Reticuloendothelial and immunity disorders with complications
What 10 hospitals in the U.S. charged and were paid for a Medicare hospital stay for reticuloendothelial and immunity disorders with complications (DRG 815), from 2024 Medicare claims.
Average charge
$90,857
Hospital list price billed
Average payment
$23,692
Medicare + patient + other payers
Medicare paid
$18,187
Average per stay
Volume
146
Medicare hospital stays
Hospitals in the U.S. billed an average of $90,857 for reticuloendothelial and immunity disorders with complications, about 3.8 times the average total payment of $23,692.
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 $23,692Billed $90,857
About 26¢ 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:
Reticuloendothelial and immunity disorders 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 |
|---|---|---|---|---|
| California | 1 | $218,817 | $19,011 | – |
| Colorado | 1 | $81,053 | $12,492 | – |
| Florida | 1 | $84,530 | $11,250 | – |
| Maryland | 1 | $95,059 | $84,324 | – |
| Massachusetts | 2 | $68,899 | $13,994 | $13,461 – $14,526 |
| Minnesota | 1 | $42,558 | $12,742 | – |
| New York | 1 | $89,898 | $15,118 | – |
| Tennessee | 1 | $59,471 | $13,844 | – |
| Washington | 1 | $46,784 | $11,410 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| The Johns Hopkins HospitalBaltimore, MD | 20 | $95,059 | $84,324 |
| Stanford HospitalPalo Alto, CA | 19 | $218,817 | $19,011 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 18 | $42,558 | $12,742 |
| NYU Hospitals CenterNew York, NY | 17 | $89,898 | $15,118 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | 13 | $81,053 | $12,492 |
| Massachusetts General HospitalBoston, MA | 12 | $68,338 | $14,526 |
| Brigham and Women's HosptialBoston, MA | 12 | $69,460 | $13,461 |
| Vanderbilt University HospitalNashville, TN | 12 | $59,471 | $13,844 |
| University of Washington Medical CtrSeattle, WA | 12 | $46,784 | $11,410 |
| Adventhealth OrlandoOrlando, FL | 11 | $84,530 | $11,250 |
Questions
How much does reticuloendothelial and immunity disorders with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for reticuloendothelial and immunity disorders with complications (DRG 815) at 10 hospitals in the U.S. was billed at $90,857 on average, while the average total payment was $23,692, of which Medicare paid $18,187. Your own cost depends on your insurance, deductible and the hospital.
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 3.8 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.