Respiratory infections and inflammations with complications
What 1,020 hospitals in the U.S. charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with complications (DRG 178), from 2024 Medicare claims.
Average charge
$45,703
Hospital list price billed
Average payment
$9,493
Medicare + patient + other payers
Medicare paid
$7,279
Average per stay
Volume
26,447
Medicare hospital stays
Hospitals in the U.S. billed an average of $45,703 for respiratory infections and inflammations with complications, about 4.8 times the average total payment of $9,493.
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 $9,493Billed $45,703
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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
| Delray Medical CenterDelray Beach, FL | $6,174 |
|---|---|
| Olathe Medical CenterOlathe, KS | $6,179 |
| Memorial Healthcare System, INCChattanooga, TN | $6,197 |
| Saint Luke's South HospitalOverland Park, KS | $6,231 |
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $6,235 |
| Baxter Regional Medical CenterMountain Home, AR | $6,332 |
| Barnes-Jewish St Peters HospitalSt Peters, MO | $6,344 |
| Villages Regional Hospital theLady Lake, FL | $6,365 |
| Bellevue Medical CenterBellevue, NE | $6,406 |
| Baptist Medical Center BeachesJacksonville Beach, FL | $6,430 |
Highest
| University of California San Diego Medical CenterSan Diego, CA | $24,000 |
|---|---|
| University Health SystemSan Antonio, TX | $23,581 |
| Sinai Hospital of BaltimoreBaltimore, MD | $20,414 |
| The Johns Hopkins HospitalBaltimore, MD | $20,267 |
| Stanford HospitalPalo Alto, CA | $19,760 |
| University of Virginia Medical CenterCharlottesville, VA | $19,341 |
| UCSF Medical CenterSan Francisco, CA | $19,218 |
| Boston Medical Center CorporationBoston, MA | $18,536 |
| Montefiore Medical CenterBronx, NY | $18,322 |
| Northwest Hospital CenterRandallstown, MD | $17,965 |
Respiratory infections and inflammations with 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 | 18 | $35,615 | $8,493 | $6,798 – $16,698 |
| Alaska | 1 | $61,582 | $9,675 | – |
| Arizona | 17 | $48,211 | $9,078 | $6,760 – $13,440 |
| Arkansas | 11 | $26,134 | $7,198 | $6,332 – $8,322 |
| California | 66 | $85,335 | $12,097 | $6,285 – $24,000 |
| Colorado | 7 | $84,029 | $9,313 | $6,886 – $13,026 |
| Connecticut | 15 | $37,555 | $11,164 | $8,806 – $14,343 |
| Delaware | 4 | $38,862 | $9,574 | $8,068 – $10,477 |
| Florida | 83 | $54,103 | $8,493 | $6,155 – $17,705 |
| Georgia | 23 | $42,483 | $9,469 | $6,740 – $16,548 |
| Hawaii | 1 | $49,069 | $11,974 | – |
| Idaho | 4 | $28,953 | $8,394 | $6,511 – $10,341 |
| Illinois | 53 | $39,489 | $8,898 | $6,939 – $15,453 |
| Indiana | 24 | $34,745 | $8,054 | $6,859 – $10,964 |
| Iowa | 11 | $26,685 | $7,141 | $6,510 – $8,482 |
| Kansas | 7 | $58,813 | $8,817 | $6,179 – $14,051 |
| Kentucky | 14 | $37,089 | $7,264 | $6,492 – $11,820 |
| Louisiana | 14 | $38,136 | $7,424 | $6,329 – $8,971 |
| Maine | 4 | $45,509 | $10,918 | $7,529 – $13,123 |
| Maryland | 33 | $15,176 | $13,602 | $9,570 – $31,071 |
| Massachusetts | 41 | $25,338 | $9,706 | $7,496 – $18,536 |
| Michigan | 26 | $28,929 | $8,931 | $6,808 – $12,987 |
| Minnesota | 20 | $31,744 | $9,648 | $7,084 – $15,082 |
| Mississippi | 11 | $30,426 | $7,462 | $6,566 – $11,546 |
| Missouri | 25 | $40,037 | $8,008 | $6,164 – $13,494 |
| Montana | 3 | $20,564 | $7,765 | $7,638 – $8,077 |
| Nebraska | 6 | $39,448 | $9,427 | $6,406 – $13,724 |
| Nevada | 5 | $71,202 | $9,815 | $7,965 – $12,517 |
| New Hampshire | 9 | $33,612 | $8,485 | $7,383 – $11,775 |
| New Jersey | 41 | $77,212 | $9,569 | $7,289 – $15,233 |
| New Mexico | 2 | $24,479 | $9,672 | $7,950 – $13,116 |
| New York | 70 | $63,690 | $11,464 | $8,199 – $20,273 |
| North Carolina | 37 | $33,316 | $9,163 | $6,850 – $16,568 |
| North Dakota | 3 | $29,520 | $9,260 | $8,374 – $10,820 |
| Ohio | 51 | $35,924 | $8,413 | $5,498 – $16,480 |
| Oklahoma | 16 | $41,768 | $8,111 | $7,043 – $12,529 |
| Oregon | 8 | $34,912 | $10,241 | $8,418 – $15,465 |
| Pennsylvania | 64 | $50,634 | $8,698 | $6,390 – $14,745 |
| Rhode Island | 5 | $31,740 | $10,593 | $7,266 – $15,417 |
| South Carolina | 22 | $38,333 | $8,799 | $6,069 – $13,860 |
| South Dakota | 3 | $44,018 | $8,773 | $8,285 – $9,625 |
| Tennessee | 15 | $31,529 | $8,427 | $6,197 – $14,626 |
| Texas | 50 | $49,235 | $9,078 | $6,557 – $23,581 |
| Utah | 2 | $43,050 | $12,161 | $7,986 – $15,709 |
| Vermont | 3 | $38,723 | $7,440 | $4,947 – $9,539 |
| Virginia | 27 | $33,849 | $9,030 | $6,137 – $19,341 |
| Washington | 13 | $39,453 | $9,897 | $8,219 – $12,463 |
| West Virginia | 11 | $32,153 | $7,906 | $6,462 – $10,794 |
| Wisconsin | 15 | $38,303 | $9,224 | $6,711 – $14,335 |
| Wyoming | 3 | $30,702 | $10,991 | $9,173 – $13,000 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Evanston HospitalEvanston, IL | 169 | $27,865 | $8,840 |
| New York-Presbyterian HospitalNew York, NY | 149 | $95,760 | $14,969 |
| Adventhealth OrlandoOrlando, FL | 136 | $62,893 | $9,002 |
| Lehigh Valley HospitalAllentown, PA | 131 | $49,849 | $9,233 |
| Christiana Care Health Services, INC.Newark, DE | 127 | $42,364 | $10,477 |
| Southcoast Hospital Group, INCFall River, MA | 127 | $23,173 | $8,208 |
| NYU Hospitals CenterNew York, NY | 117 | $97,805 | $13,674 |
| South Shore HospitalSouth Weymouth, MA | 112 | $15,838 | $7,927 |
| St Francis Hospital, RoslynRoslyn, NY | 101 | $58,674 | $8,689 |
| Morristown Memorial HospitalMorristown, NJ | 98 | $79,867 | $10,437 |
| Lakeland Regional Medical CenterLakeland, FL | 96 | $36,977 | $8,150 |
| Huntsville HospitalHuntsville, AL | 94 | $40,841 | $7,594 |
| Anne Arundel Medical CenterAnnapolis, MD | 94 | $12,325 | $11,362 |
| Mayo Clinic HospitalPhoenix, AZ | 93 | $42,800 | $13,440 |
| University HospitalStony Brook, NY | 92 | $77,706 | $13,179 |
Questions
How much does respiratory infections and inflammations with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with complications (DRG 178) at 1,020 hospitals in the U.S. was billed at $45,703 on average, while the average total payment was $9,493, of which Medicare paid $7,279. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for respiratory infections and inflammations with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($13,602), California ($12,097), New York ($11,464) and lowest in Iowa ($7,141), Arkansas ($7,198), Kentucky ($7,264).
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.