Respiratory system diagnosis with ventilator support >96 hours
What 265 hospitals in the U.S. charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207), from 2024 Medicare claims.
Average charge
$311,534
Hospital list price billed
Average payment
$65,323
Medicare + patient + other payers
Medicare paid
$57,276
Average per stay
Volume
4,401
Medicare hospital stays
Hospitals in the U.S. billed an average of $311,534 for respiratory system diagnosis with ventilator support >96 hours, about 4.8 times the average total payment of $65,323.
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 $65,323Billed $311,534
About 21¢ 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
| Baptist Medical CenterSan Antonio, TX | $35,734 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $37,393 |
| Willis Knighton Medical CenterShreveport, LA | $40,475 |
| North Mississippi Medical CenterTupelo, MS | $42,086 |
| Methodist HospitalSan Antonio, TX | $42,505 |
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $42,701 |
| Adventhealth OrlandoOrlando, FL | $43,315 |
| Chestnut Hill HospitalPhiladelphia, PA | $44,277 |
| Norton Healthcare PavilionLouisville, KY | $44,383 |
| Mem Hermann Southwest HospHouston, TX | $44,460 |
Highest
| University of California Davis Medical CenterSacramento, CA | $150,655 |
|---|---|
| Maimonides Medical CenterBrooklyn, NY | $106,237 |
| New York-Presbyterian HospitalNew York, NY | $105,771 |
| Mount Sinai HospitalNew York, NY | $102,298 |
| Yale-New Haven HospitalNew Haven, CT | $98,966 |
| NYU Hospitals CenterNew York, NY | $96,729 |
| Barnes Jewish HospitalSt Louis, MO | $93,620 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $93,096 |
| Massachusetts General HospitalBoston, MA | $92,421 |
| South Brooklyn HealthBrooklyn, NY | $91,567 |
Respiratory system diagnosis with ventilator support >96 hours 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 | 6 | $237,430 | $56,704 | $43,191 – $86,714 |
| Arizona | 1 | $204,884 | $42,457 | – |
| Arkansas | 3 | $244,889 | $47,024 | $45,471 – $49,000 |
| California | 37 | $417,724 | $73,357 | $49,698 – $150,655 |
| Colorado | 1 | $306,780 | $51,424 | – |
| Connecticut | 3 | $343,930 | $86,060 | $69,213 – $98,966 |
| Delaware | 2 | $164,656 | $59,906 | $46,024 – $68,673 |
| Florida | 14 | $264,106 | $51,460 | $37,289 – $65,775 |
| Georgia | 8 | $286,673 | $64,319 | $42,889 – $99,776 |
| Hawaii | 1 | $317,954 | $69,038 | – |
| Illinois | 13 | $272,395 | $65,549 | $41,785 – $104,314 |
| Indiana | 7 | $198,551 | $49,681 | $36,703 – $58,220 |
| Iowa | 2 | $235,524 | $58,020 | $47,598 – $70,180 |
| Kansas | 1 | $313,701 | $60,128 | – |
| Kentucky | 3 | $233,536 | $51,035 | $44,383 – $59,308 |
| Louisiana | 2 | $266,732 | $39,769 | $38,940 – $40,475 |
| Maine | 1 | $254,013 | $78,631 | – |
| Maryland | 7 | $90,201 | $78,808 | $63,010 – $95,213 |
| Massachusetts | 7 | $278,318 | $81,206 | $56,054 – $100,053 |
| Michigan | 8 | $203,467 | $66,517 | $48,576 – $95,537 |
| Minnesota | 4 | $231,996 | $81,927 | $55,440 – $105,491 |
| Mississippi | 6 | $164,402 | $43,400 | $38,678 – $55,873 |
| Missouri | 5 | $243,891 | $66,327 | $43,140 – $93,620 |
| Nevada | 5 | $513,126 | $59,144 | $49,672 – $74,368 |
| New Hampshire | 1 | $325,401 | $65,158 | – |
| New Jersey | 9 | $385,011 | $65,963 | $48,298 – $79,846 |
| New York | 26 | $375,792 | $84,743 | $53,584 – $111,073 |
| North Carolina | 10 | $184,917 | $59,741 | $48,823 – $78,226 |
| North Dakota | 1 | $104,452 | $45,195 | – |
| Ohio | 8 | $225,450 | $52,491 | $39,733 – $67,943 |
| Oklahoma | 6 | $295,934 | $51,795 | $34,119 – $94,920 |
| Oregon | 1 | $226,406 | $58,221 | – |
| Pennsylvania | 13 | $437,449 | $73,590 | $44,277 – $204,028 |
| South Carolina | 5 | $261,685 | $51,733 | $36,669 – $70,671 |
| South Dakota | 1 | $224,337 | $65,304 | – |
| Tennessee | 3 | $175,149 | $55,073 | $49,169 – $70,814 |
| Texas | 17 | $376,955 | $50,646 | $35,734 – $80,036 |
| Virginia | 6 | $367,301 | $71,544 | $39,865 – $209,239 |
| Washington | 5 | $245,353 | $55,176 | $50,835 – $58,596 |
| West Virginia | 3 | $198,066 | $59,142 | $44,857 – $68,938 |
| Wisconsin | 2 | $245,957 | $71,500 | $68,007 – $78,486 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Jackson Health SystemMiami, FL | 75 | $203,947 | $65,775 |
| New York-Presbyterian HospitalNew York, NY | 46 | $607,098 | $105,771 |
| Temple University HospitalPhiladelphia, PA | 43 | $558,315 | $70,149 |
| Staten Island University HospitalStaten Island, NY | 42 | $284,180 | $74,670 |
| Grossmont HospitalLa Mesa, CA | 39 | $369,463 | $55,950 |
| Umass Memorial Medical Center INCWorcester, MA | 37 | $393,375 | $90,093 |
| NYU Hospitals CenterNew York, NY | 37 | $562,080 | $96,729 |
| Adventhealth OrlandoOrlando, FL | 33 | $324,151 | $43,315 |
| Methodist HospitalSan Antonio, TX | 33 | $469,176 | $42,505 |
| Maimonides Medical CenterBrooklyn, NY | 32 | $450,264 | $106,237 |
| Montefiore Medical CenterBronx, NY | 31 | $403,019 | $82,043 |
| Emanate Health Inter-Community HospitalCovina, CA | 30 | $194,154 | $49,698 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | 29 | $694,284 | $93,096 |
| St Joseph's Regional Medical CenterPaterson, NJ | 29 | $321,238 | $63,399 |
| Barnes Jewish HospitalSt Louis, MO | 28 | $303,297 | $93,620 |
Questions
How much does respiratory system diagnosis with ventilator support >96 hours cost in the U.S.?
In 2024 Medicare data, a hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207) at 265 hospitals in the U.S. was billed at $311,534 on average, while the average total payment was $65,323, of which Medicare paid $57,276. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for respiratory system diagnosis with ventilator support >96 hours?
Among states with at least three hospitals reporting, the average total payment was highest in Connecticut ($86,060), New York ($84,743), Minnesota ($81,927) and lowest in Mississippi ($43,400), Arkansas ($47,024), Indiana ($49,681).
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.