Reticuloendothelial and immunity disorders with major complications
What 20 hospitals in the U.S. charged and were paid for a Medicare hospital stay for reticuloendothelial and immunity disorders with major complications (DRG 814), from 2024 Medicare claims.
Average charge
$175,794
Hospital list price billed
Average payment
$48,037
Medicare + patient + other payers
Medicare paid
$32,817
Average per stay
Volume
355
Medicare hospital stays
Hospitals in the U.S. billed an average of $175,794 for reticuloendothelial and immunity disorders with major complications, about 3.7 times the average total payment of $48,037.
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 $48,037Billed $175,794
About 27¢ 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
| University of Kansas HospitalKansas City, KS | $21,013 |
|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $26,013 |
| Mayo Clinic HospitalPhoenix, AZ | $29,811 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $37,970 |
| New York-Presbyterian HospitalNew York, NY | $59,528 |
| The Johns Hopkins HospitalBaltimore, MD | $124,962 |
Highest
| The Johns Hopkins HospitalBaltimore, MD | $124,962 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $59,528 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $37,970 |
| Mayo Clinic HospitalPhoenix, AZ | $29,811 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $26,013 |
| University of Kansas HospitalKansas City, KS | $21,013 |
Reticuloendothelial and immunity disorders 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 |
|---|---|---|---|---|
| Arizona | 1 | $65,743 | $29,811 | – |
| California | 2 | $555,523 | $71,445 | $66,455 – $76,768 |
| Connecticut | 1 | $84,152 | $29,494 | – |
| Florida | 1 | $60,815 | $16,423 | – |
| Illinois | 1 | $316,719 | $166,509 | – |
| Kansas | 1 | $133,177 | $21,013 | – |
| Maryland | 1 | $144,232 | $124,962 | – |
| Massachusetts | 2 | $173,255 | $40,749 | $33,865 – $49,108 |
| Minnesota | 1 | $100,883 | $37,970 | – |
| Missouri | 1 | $147,843 | $31,191 | – |
| New York | 1 | $339,029 | $59,528 | – |
| North Carolina | 1 | $90,280 | $31,038 | – |
| Ohio | 1 | $107,522 | $42,815 | – |
| Oregon | 1 | $106,297 | $31,166 | – |
| Tennessee | 1 | $87,097 | $26,176 | – |
| Washington | 1 | $113,954 | $42,037 | – |
| Wisconsin | 2 | $120,051 | $29,515 | $26,013 – $34,549 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 39 | $100,883 | $37,970 |
| University of Kansas HospitalKansas City, KS | 25 | $133,177 | $21,013 |
| New York-Presbyterian HospitalNew York, NY | 24 | $339,029 | $59,528 |
| The Johns Hopkins HospitalBaltimore, MD | 23 | $144,232 | $124,962 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | 23 | $101,777 | $26,013 |
| Mayo Clinic HospitalPhoenix, AZ | 21 | $65,743 | $29,811 |
| Brigham and Women's HosptialBoston, MA | 17 | $149,700 | $33,865 |
| Barnes Jewish HospitalSt Louis, MO | 17 | $147,843 | $31,191 |
| UCSF Medical CenterSan Francisco, CA | 16 | $392,479 | $66,455 |
| Vanderbilt University HospitalNashville, TN | 16 | $87,097 | $26,176 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | 16 | $146,320 | $34,549 |
| Stanford HospitalPalo Alto, CA | 15 | $729,437 | $76,768 |
| University of Washington Medical CtrSeattle, WA | 15 | $113,954 | $42,037 |
| Massachusetts General HospitalBoston, MA | 14 | $201,859 | $49,108 |
| UNC HospitalsChapel Hill, NC | 14 | $90,280 | $31,038 |
Questions
How much does reticuloendothelial and immunity disorders with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for reticuloendothelial and immunity disorders with major complications (DRG 814) at 20 hospitals in the U.S. was billed at $175,794 on average, while the average total payment was $48,037, of which Medicare paid $32,817. 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 3.7 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.