Pulmonary embolism with major complications or acute cor pulmonale
What 990 hospitals in the U.S. charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$66,507
Hospital list price billed
Average payment
$13,466
Medicare + patient + other payers
Medicare paid
$10,788
Average per stay
Volume
21,716
Medicare hospital stays
Hospitals in the U.S. billed an average of $66,507 for pulmonary embolism with major complications or acute cor pulmonale, about 4.9 times the average total payment of $13,466.
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 $13,466Billed $66,507
About 20¢ 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
| Marietta Memorial HospitalMarietta, OH | $6,111 |
|---|---|
| Piedmont Healthcare SystemRock Hill, SC | $8,667 |
| Williamson Medical CenterFranklin, TN | $8,816 |
| Martin Memorial Health SystemsStuart, FL | $8,930 |
| Roper HospitalCharleston, SC | $8,969 |
| Missouri Baptist Medical CenterTown and Country, MO | $9,045 |
| Baptist Hospital EastLouisville, KY | $9,108 |
| CHRISTUS St Michael Health SystemTexarkana, TX | $9,161 |
| Jupiter Medical CenterJupiter, FL | $9,210 |
| Villages Regional Hospital theLady Lake, FL | $9,229 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $32,626 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $30,911 |
| Stanford HospitalPalo Alto, CA | $29,134 |
| UCSF Medical CenterSan Francisco, CA | $28,911 |
| University of California Davis Medical CenterSacramento, CA | $28,704 |
| The University of Chicago Medical CenterChicago, IL | $27,857 |
| Sinai Hospital of BaltimoreBaltimore, MD | $27,404 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $25,183 |
| Mount Sinai HospitalNew York, NY | $25,168 |
| Hackensack University Medical CenterHackensack, NJ | $24,043 |
Pulmonary embolism with major complications or acute cor pulmonale 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 | 10 | $54,849 | $11,242 | $9,103 – $16,717 |
| Alaska | 2 | $110,062 | $17,964 | $17,654 – $18,161 |
| Arizona | 27 | $69,207 | $13,077 | $9,513 – $20,757 |
| Arkansas | 9 | $48,508 | $10,452 | $9,062 – $11,553 |
| California | 83 | $123,071 | $17,110 | $12,682 – $39,981 |
| Colorado | 22 | $71,751 | $12,342 | $10,215 – $20,454 |
| Connecticut | 12 | $56,703 | $16,324 | $12,451 – $21,983 |
| Delaware | 5 | $53,737 | $14,380 | $10,757 – $18,585 |
| Florida | 63 | $78,533 | $11,535 | $7,683 – $22,416 |
| Georgia | 34 | $63,855 | $13,817 | $9,748 – $26,469 |
| Hawaii | 1 | $57,474 | $16,035 | – |
| Idaho | 6 | $49,862 | $11,750 | $10,596 – $13,013 |
| Illinois | 52 | $59,753 | $13,125 | $9,604 – $27,857 |
| Indiana | 24 | $50,700 | $11,376 | $9,525 – $20,427 |
| Iowa | 11 | $41,298 | $11,105 | $9,603 – $15,310 |
| Kansas | 10 | $76,474 | $11,883 | $9,524 – $15,846 |
| Kentucky | 14 | $49,132 | $10,600 | $9,063 – $13,874 |
| Louisiana | 12 | $48,572 | $10,690 | $8,359 – $15,628 |
| Maine | 3 | $46,177 | $14,598 | $12,972 – $18,512 |
| Maryland | 31 | $20,352 | $18,440 | $12,204 – $32,626 |
| Massachusetts | 35 | $38,150 | $14,308 | $10,187 – $26,978 |
| Michigan | 29 | $43,892 | $12,904 | $9,871 – $21,162 |
| Minnesota | 12 | $44,997 | $13,427 | $10,597 – $17,739 |
| Mississippi | 10 | $43,152 | $10,762 | $9,026 – $15,345 |
| Missouri | 18 | $56,241 | $12,205 | $9,017 – $22,664 |
| Montana | 7 | $30,419 | $11,251 | $10,516 – $13,757 |
| Nebraska | 7 | $50,321 | $13,013 | $10,566 – $22,509 |
| Nevada | 11 | $114,116 | $12,992 | $10,890 – $16,247 |
| New Hampshire | 9 | $45,367 | $13,180 | $9,765 – $17,276 |
| New Jersey | 30 | $103,645 | $14,042 | $10,196 – $24,043 |
| New Mexico | 7 | $49,432 | $13,245 | $9,596 – $17,099 |
| New York | 42 | $110,786 | $18,060 | $11,406 – $25,168 |
| North Carolina | 31 | $44,823 | $12,647 | $9,021 – $21,355 |
| North Dakota | 6 | $36,950 | $11,325 | $10,028 – $12,604 |
| Ohio | 41 | $51,082 | $11,720 | $6,111 – $19,814 |
| Oklahoma | 13 | $58,409 | $11,320 | $9,365 – $17,352 |
| Oregon | 7 | $49,161 | $13,946 | $11,435 – $16,918 |
| Pennsylvania | 43 | $79,874 | $12,938 | $9,273 – $20,309 |
| Rhode Island | 3 | $38,033 | $13,467 | $11,254 – $15,189 |
| South Carolina | 19 | $59,999 | $12,234 | $8,667 – $18,766 |
| South Dakota | 4 | $54,713 | $12,628 | $11,142 – $14,653 |
| Tennessee | 22 | $54,062 | $11,642 | $8,632 – $20,728 |
| Texas | 58 | $79,543 | $12,167 | $8,612 – $19,264 |
| Utah | 7 | $42,030 | $13,461 | $9,836 – $16,695 |
| Vermont | 3 | $51,109 | $12,771 | $6,673 – $15,406 |
| Virginia | 34 | $51,281 | $12,350 | $9,486 – $22,103 |
| Washington | 22 | $56,650 | $13,207 | $10,840 – $17,814 |
| West Virginia | 9 | $47,478 | $11,816 | $8,931 – $14,953 |
| Wisconsin | 14 | $50,588 | $13,445 | $9,428 – $20,751 |
| Wyoming | 3 | $36,112 | $15,529 | $14,853 – $16,857 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 109 | $146,963 | $21,935 |
| New York-Presbyterian HospitalNew York, NY | 94 | $147,115 | $23,071 |
| Christiana Care Health Services, INC.Newark, DE | 92 | $57,026 | $14,342 |
| Baptist Medical CenterJacksonville, FL | 85 | $79,030 | $12,022 |
| North Shore University HospitalManhasset, NY | 85 | $171,935 | $19,752 |
| Lehigh Valley HospitalAllentown, PA | 83 | $92,227 | $12,794 |
| Adventhealth OrlandoOrlando, FL | 81 | $105,968 | $11,590 |
| Renown Regional Medical CenterReno, NV | 79 | $43,520 | $13,183 |
| Morristown Memorial HospitalMorristown, NJ | 76 | $105,843 | $14,428 |
| Norton Healthcare PavilionLouisville, KY | 75 | $61,249 | $10,285 |
| University HospitalStony Brook, NY | 69 | $134,339 | $22,758 |
| Northeast Georgia Medical Center, INCGainesville, GA | 67 | $71,197 | $13,795 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 66 | $49,377 | $17,739 |
| Wellstar Kennestone HospitalMarietta, GA | 63 | $93,838 | $16,254 |
| Forsyth Memorial HospitalWinston-Salem, NC | 62 | $39,419 | $10,806 |
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in the U.S.?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 990 hospitals in the U.S. was billed at $66,507 on average, while the average total payment was $13,466, of which Medicare paid $10,788. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for pulmonary embolism with major complications or acute cor pulmonale?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($18,440), New York ($18,060), California ($17,110) and lowest in Arkansas ($10,452), Kentucky ($10,600), Louisiana ($10,690).
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 4.9 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.