Respiratory infections and inflammations without complications
What 66 hospitals in the U.S. charged and were paid for a Medicare hospital stay for respiratory infections and inflammations without complications (DRG 179), from 2024 Medicare claims.
Average charge
$35,260
Hospital list price billed
Average payment
$7,142
Medicare + patient + other payers
Medicare paid
$5,267
Average per stay
Volume
953
Medicare hospital stays
Hospitals in the U.S. billed an average of $35,260 for respiratory infections and inflammations without complications, about 4.9 times the average total payment of $7,142.
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 $7,142Billed $35,260
About 20¢ 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
| Valley HospitalRidgewood, NJ | $6,355 |
|---|---|
| South Shore HospitalSouth Weymouth, MA | $6,361 |
| Evanston HospitalEvanston, IL | $7,077 |
| Southcoast Hospital Group, INCFall River, MA | $7,262 |
| St Francis Hospital, RoslynRoslyn, NY | $7,743 |
| New York-Presbyterian HospitalNew York, NY | $9,836 |
Highest
| New York-Presbyterian HospitalNew York, NY | $9,836 |
|---|---|
| St Francis Hospital, RoslynRoslyn, NY | $7,743 |
| Southcoast Hospital Group, INCFall River, MA | $7,262 |
| Evanston HospitalEvanston, IL | $7,077 |
| South Shore HospitalSouth Weymouth, MA | $6,361 |
| Valley HospitalRidgewood, NJ | $6,355 |
Respiratory infections and inflammations without 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 | 1 | $42,437 | $5,703 | – |
| Arizona | 3 | $32,683 | $7,323 | $5,699 – $10,264 |
| California | 1 | $53,795 | $8,271 | – |
| Delaware | 1 | $33,799 | $7,148 | – |
| Florida | 12 | $41,215 | $6,738 | $4,379 – $14,656 |
| Illinois | 6 | $31,166 | $6,644 | $5,302 – $7,900 |
| Indiana | 1 | $28,784 | $5,255 | – |
| Kentucky | 2 | $40,527 | $5,116 | $5,022 – $5,271 |
| Maryland | 4 | $11,604 | $10,467 | $10,057 – $11,404 |
| Massachusetts | 9 | $18,092 | $6,899 | $5,967 – $8,338 |
| Michigan | 1 | $18,639 | $5,475 | – |
| Missouri | 1 | $30,582 | $4,977 | – |
| New Jersey | 7 | $58,653 | $7,716 | $5,630 – $11,040 |
| New York | 9 | $43,959 | $8,236 | $6,414 – $11,141 |
| North Carolina | 1 | $20,857 | $5,559 | – |
| Pennsylvania | 5 | $35,079 | $6,152 | $5,268 – $6,879 |
| Rhode Island | 1 | $17,725 | $7,361 | – |
| Texas | 1 | $36,711 | $6,411 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Evanston HospitalEvanston, IL | 28 | $27,152 | $7,077 |
| South Shore HospitalSouth Weymouth, MA | 25 | $15,907 | $6,361 |
| Valley HospitalRidgewood, NJ | 24 | $45,949 | $6,355 |
| Southcoast Hospital Group, INCFall River, MA | 23 | $19,343 | $7,262 |
| New York-Presbyterian HospitalNew York, NY | 21 | $56,184 | $9,836 |
| St Francis Hospital, RoslynRoslyn, NY | 20 | $48,514 | $7,743 |
| Yavapai Regional Medical CenterPrescott, AZ | 19 | $29,199 | $6,645 |
| Naples Community HospitalNaples, FL | 19 | $39,255 | $5,936 |
| Sturdy Memorial HospitalAttleboro, MA | 19 | $13,138 | $6,391 |
| Martin Memorial Health SystemsStuart, FL | 18 | $28,383 | $5,063 |
| Sarasota Memorial HospitalSarasota, FL | 18 | $33,917 | $5,751 |
| Lake Forest HospitalLake Forest, IL | 18 | $37,478 | $6,896 |
| Baptist Hospital EastLouisville, KY | 18 | $40,174 | $5,022 |
| Abington Memorial HospitalAbington, PA | 18 | $24,437 | $6,254 |
| Adventhealth OrlandoOrlando, FL | 17 | $54,402 | $6,523 |
Questions
How much does respiratory infections and inflammations without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations without complications (DRG 179) at 66 hospitals in the U.S. was billed at $35,260 on average, while the average total payment was $7,142, of which Medicare paid $5,267. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for respiratory infections and inflammations without complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($10,467), New York ($8,236), New Jersey ($7,716) and lowest in Pennsylvania ($6,152), Illinois ($6,644), Florida ($6,738).
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 4.9 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.