Respiratory neoplasms with major complications
What 445 hospitals in the U.S. charged and were paid for a Medicare hospital stay for respiratory neoplasms with major complications (DRG 180), from 2024 Medicare claims.
Average charge
$93,917
Hospital list price billed
Average payment
$18,205
Medicare + patient + other payers
Medicare paid
$14,696
Average per stay
Volume
8,157
Medicare hospital stays
Hospitals in the U.S. billed an average of $93,917 for respiratory neoplasms with major complications, about 5.2 times the average total payment of $18,205.
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 $18,205Billed $93,917
About 19¢ 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
| Forrest General HospitalHattiesburg, MS | $10,808 |
|---|---|
| Baptist Health Medical Center-Little RockLittle Rock, AR | $11,585 |
| Huntsville HospitalHuntsville, AL | $11,947 |
| Memorial Healthcare System, INCChattanooga, TN | $11,988 |
| Martin Memorial Health SystemsStuart, FL | $12,043 |
| Palos Community HospitalPalos Heights, IL | $12,151 |
| Stormont-Vail HealthcareTopeka, KS | $12,178 |
| Mercy Hospital SouthSt Louis, MO | $12,185 |
| Willis Knighton Medical CenterShreveport, LA | $12,389 |
| Hillcrest HospitalCleveland, OH | $12,466 |
Highest
| The Johns Hopkins HospitalBaltimore, MD | $51,966 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $41,062 |
| UCSF Medical CenterSan Francisco, CA | $36,942 |
| Stanford HospitalPalo Alto, CA | $36,066 |
| University of California San Diego Medical CenterSan Diego, CA | $34,695 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | $33,834 |
| Medstar Georgetown University HospitalWashington, DC | $31,113 |
| University HospitalStony Brook, NY | $28,845 |
| University of California Davis Medical CenterSacramento, CA | $28,249 |
| Rush University Medical CenterChicago, IL | $27,743 |
Respiratory neoplasms 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 | 4 | $57,915 | $12,455 | $11,757 – $13,551 |
| Alaska | 1 | $66,872 | $24,242 | – |
| Arizona | 8 | $65,114 | $16,723 | $12,763 – $21,716 |
| Arkansas | 3 | $68,324 | $12,761 | $11,585 – $15,824 |
| California | 46 | $165,252 | $23,879 | $15,784 – $44,937 |
| Colorado | 3 | $100,192 | $15,370 | $13,180 – $19,660 |
| Connecticut | 5 | $75,391 | $20,113 | $15,364 – $23,104 |
| Delaware | 2 | $57,150 | $15,451 | $13,809 – $15,936 |
| Florida | 33 | $103,953 | $14,525 | $11,317 – $20,673 |
| Georgia | 12 | $89,992 | $17,789 | $12,177 – $28,743 |
| Hawaii | 1 | $80,282 | $22,870 | – |
| Idaho | 1 | $38,042 | $15,707 | – |
| Illinois | 27 | $75,610 | $17,531 | $12,151 – $35,102 |
| Indiana | 9 | $65,629 | $14,660 | $12,545 – $18,809 |
| Iowa | 4 | $77,177 | $15,072 | $12,613 – $19,630 |
| Kansas | 5 | $112,742 | $14,310 | $12,178 – $16,188 |
| Kentucky | 4 | $68,262 | $14,283 | $11,835 – $17,586 |
| Louisiana | 4 | $54,732 | $12,509 | $11,122 – $13,614 |
| Maine | 2 | $73,610 | $22,706 | $13,485 – $31,926 |
| Maryland | 18 | $27,304 | $24,103 | $15,481 – $51,966 |
| Massachusetts | 15 | $60,974 | $20,779 | $13,918 – $37,598 |
| Michigan | 13 | $56,357 | $17,057 | $11,602 – $25,369 |
| Minnesota | 8 | $60,151 | $19,561 | $12,655 – $26,236 |
| Mississippi | 6 | $56,111 | $12,204 | $10,808 – $13,637 |
| Missouri | 6 | $78,701 | $16,571 | $10,707 – $24,623 |
| Nebraska | 3 | $55,478 | $15,980 | $12,887 – $18,932 |
| Nevada | 5 | $175,840 | $17,458 | $15,000 – $20,609 |
| New Hampshire | 2 | $64,003 | $18,899 | $13,698 – $21,211 |
| New Jersey | 23 | $116,630 | $17,890 | $13,207 – $25,774 |
| New Mexico | 1 | $44,286 | $12,906 | – |
| New York | 28 | $142,554 | $24,164 | $15,121 – $41,062 |
| North Carolina | 11 | $60,678 | $18,524 | $12,737 – $28,080 |
| North Dakota | 2 | $55,966 | $15,307 | $15,273 – $15,345 |
| Ohio | 16 | $70,144 | $15,384 | $10,544 – $20,747 |
| Oklahoma | 8 | $76,668 | $14,651 | $11,738 – $20,461 |
| Oregon | 2 | $63,402 | $19,179 | $17,636 – $21,791 |
| Pennsylvania | 19 | $106,062 | $16,673 | $12,826 – $23,827 |
| Rhode Island | 2 | $50,900 | $17,927 | $16,633 – $19,420 |
| South Carolina | 9 | $78,937 | $15,180 | $13,070 – $24,140 |
| South Dakota | 3 | $66,998 | $15,443 | $14,272 – $16,890 |
| Tennessee | 10 | $75,467 | $14,773 | $11,032 – $22,999 |
| Texas | 22 | $111,833 | $15,046 | $12,151 – $21,800 |
| Utah | 1 | $61,730 | $20,928 | – |
| Vermont | 1 | $93,788 | $13,017 | – |
| Virginia | 18 | $70,458 | $16,822 | $12,189 – $32,205 |
| Washington | 11 | $92,410 | $17,910 | $14,898 – $22,720 |
| West Virginia | 2 | $61,146 | $13,686 | $12,758 – $14,614 |
| Wisconsin | 3 | $57,788 | $18,210 | $13,328 – $22,922 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 71 | $172,419 | $26,487 |
| New York-Presbyterian HospitalNew York, NY | 63 | $251,224 | $41,062 |
| Brigham and Women's HosptialBoston, MA | 61 | $104,689 | $25,853 |
| Methodist HospitalSan Antonio, TX | 51 | $141,092 | $14,769 |
| Hackensack University Medical CenterHackensack, NJ | 50 | $120,380 | $22,728 |
| Stanford HospitalPalo Alto, CA | 48 | $353,604 | $36,066 |
| Evanston HospitalEvanston, IL | 48 | $54,900 | $15,883 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 48 | $72,267 | $26,236 |
| Adventhealth OrlandoOrlando, FL | 45 | $159,182 | $16,200 |
| University of Kansas HospitalKansas City, KS | 45 | $123,323 | $16,188 |
| Christiana Care Health Services, INC.Newark, DE | 44 | $60,487 | $15,936 |
| Beth Israel Deaconess Medical CenterBoston, MA | 44 | $58,245 | $24,952 |
| Barnes Jewish HospitalSt Louis, MO | 44 | $107,671 | $24,623 |
| University of California San Diego Medical CenterSan Diego, CA | 41 | $145,235 | $34,695 |
| Yale-New Haven HospitalNew Haven, CT | 41 | $74,259 | $23,104 |
Questions
How much does respiratory neoplasms with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for respiratory neoplasms with major complications (DRG 180) at 445 hospitals in the U.S. was billed at $93,917 on average, while the average total payment was $18,205, of which Medicare paid $14,696. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for respiratory neoplasms with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($24,164), Maryland ($24,103), California ($23,879) and lowest in Mississippi ($12,204), Alabama ($12,455), Louisiana ($12,509).
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 5.2 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.