Red blood cell disorders with major complications
What 989 hospitals in the U.S. charged and were paid for a Medicare hospital stay for red blood cell disorders with major complications (DRG 811), from 2024 Medicare claims.
Average charge
$71,055
Hospital list price billed
Average payment
$14,033
Medicare + patient + other payers
Medicare paid
$11,546
Average per stay
Volume
21,895
Medicare hospital stays
Hospitals in the U.S. billed an average of $71,055 for red blood cell disorders with major complications, about 5.1 times the average total payment of $14,033.
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 $14,033Billed $71,055
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
| Roper HospitalCharleston, SC | $8,950 |
|---|---|
| Cleveland Clinic Avon HospitalAvon, OH | $9,003 |
| Weirton Medical CenterWeirton, WV | $9,102 |
| Villages Regional Hospital theLady Lake, FL | $9,227 |
| Muskogee Regional Medical CenterMuskogee, OK | $9,259 |
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $9,304 |
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $9,313 |
| Englewood Community HospitalEnglewood, FL | $9,317 |
| Delray Medical CenterDelray Beach, FL | $9,325 |
| McLeod Loris HospitalLoris, SC | $9,340 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $40,231 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $39,256 |
| Baptist Memorial HospitalMemphis, TN | $32,963 |
| Stanford HospitalPalo Alto, CA | $32,242 |
| University Hospital S U N Y Health Science CenterSyracuse, NY | $31,364 |
| Hospital of the Univ of PaPhiladelphia, PA | $29,831 |
| University of Maryland Medical CenterBaltimore, MD | $28,913 |
| Grady Memorial HospitalAtlanta, GA | $28,542 |
| Loma Linda University Medical CenterLoma Linda, CA | $28,058 |
| Beth Israel Deaconess Medical CenterBoston, MA | $28,056 |
Red blood cell disorders 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 | 9 | $52,015 | $12,111 | $8,962 – $18,751 |
| Alaska | 2 | $79,140 | $14,173 | $12,463 – $15,740 |
| Arizona | 10 | $63,041 | $12,138 | $10,299 – $17,103 |
| Arkansas | 12 | $40,930 | $10,850 | $9,666 – $14,611 |
| California | 76 | $112,456 | $17,501 | $9,350 – $37,435 |
| Colorado | 3 | $129,574 | $15,609 | $10,999 – $20,081 |
| Connecticut | 14 | $53,686 | $16,678 | $12,456 – $22,940 |
| Delaware | 4 | $55,679 | $15,376 | $11,796 – $17,365 |
| Florida | 96 | $91,178 | $12,093 | $9,227 – $22,603 |
| Georgia | 38 | $69,198 | $14,823 | $9,212 – $51,846 |
| Idaho | 2 | $54,149 | $11,437 | $11,226 – $11,780 |
| Illinois | 49 | $58,301 | $13,511 | $9,573 – $26,393 |
| Indiana | 20 | $56,520 | $11,906 | $10,063 – $19,477 |
| Iowa | 9 | $46,032 | $11,351 | $9,340 – $20,624 |
| Kansas | 7 | $90,762 | $12,486 | $9,802 – $14,025 |
| Kentucky | 11 | $51,943 | $10,497 | $9,402 – $13,170 |
| Louisiana | 12 | $50,628 | $10,589 | $9,250 – $13,532 |
| Maine | 2 | $43,582 | $15,201 | $10,655 – $16,590 |
| Maryland | 32 | $22,026 | $19,745 | $10,538 – $39,256 |
| Massachusetts | 31 | $38,313 | $14,688 | $11,257 – $28,056 |
| Michigan | 31 | $41,484 | $12,699 | $9,670 – $19,723 |
| Minnesota | 12 | $54,486 | $15,064 | $10,469 – $36,452 |
| Mississippi | 11 | $47,384 | $10,632 | $9,272 – $15,457 |
| Missouri | 16 | $62,085 | $12,326 | $9,228 – $17,508 |
| Montana | 2 | $47,220 | $13,600 | $10,924 – $17,978 |
| Nebraska | 5 | $46,386 | $11,680 | $9,418 – $14,815 |
| Nevada | 9 | $137,653 | $13,475 | $12,029 – $15,299 |
| New Hampshire | 9 | $49,105 | $12,811 | $10,595 – $17,128 |
| New Jersey | 40 | $105,160 | $14,431 | $10,357 – $21,327 |
| New Mexico | 1 | $35,482 | $10,582 | – |
| New York | 62 | $100,389 | $18,564 | $11,897 – $49,616 |
| North Carolina | 30 | $44,820 | $13,006 | $9,247 – $25,950 |
| North Dakota | 3 | $38,295 | $11,746 | $11,390 – $12,470 |
| Ohio | 39 | $53,046 | $12,058 | $8,544 – $18,259 |
| Oklahoma | 12 | $55,732 | $11,304 | $9,259 – $17,195 |
| Oregon | 8 | $42,655 | $14,031 | $12,579 – $15,396 |
| Pennsylvania | 47 | $78,222 | $13,465 | $9,524 – $29,831 |
| Rhode Island | 3 | $43,868 | $14,915 | $12,642 – $17,091 |
| South Carolina | 20 | $60,822 | $12,924 | $8,780 – $23,612 |
| South Dakota | 3 | $62,082 | $13,579 | $11,485 – $14,855 |
| Tennessee | 20 | $73,990 | $14,710 | $9,153 – $32,963 |
| Texas | 75 | $76,069 | $12,949 | $9,304 – $57,419 |
| Utah | 4 | $51,285 | $13,700 | $11,253 – $17,992 |
| Vermont | 3 | $54,854 | $12,857 | $8,533 – $15,685 |
| Virginia | 36 | $62,380 | $13,387 | $9,644 – $40,231 |
| Washington | 24 | $59,320 | $13,106 | $11,349 – $17,899 |
| West Virginia | 11 | $45,973 | $11,188 | $8,879 – $14,948 |
| Wisconsin | 10 | $46,190 | $13,339 | $10,131 – $18,603 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 162 | $103,595 | $12,171 |
| New York-Presbyterian HospitalNew York, NY | 150 | $158,814 | $21,925 |
| NYU Hospitals CenterNew York, NY | 128 | $146,489 | $21,227 |
| Methodist HospitalSan Antonio, TX | 117 | $79,833 | $10,973 |
| Saint Francis Hospital, INCTulsa, OK | 98 | $37,235 | $10,677 |
| Christiana Care Health Services, INC.Newark, DE | 91 | $58,754 | $17,365 |
| Good Samaritan Hospital Medical CenterWest Islip, NY | 90 | $72,817 | $13,780 |
| South Shore HospitalSouth Weymouth, MA | 89 | $22,935 | $11,699 |
| St Francis Hospital, RoslynRoslyn, NY | 86 | $93,893 | $13,128 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 81 | $48,839 | $11,436 |
| Carolina East Medical CenterNew Bern, NC | 81 | $30,090 | $11,789 |
| Baptist Medical CenterJacksonville, FL | 80 | $81,648 | $12,183 |
| Montefiore Medical CenterBronx, NY | 80 | $174,293 | $24,376 |
| Valley HospitalRidgewood, NJ | 69 | $83,954 | $12,948 |
| Mem Hermann Southwest HospHouston, TX | 68 | $56,056 | $13,714 |
Questions
How much does red blood cell disorders with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for red blood cell disorders with major complications (DRG 811) at 989 hospitals in the U.S. was billed at $71,055 on average, while the average total payment was $14,033, of which Medicare paid $11,546. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for red blood cell disorders with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($19,745), New York ($18,564), California ($17,501) and lowest in Kentucky ($10,497), Louisiana ($10,589), Mississippi ($10,632).
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 5.1 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.