Respiratory signs and symptoms
What 32 hospitals in the U.S. charged and were paid for a Medicare hospital stay for respiratory signs and symptoms (DRG 204), from 2024 Medicare claims.
Average charge
$53,933
Hospital list price billed
Average payment
$8,497
Medicare + patient + other payers
Medicare paid
$6,140
Average per stay
Volume
495
Medicare hospital stays
Hospitals in the U.S. billed an average of $53,933 for respiratory signs and symptoms, about 6.3 times the average total payment of $8,497.
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 $8,497Billed $53,933
About 16¢ was paid for every $1 hospitals in the U.S. billed for this stay.
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
| Sarasota Memorial HospitalSarasota, FL | $6,509 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $9,375 |
| North Shore University HospitalManhasset, NY | $10,087 |
| NYU Hospitals CenterNew York, NY | $11,793 |
| Montefiore Medical CenterBronx, NY | $14,241 |
Highest
| Montefiore Medical CenterBronx, NY | $14,241 |
|---|---|
| NYU Hospitals CenterNew York, NY | $11,793 |
| North Shore University HospitalManhasset, NY | $10,087 |
| Adventhealth OrlandoOrlando, FL | $9,375 |
| Sarasota Memorial HospitalSarasota, FL | $6,509 |
Respiratory signs and symptoms 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 |
|---|---|---|---|---|
| Arizona | 1 | $42,341 | $6,017 | – |
| California | 2 | $83,389 | $8,682 | $8,500 – $8,880 |
| Florida | 8 | $50,304 | $7,323 | $5,543 – $9,375 |
| Kentucky | 1 | $40,500 | $5,369 | – |
| Massachusetts | 1 | $18,248 | $6,886 | – |
| Michigan | 3 | $28,081 | $6,965 | $5,881 – $8,021 |
| New Jersey | 3 | $67,109 | $7,120 | $6,698 – $7,476 |
| New York | 7 | $71,162 | $11,861 | $7,115 – $16,613 |
| North Carolina | 1 | $27,901 | $10,096 | – |
| Pennsylvania | 2 | $45,083 | $7,368 | $7,037 – $7,583 |
| Tennessee | 1 | $42,835 | $6,382 | – |
| Texas | 2 | $48,268 | $7,874 | $7,432 – $8,221 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Sarasota Memorial HospitalSarasota, FL | 36 | $40,092 | $6,509 |
| NYU Hospitals CenterNew York, NY | 27 | $80,908 | $11,793 |
| Adventhealth OrlandoOrlando, FL | 26 | $60,200 | $9,375 |
| Montefiore Medical CenterBronx, NY | 21 | $70,041 | $14,241 |
| North Shore University HospitalManhasset, NY | 20 | $82,373 | $10,087 |
| William Beaumont Hospital-TroyTroy, MI | 19 | $28,503 | $5,881 |
| New York-Presbyterian HospitalNew York, NY | 19 | $97,027 | $16,613 |
| University HospitalStony Brook, NY | 17 | $50,010 | $10,657 |
| Lehigh Valley HospitalAllentown, PA | 17 | $57,502 | $7,583 |
| Naples Community HospitalNaples, FL | 16 | $40,074 | $6,366 |
| Martin Memorial Health SystemsStuart, FL | 16 | $49,261 | $5,543 |
| Orlando Regional HealthcareOrlando, FL | 15 | $57,846 | $8,445 |
| Morton Plant HospitalClearwater, FL | 14 | $38,644 | $6,755 |
| North Florida Regional Medical CenterGainesville, FL | 14 | $73,349 | $7,422 |
| Providence Hospital and Medical CentersSouthfield, MI | 14 | $20,954 | $7,380 |
Questions
How much does respiratory signs and symptoms cost in the U.S.?
In 2024 Medicare data, a hospital stay for respiratory signs and symptoms (DRG 204) at 32 hospitals in the U.S. was billed at $53,933 on average, while the average total payment was $8,497, of which Medicare paid $6,140. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for respiratory signs and symptoms?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($11,861), Florida ($7,323), New Jersey ($7,120) and lowest in Michigan ($6,965), New Jersey ($7,120), Florida ($7,323).
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 6.3 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.