Postoperative or post-traumatic infections with operating room procedures with major complications
What 166 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 major complications (DRG 856), from 2024 Medicare claims.
Average charge
$235,440
Hospital list price billed
Average payment
$50,617
Medicare + patient + other payers
Medicare paid
$39,860
Average per stay
Volume
2,662
Medicare hospital stays
Hospitals in the U.S. billed an average of $235,440 for postoperative or post-traumatic infections with operating room procedures with major complications, about 4.7 times the average total payment of $50,617.
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 $50,617Billed $235,440
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
| Kettering Medical CenterKettering, OH | $30,688 |
|---|---|
| Medical Center of PlanoPlano, TX | $34,514 |
| Baptist Medical CenterJacksonville, FL | $34,552 |
| Ohio State University HospitalsColumbus, OH | $39,926 |
| Enloe Medical CenterChico, CA | $40,486 |
| Adventhealth OrlandoOrlando, FL | $42,385 |
| Christiana Care Health Services, INC.Newark, DE | $44,024 |
| University of Kansas HospitalKansas City, KS | $46,267 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | $46,276 |
| Tampa General HospitalTampa, FL | $47,548 |
Highest
| Stanford HospitalPalo Alto, CA | $183,120 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $88,548 |
| UCSF Medical CenterSan Francisco, CA | $85,061 |
| Methodist Hospital,TheHouston, TX | $75,875 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $71,024 |
| MUSC Medical CenterCharleston, SC | $68,653 |
| NYU Hospitals CenterNew York, NY | $64,017 |
| Massachusetts General HospitalBoston, MA | $62,836 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $62,794 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $61,265 |
Postoperative or post-traumatic infections with operating room procedures 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 | 2 | $400,506 | $61,182 | $52,175 – $73,190 |
| Arizona | 6 | $163,929 | $43,668 | $28,678 – $55,611 |
| Arkansas | 1 | $146,062 | $30,360 | – |
| California | 13 | $453,817 | $78,569 | $40,361 – $183,120 |
| Colorado | 5 | $273,370 | $35,911 | $29,944 – $46,276 |
| Connecticut | 2 | $197,454 | $79,718 | $68,236 – $89,286 |
| Delaware | 1 | $145,424 | $44,024 | – |
| Florida | 12 | $260,451 | $39,404 | $26,811 – $53,009 |
| Georgia | 6 | $209,921 | $47,909 | $33,434 – $82,638 |
| Illinois | 11 | $224,701 | $54,360 | $30,185 – $85,892 |
| Indiana | 4 | $152,036 | $36,698 | $32,714 – $42,610 |
| Iowa | 1 | $201,045 | $49,632 | – |
| Kansas | 2 | $255,870 | $43,037 | $36,768 – $46,267 |
| Kentucky | 2 | $161,068 | $41,187 | $29,224 – $57,138 |
| Louisiana | 1 | $106,246 | $36,184 | – |
| Maine | 1 | $241,351 | $65,840 | – |
| Maryland | 5 | $65,203 | $59,312 | $35,518 – $89,562 |
| Massachusetts | 5 | $189,488 | $58,394 | $45,694 – $68,352 |
| Michigan | 2 | $120,013 | $40,240 | $38,028 – $43,055 |
| Minnesota | 5 | $133,290 | $51,154 | $34,608 – $62,794 |
| Mississippi | 1 | $79,865 | $25,667 | – |
| Missouri | 5 | $185,397 | $49,126 | $28,541 – $76,410 |
| Nebraska | 2 | $120,556 | $37,552 | $31,741 – $43,362 |
| Nevada | 2 | $215,116 | $40,524 | $39,218 – $42,185 |
| New Jersey | 3 | $232,532 | $49,926 | $41,926 – $58,181 |
| New Mexico | 1 | $74,829 | $25,693 | – |
| New York | 7 | $327,821 | $62,184 | $35,841 – $88,548 |
| North Carolina | 3 | $168,097 | $49,365 | $36,902 – $58,669 |
| North Dakota | 1 | $97,509 | $34,108 | – |
| Ohio | 8 | $188,216 | $43,067 | $30,688 – $59,517 |
| Oklahoma | 4 | $227,398 | $38,116 | $32,834 – $42,623 |
| Oregon | 1 | $197,778 | $71,560 | – |
| Pennsylvania | 9 | $346,848 | $54,887 | $31,251 – $107,004 |
| South Carolina | 3 | $244,672 | $53,213 | $37,336 – $68,653 |
| South Dakota | 1 | $159,237 | $32,346 | – |
| Tennessee | 3 | $174,522 | $40,887 | $33,261 – $47,884 |
| Texas | 10 | $288,288 | $47,157 | $30,645 – $87,859 |
| Utah | 2 | $101,125 | $42,889 | $35,232 – $48,504 |
| Vermont | 1 | $146,342 | $39,904 | – |
| Virginia | 3 | $203,380 | $56,573 | $46,251 – $83,876 |
| Washington | 3 | $156,701 | $37,677 | $32,534 – $46,783 |
| West Virginia | 2 | $146,284 | $40,528 | $38,603 – $41,940 |
| Wisconsin | 2 | $171,692 | $51,468 | $47,209 – $54,566 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 50 | $136,559 | $62,794 |
| Massachusetts General HospitalBoston, MA | 36 | $261,496 | $62,836 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 34 | $731,873 | $71,024 |
| Adventhealth OrlandoOrlando, FL | 34 | $246,402 | $42,385 |
| University of Kansas HospitalKansas City, KS | 33 | $193,056 | $46,267 |
| NYU Hospitals CenterNew York, NY | 32 | $321,847 | $64,017 |
| Medstar Washington Hospital CenterWashington, DC | 28 | $203,494 | $49,670 |
| Cleveland Clinic - Main CampusCleveland, OH | 28 | $219,268 | $56,056 |
| Duke University Medical CenterDurham, NC | 26 | $147,455 | $58,669 |
| Methodist Hospital,TheHouston, TX | 26 | $565,834 | $75,875 |
| UCSF Medical CenterSan Francisco, CA | 25 | $477,904 | $85,061 |
| Tampa General HospitalTampa, FL | 25 | $399,877 | $47,548 |
| New York-Presbyterian HospitalNew York, NY | 25 | $483,726 | $88,548 |
| MUSC Medical CenterCharleston, SC | 25 | $229,333 | $68,653 |
| Brigham and Women's HosptialBoston, MA | 24 | $198,652 | $52,294 |
Questions
How much does postoperative or post-traumatic infections with operating room procedures with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for postoperative or post-traumatic infections with operating room procedures with major complications (DRG 856) at 166 hospitals in the U.S. was billed at $235,440 on average, while the average total payment was $50,617, of which Medicare paid $39,860. 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 major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($78,569), New York ($62,184), Maryland ($59,312) and lowest in Colorado ($35,911), Indiana ($36,698), Washington ($37,677).
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.