facebook tracking Red blood cell disorders without major complications cost: hospital prices by state (DRG 812)

Red blood cell disorders without major complications

What 1,112 hospitals in the U.S. charged and were paid for a Medicare hospital stay for red blood cell disorders without major complications (DRG 812), from 2024 Medicare claims.

DRG 812 Inpatient 2024 Medicare data
Average charge $45,522 Hospital list price billed
Average payment $9,427 Medicare + patient + other payers
Medicare paid $7,178 Average per stay
Volume 27,448 Medicare hospital stays

Hospitals in the U.S. billed an average of $45,522 for red blood cell disorders without major complications, about 4.8 times the average total payment of $9,427.

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 $9,427Billed $45,522

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:

Advertisement

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.

Highest

The Johns Hopkins HospitalBaltimore, MD$26,308
Grady Memorial HospitalAtlanta, GA$23,086
Stanford HospitalPalo Alto, CA$22,945
Truman Medical Center Hospital HillKansas City, MO$22,604
Boston Medical Center CorporationBoston, MA$22,036
University of Maryland Medical CenterBaltimore, MD$21,946
San Francisco General HospitalSan Francisco, CA$20,902
St John's Episcopal Hospital at South ShoreFar Rockaway, NY$18,283
Mayo Clinic - Saint Marys HospitalRochester, MN$18,178
Highland HospitalOakland, CA$18,103

Red blood cell disorders 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 23 $34,804 $8,426 $5,648 – $14,924
Alaska 1 $39,369 $8,908 –
Arizona 16 $44,179 $7,985 $6,585 – $12,053
Arkansas 12 $27,307 $7,298 $6,330 – $9,605
California 85 $78,097 $12,190 $7,767 – $29,429
Colorado 4 $79,025 $9,728 $7,239 – $12,369
Connecticut 13 $39,294 $11,462 $8,293 – $14,296
Delaware 4 $30,041 $9,308 $7,476 – $11,601
Florida 107 $52,700 $8,332 $6,047 – $16,811
Georgia 49 $41,895 $10,795 $5,864 – $23,086
Hawaii 1 $50,297 $10,380 –
Illinois 61 $39,546 $9,715 $5,907 – $54,086
Indiana 22 $34,493 $8,369 $6,419 – $15,688
Iowa 11 $30,325 $7,187 $5,711 – $9,980
Kansas 10 $55,629 $7,829 $5,858 – $10,125
Kentucky 19 $34,673 $7,061 $6,091 – $11,241
Louisiana 20 $32,706 $8,105 $5,817 – $13,604
Maine 1 $33,548 $8,744 –
Maryland 31 $14,664 $13,183 $7,188 – $26,308
Massachusetts 38 $25,707 $9,516 $7,212 – $22,036
Michigan 33 $29,965 $8,770 $6,104 – $13,639
Minnesota 13 $37,011 $9,594 $6,690 – $18,178
Mississippi 15 $28,338 $7,199 $5,981 – $11,173
Missouri 22 $38,733 $9,100 $5,837 – $22,604
Montana 2 $27,164 $7,138 $7,074 – $7,206
Nebraska 4 $30,069 $7,990 $6,105 – $10,710
Nevada 12 $88,879 $10,292 $8,045 – $30,937
New Hampshire 8 $35,679 $7,643 $6,258 – $9,154
New Jersey 41 $72,331 $9,503 $6,921 – $14,824
New Mexico 1 $29,770 $7,108 –
New York 66 $62,283 $11,894 $7,591 – $36,386
North Carolina 36 $31,224 $8,928 $6,046 – $15,307
North Dakota 2 $31,371 $7,520 $6,956 – $7,936
Ohio 48 $36,044 $7,805 $5,351 – $12,636
Oklahoma 16 $45,008 $7,869 $6,631 – $12,051
Oregon 6 $32,653 $9,924 $8,032 – $13,274
Pennsylvania 50 $53,817 $8,544 $6,384 – $13,326
Rhode Island 5 $29,402 $9,107 $6,932 – $11,408
South Carolina 27 $37,514 $8,786 $5,834 – $14,163
South Dakota 3 $38,374 $8,200 $7,590 – $8,724
Tennessee 21 $38,194 $8,439 $5,783 – $20,485
Texas 81 $48,755 $9,580 $5,954 – $123,196
Vermont 2 $55,131 $11,370 $7,488 – $13,733
Virginia 29 $37,755 $8,726 $6,878 – $13,926
Washington 13 $43,724 $8,872 $7,973 – $11,393
West Virginia 10 $33,711 $7,710 $5,883 – $10,811
Wisconsin 12 $32,020 $8,542 $6,325 – $11,473

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Adventhealth OrlandoOrlando, FL187$64,824$8,883
New York-Presbyterian HospitalNew York, NY172$90,401$13,753
MUSC Medical CenterCharleston, SC118$30,905$14,163
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA112$63,601$9,510
The University of Chicago Medical CenterChicago, IL105$61,139$15,599
Barnes Jewish HospitalSt Louis, MO105$32,412$11,391
NYU Hospitals CenterNew York, NY102$104,013$13,988
Christiana Care Health Services, INC.Newark, DE98$31,685$9,524
Grady Memorial HospitalAtlanta, GA98$47,892$23,086
South Shore HospitalSouth Weymouth, MA95$20,660$7,880
Norton Healthcare PavilionLouisville, KY91$35,259$6,791
Methodist HospitalSan Antonio, TX83$57,005$7,618
Sarasota Memorial HospitalSarasota, FL81$34,571$7,217
Virtua West Jersey HospitalVoorhees, NJ81$97,189$7,643
The Johns Hopkins HospitalBaltimore, MD80$29,573$26,308

Questions

How much does red blood cell disorders without major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for red blood cell disorders without major complications (DRG 812) at 1,112 hospitals in the U.S. was billed at $45,522 on average, while the average total payment was $9,427, of which Medicare paid $7,178. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for red blood cell disorders without major complications?

Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($13,183), California ($12,190), New York ($11,894) and lowest in Kentucky ($7,061), Iowa ($7,187), Mississippi ($7,199).

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.