Pulmonary embolism without major complications
What 515 hospitals in the U.S. charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$41,798
Hospital list price billed
Average payment
$8,294
Medicare + patient + other payers
Medicare paid
$5,979
Average per stay
Volume
9,457
Medicare hospital stays
Hospitals in the U.S. billed an average of $41,798 for pulmonary embolism without major complications, about 5.0 times the average total payment of $8,294.
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 $8,294Billed $41,798
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
| Missouri Baptist Medical CenterTown and Country, MO | $5,321 |
|---|---|
| Fletcher Allen Hospital of VermontBurlington, VT | $5,383 |
| Villages Regional Hospital theLady Lake, FL | $5,398 |
| Jupiter Medical CenterJupiter, FL | $5,416 |
| Martin Memorial Health SystemsStuart, FL | $5,473 |
| Mississippi Baptist Medical CenterJackson, MS | $5,676 |
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $5,742 |
| Stormont-Vail HealthcareTopeka, KS | $5,800 |
| Main Line Hospital PaoliPaoli, PA | $5,816 |
| Doylestown HospitalDoylestown, PA | $5,839 |
Highest
| Sinai Hospital of BaltimoreBaltimore, MD | $23,121 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $21,360 |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $17,513 |
| Montefiore Medical CenterBronx, NY | $16,308 |
| Washington Adventist HospitalTakoma Park, MD | $15,260 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $14,602 |
| Stanford HospitalPalo Alto, CA | $13,934 |
| The University of Chicago Medical CenterChicago, IL | $13,570 |
| Northwest Hospital CenterRandallstown, MD | $13,328 |
| North Carolina Baptist HospitalWinston-Salem, NC | $12,948 |
Pulmonary embolism 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 |
|---|---|---|---|---|
| Alabama | 7 | $30,998 | $7,041 | $5,641 – $10,392 |
| Arizona | 17 | $43,455 | $7,196 | $5,818 – $10,461 |
| Arkansas | 3 | $24,225 | $5,763 | $5,020 – $6,175 |
| California | 26 | $80,246 | $10,201 | $7,858 – $17,513 |
| Colorado | 3 | $48,039 | $6,637 | $6,476 – $6,918 |
| Connecticut | 3 | $35,525 | $10,618 | $8,603 – $12,400 |
| Delaware | 3 | $29,960 | $7,759 | $6,802 – $8,869 |
| Florida | 40 | $53,165 | $7,418 | $5,398 – $17,132 |
| Georgia | 15 | $40,340 | $9,190 | $5,658 – $20,271 |
| Idaho | 3 | $33,049 | $7,574 | $7,085 – $8,068 |
| Illinois | 28 | $38,508 | $8,201 | $5,635 – $13,570 |
| Indiana | 13 | $32,117 | $6,980 | $5,868 – $9,783 |
| Iowa | 4 | $24,602 | $5,987 | $5,942 – $6,081 |
| Kansas | 5 | $51,576 | $6,370 | $5,236 – $7,943 |
| Kentucky | 9 | $32,117 | $6,322 | $5,557 – $8,189 |
| Louisiana | 6 | $38,254 | $7,356 | $5,338 – $12,079 |
| Maryland | 22 | $13,279 | $11,951 | $6,634 – $23,121 |
| Massachusetts | 19 | $24,669 | $8,690 | $6,503 – $12,234 |
| Michigan | 11 | $27,208 | $7,840 | $6,166 – $10,108 |
| Minnesota | 7 | $30,135 | $8,274 | $6,307 – $10,874 |
| Mississippi | 4 | $27,214 | $6,285 | $5,676 – $6,840 |
| Missouri | 16 | $35,627 | $7,006 | $5,101 – $10,633 |
| Montana | 1 | $22,654 | $6,314 | – |
| Nebraska | 5 | $27,077 | $7,650 | $5,220 – $9,988 |
| Nevada | 4 | $92,553 | $8,311 | $7,358 – $8,866 |
| New Hampshire | 5 | $34,966 | $7,912 | $6,198 – $9,950 |
| New Jersey | 21 | $60,314 | $8,334 | $6,364 – $10,971 |
| New Mexico | 1 | $24,576 | $10,881 | – |
| New York | 32 | $61,023 | $10,116 | $7,105 – $16,308 |
| North Carolina | 22 | $29,824 | $8,217 | $6,128 – $14,303 |
| North Dakota | 2 | $23,475 | $7,131 | $6,974 – $7,299 |
| Ohio | 27 | $33,703 | $7,304 | $4,654 – $13,355 |
| Oklahoma | 4 | $44,012 | $7,805 | $6,569 – $10,610 |
| Pennsylvania | 35 | $50,172 | $7,713 | $5,497 – $11,463 |
| Rhode Island | 3 | $24,089 | $9,813 | $9,589 – $10,194 |
| South Carolina | 12 | $34,211 | $7,397 | $5,438 – $10,596 |
| South Dakota | 1 | $41,310 | $7,345 | – |
| Tennessee | 16 | $35,378 | $7,721 | $5,123 – $11,374 |
| Texas | 20 | $45,250 | $7,945 | $5,458 – $11,151 |
| Utah | 2 | $21,697 | $8,855 | $7,217 – $10,301 |
| Vermont | 1 | $31,735 | $5,383 | – |
| Virginia | 22 | $36,766 | $7,868 | $6,108 – $13,357 |
| Washington | 5 | $35,152 | $8,284 | $7,207 – $9,949 |
| West Virginia | 4 | $33,804 | $7,538 | $5,381 – $8,749 |
| Wisconsin | 3 | $31,080 | $7,410 | $6,378 – $9,619 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Baptist Medical CenterJacksonville, FL | 72 | $53,234 | $7,220 |
| Christiana Care Health Services, INC.Newark, DE | 65 | $29,657 | $7,926 |
| New York-Presbyterian HospitalNew York, NY | 62 | $84,492 | $12,090 |
| Adventhealth OrlandoOrlando, FL | 53 | $68,085 | $7,559 |
| Anne Arundel Medical CenterAnnapolis, MD | 53 | $9,974 | $9,246 |
| Baptist Hospital EastLouisville, KY | 48 | $38,101 | $6,398 |
| NYU Hospitals CenterNew York, NY | 48 | $80,781 | $11,907 |
| Lehigh Valley HospitalAllentown, PA | 48 | $47,709 | $7,927 |
| Evanston HospitalEvanston, IL | 46 | $35,839 | $7,876 |
| Wellstar Kennestone HospitalMarietta, GA | 44 | $49,589 | $10,790 |
| Frederick Memorial HospitalFrederick, MD | 43 | $9,954 | $9,088 |
| Norton Healthcare PavilionLouisville, KY | 42 | $37,770 | $5,914 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 41 | $39,743 | $10,874 |
| Morristown Memorial HospitalMorristown, NJ | 41 | $61,065 | $8,736 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 38 | $44,408 | $6,331 |
Questions
How much does pulmonary embolism without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 515 hospitals in the U.S. was billed at $41,798 on average, while the average total payment was $8,294, of which Medicare paid $5,979. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for pulmonary embolism without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($11,951), Connecticut ($10,618), California ($10,201) and lowest in Arkansas ($5,763), Iowa ($5,987), Mississippi ($6,285).
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 5.0 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.