Respiratory infections and inflammations with major complications
What 2,332 hospitals in the U.S. charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with major complications (DRG 177), from 2024 Medicare claims.
Average charge
$71,065
Hospital list price billed
Average payment
$14,949
Medicare + patient + other payers
Medicare paid
$12,668
Average per stay
Volume
141,351
Medicare hospital stays
Hospitals in the U.S. billed an average of $71,065 for respiratory infections and inflammations with major complications, about 4.8 times the average total payment of $14,949.
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 $14,949Billed $71,065
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
| Marietta Memorial HospitalMarietta, OH | $7,494 |
|---|---|
| Adventhealth South Overland Park, INCOverland Park, KS | $8,448 |
| Coastal Carolina HospitalHardeeville, SC | $8,815 |
| Hillcrest Memorial HospitalSimpsonville, SC | $8,967 |
| Southwestern Vermont Medical CenterBennington, VT | $9,337 |
| Rutland Regional Medical CenterRutland, VT | $9,707 |
| Novant Health Ballantyne Medical CenterCharlotte, NC | $9,737 |
| East Cooper Reg Med CenterMt Pleasant, SC | $9,757 |
| Resolute Health HospitalNew Braunfels, TX | $9,773 |
| Highland Community HospitalPicayune, MS | $9,816 |
Highest
| Kings County Hospital CenterBrooklyn, NY | $54,928 |
|---|---|
| Bellevue Hospital CenterNew York, NY | $48,744 |
| Elmhurst Hospital CenterNew York, NY | $45,148 |
| Jps Health NetworkFort Worth, TX | $44,818 |
| University of Maryland Medical CenterBaltimore, MD | $44,221 |
| Los Angeles General Medical CenterLos Angeles, CA | $43,002 |
| San Francisco General HospitalSan Francisco, CA | $36,507 |
| Jacobi Medical CenterBronx, NY | $35,264 |
| The Johns Hopkins HospitalBaltimore, MD | $34,484 |
| UCLA Medical CenterLos Angeles, CA | $34,393 |
Respiratory infections and inflammations 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 | 42 | $61,380 | $12,304 | $10,077 – $20,527 |
| Alaska | 7 | $95,831 | $22,051 | $14,912 – $32,863 |
| Arizona | 45 | $71,212 | $14,822 | $11,946 – $22,483 |
| Arkansas | 28 | $49,111 | $11,823 | $10,464 – $15,661 |
| California | 218 | $125,135 | $18,934 | $12,529 – $63,238 |
| Colorado | 33 | $88,928 | $13,818 | $11,248 – $22,437 |
| Connecticut | 24 | $55,991 | $17,516 | $13,860 – $23,947 |
| Delaware | 5 | $51,418 | $14,910 | $13,092 – $16,532 |
| Florida | 159 | $85,519 | $13,181 | $9,889 – $36,913 |
| Georgia | 70 | $67,334 | $14,751 | $10,530 – $30,944 |
| Hawaii | 11 | $62,079 | $19,796 | $16,444 – $27,338 |
| Idaho | 10 | $51,591 | $13,009 | $11,562 – $16,424 |
| Illinois | 95 | $59,874 | $14,298 | $11,036 – $31,931 |
| Indiana | 63 | $51,676 | $12,968 | $11,004 – $19,887 |
| Iowa | 25 | $42,530 | $12,515 | $10,862 – $17,887 |
| Kansas | 26 | $70,268 | $13,556 | $8,448 – $21,278 |
| Kentucky | 46 | $53,843 | $12,083 | $10,278 – $18,451 |
| Louisiana | 36 | $53,256 | $11,782 | $9,893 – $25,524 |
| Maine | 14 | $53,728 | $15,351 | $10,852 – $24,338 |
| Maryland | 40 | $22,017 | $19,784 | $13,366 – $44,221 |
| Massachusetts | 49 | $37,069 | $15,844 | $12,088 – $29,633 |
| Michigan | 67 | $44,345 | $14,233 | $10,730 – $21,809 |
| Minnesota | 39 | $48,854 | $15,568 | $11,216 – $23,609 |
| Mississippi | 37 | $55,938 | $12,035 | $9,816 – $19,470 |
| Missouri | 51 | $58,532 | $13,071 | $10,174 – $25,969 |
| Montana | 10 | $35,729 | $13,317 | $11,256 – $16,819 |
| Nebraska | 19 | $52,710 | $13,608 | $10,102 – $21,248 |
| Nevada | 18 | $130,061 | $15,423 | $12,974 – $21,471 |
| New Hampshire | 12 | $47,581 | $14,418 | $11,844 – $21,331 |
| New Jersey | 57 | $116,587 | $16,061 | $12,555 – $27,595 |
| New Mexico | 18 | $55,646 | $14,747 | $10,309 – $24,730 |
| New York | 114 | $94,667 | $19,437 | $13,392 – $56,678 |
| North Carolina | 71 | $47,605 | $14,270 | $9,737 – $25,201 |
| North Dakota | 6 | $42,554 | $13,746 | $12,128 – $15,052 |
| Ohio | 95 | $50,763 | $13,078 | $6,120 – $21,262 |
| Oklahoma | 37 | $60,423 | $12,653 | $10,952 – $18,985 |
| Oregon | 28 | $47,856 | $16,803 | $13,685 – $24,949 |
| Pennsylvania | 109 | $72,498 | $14,056 | $10,632 – $28,086 |
| Rhode Island | 9 | $46,857 | $15,760 | $11,787 – $19,259 |
| South Carolina | 44 | $62,693 | $13,437 | $8,643 – $20,210 |
| South Dakota | 8 | $54,546 | $14,305 | $11,236 – $16,693 |
| Tennessee | 63 | $54,292 | $12,885 | $10,264 – $24,387 |
| Texas | 164 | $82,915 | $13,698 | $9,773 – $57,125 |
| Utah | 18 | $46,753 | $14,338 | $9,999 – $18,707 |
| Vermont | 6 | $41,636 | $11,385 | $9,337 – $19,186 |
| Virginia | 61 | $49,466 | $13,715 | $10,355 – $28,028 |
| Washington | 42 | $66,008 | $15,780 | $12,928 – $27,020 |
| West Virginia | 20 | $47,032 | $12,781 | $10,172 – $15,816 |
| Wisconsin | 50 | $52,490 | $14,386 | $10,028 – $20,974 |
| Wyoming | 8 | $40,585 | $18,168 | $15,860 – $24,857 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 604 | $98,383 | $13,764 |
| NYU Hospitals CenterNew York, NY | 569 | $167,723 | $24,891 |
| New York-Presbyterian HospitalNew York, NY | 528 | $166,761 | $26,031 |
| South Shore HospitalSouth Weymouth, MA | 436 | $25,102 | $13,321 |
| Yale-New Haven HospitalNew Haven, CT | 424 | $65,792 | $21,521 |
| Evanston HospitalEvanston, IL | 419 | $45,833 | $14,433 |
| Southcoast Hospital Group, INCFall River, MA | 392 | $34,952 | $13,838 |
| Christiana Care Health Services, INC.Newark, DE | 381 | $53,275 | $15,896 |
| Morristown Memorial HospitalMorristown, NJ | 348 | $124,092 | $16,862 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 330 | $259,500 | $22,810 |
| Massachusetts General HospitalBoston, MA | 329 | $89,121 | $22,336 |
| Palos Community HospitalPalos Heights, IL | 304 | $54,895 | $11,261 |
| Sarasota Memorial HospitalSarasota, FL | 302 | $54,821 | $12,265 |
| Baptist Medical CenterJacksonville, FL | 295 | $78,860 | $12,709 |
| Huntington HospitalHuntington, NY | 290 | $78,182 | $14,710 |
Questions
How much does respiratory infections and inflammations with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with major complications (DRG 177) at 2,332 hospitals in the U.S. was billed at $71,065 on average, while the average total payment was $14,949, of which Medicare paid $12,668. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for respiratory infections and inflammations with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Alaska ($22,051), Hawaii ($19,796), Maryland ($19,784) and lowest in Vermont ($11,385), Louisiana ($11,782), Arkansas ($11,823).
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.