Respiratory neoplasms with complications
What 47 hospitals in the U.S. charged and were paid for a Medicare hospital stay for respiratory neoplasms with complications (DRG 181), from 2024 Medicare claims.
Average charge
$61,131
Hospital list price billed
Average payment
$13,073
Medicare + patient + other payers
Medicare paid
$9,508
Average per stay
Volume
699
Medicare hospital stays
Hospitals in the U.S. billed an average of $61,131 for respiratory neoplasms with complications, about 4.7 times the average total payment of $13,073.
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 $13,073Billed $61,131
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:
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
| Evanston HospitalEvanston, IL | $10,946 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $13,611 |
| Duke University Medical CenterDurham, NC | $14,194 |
| NYU Hospitals CenterNew York, NY | $15,690 |
| Brigham and Women's HosptialBoston, MA | $16,016 |
| New York-Presbyterian HospitalNew York, NY | $16,234 |
| Massachusetts General HospitalBoston, MA | $16,909 |
Highest
| Massachusetts General HospitalBoston, MA | $16,909 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $16,234 |
| Brigham and Women's HosptialBoston, MA | $16,016 |
| NYU Hospitals CenterNew York, NY | $15,690 |
| Duke University Medical CenterDurham, NC | $14,194 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $13,611 |
| Evanston HospitalEvanston, IL | $10,946 |
Respiratory neoplasms 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 | 1 | $40,050 | $8,263 | – |
| Arizona | 1 | $57,918 | $16,985 | – |
| California | 4 | $139,059 | $18,344 | $10,761 – $25,726 |
| Delaware | 1 | $41,390 | $10,391 | – |
| Florida | 5 | $72,270 | $9,521 | $8,729 – $10,068 |
| Illinois | 4 | $44,070 | $14,844 | $10,946 – $18,654 |
| Kansas | 1 | $82,542 | $10,485 | – |
| Kentucky | 1 | $42,462 | $8,249 | – |
| Maryland | 3 | $22,270 | $19,331 | $15,801 – $23,069 |
| Massachusetts | 5 | $47,549 | $13,750 | $9,466 – $16,909 |
| Michigan | 1 | $26,034 | $7,801 | – |
| Minnesota | 2 | $38,295 | $11,978 | $8,562 – $13,611 |
| Missouri | 2 | $57,588 | $11,097 | $7,659 – $13,891 |
| New Jersey | 1 | $100,872 | $8,941 | – |
| New York | 5 | $77,711 | $14,435 | $9,569 – $16,958 |
| North Carolina | 3 | $41,997 | $14,796 | $14,194 – $15,810 |
| Ohio | 1 | $51,773 | $12,336 | – |
| Pennsylvania | 2 | $56,588 | $11,347 | $9,418 – $12,565 |
| South Carolina | 1 | $38,333 | $9,360 | – |
| Tennessee | 2 | $44,177 | $9,932 | $9,739 – $10,084 |
| Texas | 1 | $75,396 | $8,467 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Brigham and Women's HosptialBoston, MA | 24 | $68,166 | $16,016 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 23 | $39,016 | $13,611 |
| New York-Presbyterian HospitalNew York, NY | 21 | $109,081 | $16,234 |
| Evanston HospitalEvanston, IL | 20 | $34,129 | $10,946 |
| Massachusetts General HospitalBoston, MA | 20 | $72,773 | $16,909 |
| NYU Hospitals CenterNew York, NY | 20 | $86,732 | $15,690 |
| Duke University Medical CenterDurham, NC | 20 | $36,968 | $14,194 |
| Stanford HospitalPalo Alto, CA | 19 | $191,093 | $22,782 |
| Southcoast Hospital Group, INCFall River, MA | 19 | $22,195 | $9,466 |
| Cleveland Clinic - Main CampusCleveland, OH | 19 | $51,773 | $12,336 |
| Lehigh Valley HospitalAllentown, PA | 19 | $68,406 | $12,565 |
| Mayo Clinic HospitalPhoenix, AZ | 18 | $57,918 | $16,985 |
| Christiana Care Health Services, INC.Newark, DE | 18 | $41,390 | $10,391 |
| Norton Healthcare PavilionLouisville, KY | 17 | $42,462 | $8,249 |
| Baystate Medical CenterSpringfield, MA | 16 | $25,021 | $14,050 |
Questions
How much does respiratory neoplasms with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for respiratory neoplasms with complications (DRG 181) at 47 hospitals in the U.S. was billed at $61,131 on average, while the average total payment was $13,073, of which Medicare paid $9,508. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for respiratory neoplasms with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($19,331), California ($18,344), Illinois ($14,844) and lowest in Florida ($9,521), Massachusetts ($13,750), New York ($14,435).
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 4.7 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.