Septicemia or severe sepsis with ventilator >96 hours
What 878 hospitals in the U.S. charged and were paid for a Medicare hospital stay for septicemia or severe sepsis with ventilator >96 hours (DRG 870), from 2024 Medicare claims.
Average charge
$336,205
Hospital list price billed
Average payment
$66,013
Medicare + patient + other payers
Medicare paid
$58,778
Average per stay
Volume
20,906
Medicare hospital stays
Hospitals in the U.S. billed an average of $336,205 for septicemia or severe sepsis with ventilator >96 hours, about 5.1 times the average total payment of $66,013.
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 $66,013Billed $336,205
About 20¢ 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
| Muskogee Regional Medical CenterMuskogee, OK | $33,721 |
|---|---|
| CHI St. Vincent Hospital Hot SpringsHot Springs, AR | $38,519 |
| Mercy Health Center, INCOklahoma City, OK | $39,967 |
| Baptist Medical CenterSan Antonio, TX | $40,695 |
| St Francis Hospital, INCColumbus, GA | $41,048 |
| Conway Regional Medical CenterConway, AR | $41,525 |
| Glenwood Regional Medical CenterWest Monroe, LA | $41,729 |
| Nea Baptist Memorial HospitalJonesboro, AR | $42,178 |
| Trinity Mother Frances SystTyler, TX | $42,264 |
| Palos Community HospitalPalos Heights, IL | $42,489 |
Highest
| UCLA Medical CenterLos Angeles, CA | $193,450 |
|---|---|
| Kings County Hospital CenterBrooklyn, NY | $158,170 |
| Boston Medical Center CorporationBoston, MA | $146,245 |
| Santa Clara Valley Medical CenterSan Jose, CA | $140,739 |
| UCSF Medical CenterSan Francisco, CA | $135,638 |
| University of California Davis Medical CenterSacramento, CA | $129,146 |
| Mount Sinai HospitalNew York, NY | $123,094 |
| Queens Hospital CenterJamaica, NY | $122,106 |
| Hospital of the Univ of PaPhiladelphia, PA | $119,128 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $117,332 |
Septicemia or severe sepsis with ventilator >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 | 19 | $301,493 | $49,420 | $32,575 – $88,843 |
| Arizona | 17 | $275,461 | $62,798 | $48,875 – $113,427 |
| Arkansas | 14 | $223,100 | $48,934 | $38,519 – $75,208 |
| California | 133 | $493,353 | $80,067 | $47,316 – $193,450 |
| Colorado | 5 | $519,449 | $61,866 | $45,084 – $74,628 |
| Connecticut | 10 | $277,163 | $76,534 | $60,499 – $92,603 |
| Delaware | 2 | $196,443 | $63,464 | $58,130 – $66,053 |
| Florida | 69 | $339,379 | $51,397 | $31,682 – $70,740 |
| Georgia | 30 | $319,189 | $58,723 | $41,048 – $91,120 |
| Hawaii | 3 | $301,277 | $78,261 | $76,798 – $82,263 |
| Idaho | 2 | $225,724 | $51,262 | $50,197 – $52,238 |
| Illinois | 35 | $247,881 | $62,075 | $42,489 – $93,796 |
| Indiana | 18 | $229,368 | $54,108 | $43,311 – $88,851 |
| Iowa | 4 | $242,410 | $52,858 | $48,801 – $63,794 |
| Kansas | 5 | $404,952 | $54,739 | $47,982 – $60,573 |
| Kentucky | 11 | $231,229 | $53,831 | $37,739 – $68,844 |
| Louisiana | 12 | $240,649 | $48,729 | $41,729 – $76,910 |
| Maine | 2 | $323,413 | $87,388 | $67,606 – $105,648 |
| Maryland | 27 | $79,065 | $71,178 | $52,702 – $93,816 |
| Massachusetts | 18 | $201,380 | $77,645 | $55,167 – $146,245 |
| Michigan | 28 | $189,562 | $58,309 | $37,117 – $85,597 |
| Minnesota | 9 | $243,840 | $70,334 | $51,368 – $113,020 |
| Mississippi | 11 | $215,801 | $46,424 | $37,055 – $58,178 |
| Missouri | 18 | $251,762 | $55,624 | $37,311 – $85,168 |
| Montana | 2 | $192,377 | $58,394 | $53,722 – $62,599 |
| Nebraska | 5 | $212,198 | $55,497 | $42,139 – $70,329 |
| Nevada | 10 | $660,972 | $59,289 | $52,352 – $84,868 |
| New Hampshire | 3 | $339,878 | $82,413 | $59,766 – $122,062 |
| New Jersey | 36 | $386,093 | $66,826 | $45,654 – $91,785 |
| New Mexico | 3 | $335,501 | $58,536 | $44,602 – $80,733 |
| New York | 67 | $371,142 | $86,662 | $52,959 – $158,170 |
| North Carolina | 21 | $204,287 | $56,383 | $39,117 – $95,936 |
| North Dakota | 3 | $188,434 | $58,892 | $54,576 – $66,871 |
| Ohio | 32 | $242,429 | $53,775 | $33,371 – $78,145 |
| Oklahoma | 13 | $309,085 | $49,754 | $33,721 – $83,144 |
| Oregon | 4 | $229,343 | $72,399 | $59,661 – $85,021 |
| Pennsylvania | 33 | $387,755 | $65,297 | $39,518 – $119,128 |
| Rhode Island | 1 | $228,226 | $81,091 | – |
| South Carolina | 9 | $278,730 | $55,000 | $38,601 – $77,002 |
| South Dakota | 2 | $315,299 | $66,493 | $56,885 – $80,219 |
| Tennessee | 19 | $235,479 | $51,093 | $40,561 – $69,370 |
| Texas | 61 | $388,780 | $53,377 | $39,806 – $99,206 |
| Utah | 2 | $230,933 | $64,700 | $60,731 – $70,502 |
| Virginia | 22 | $269,087 | $58,036 | $42,235 – $115,297 |
| Washington | 9 | $270,905 | $68,290 | $51,556 – $90,587 |
| West Virginia | 7 | $212,167 | $62,752 | $48,966 – $115,540 |
| Wisconsin | 6 | $254,963 | $70,143 | $58,084 – $86,176 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 261 | $651,438 | $112,693 |
| Maimonides Medical CenterBrooklyn, NY | 192 | $352,334 | $93,266 |
| Adventhealth OrlandoOrlando, FL | 160 | $409,393 | $51,625 |
| Montefiore Medical CenterBronx, NY | 155 | $541,663 | $97,578 |
| New York Hospital Medical Center of QueensNew York, NY | 118 | $376,766 | $79,085 |
| Methodist HospitalSan Antonio, TX | 106 | $535,293 | $44,765 |
| West Anaheim Medical CenterAnaheim, CA | 105 | $228,419 | $68,756 |
| NYU Hospitals CenterNew York, NY | 105 | $575,815 | $102,803 |
| Jackson Health SystemMiami, FL | 104 | $219,079 | $67,700 |
| Methodist Healthcare-MemphisMemphis, TN | 97 | $173,656 | $51,221 |
| Umass Memorial Medical Center INCWorcester, MA | 84 | $236,603 | $78,951 |
| St Josephs Med Center of StocktonStockton, CA | 77 | $582,731 | $84,821 |
| Providence Saint Joseph Medical CtrBurbank, CA | 75 | $510,984 | $77,027 |
| Emanate Health Inter-Community HospitalCovina, CA | 75 | $200,484 | $53,805 |
| South Nassau Communities HospitalOceanside, NY | 75 | $405,937 | $67,550 |
Questions
How much does septicemia or severe sepsis with ventilator >96 hours cost in the U.S.?
In 2024 Medicare data, a hospital stay for septicemia or severe sepsis with ventilator >96 hours (DRG 870) at 878 hospitals in the U.S. was billed at $336,205 on average, while the average total payment was $66,013, of which Medicare paid $58,778. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for septicemia or severe sepsis with ventilator >96 hours?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($86,662), New Hampshire ($82,413), California ($80,067) and lowest in Mississippi ($46,424), Louisiana ($48,729), Arkansas ($48,934).
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 5.1 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.