average, while the average total payment was $23,758, of which Medicare paid $18,673. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for postoperative or post-traumatic infections with operating room procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($37,667), California ($32,551), New York ($28,300) and lowest in Mississippi ($16,716), Florida ($18,419), Tennessee ($19,432).
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 4.8 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.