Septicemia or severe sepsis without ventilator >96 hours with major complications
What 2,661 hospitals in the U.S. charged and were paid for a Medicare hospital stay for septicemia or severe sepsis without ventilator >96 hours with major complications (DRG 871), from 2024 Medicare claims.
Average charge
$90,381
Hospital list price billed
Average payment
$18,230
Medicare + patient + other payers
Medicare paid
$15,524
Average per stay
Volume
577,119
Medicare hospital stays
Hospitals in the U.S. billed an average of $90,381 for septicemia or severe sepsis without ventilator >96 hours with major complications, about 5.0 times the average total payment of $18,230.
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 $18,230Billed $90,381
About 20¢ 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
| Central Vermont Medical CenterGraniteville-East Barre, VT | $9,040 |
|---|---|
| Memorial HospitalFremont, OH | $9,605 |
| Marietta Memorial HospitalMarietta, OH | $9,745 |
| Southwestern Vermont Medical CenterBennington, VT | $10,732 |
| Highland Community HospitalPicayune, MS | $10,874 |
| Hillcrest Memorial HospitalSimpsonville, SC | $10,979 |
| Rock Regional Hospital, LLCDerby, KS | $11,142 |
| Brattleboro Memorial HospitalBrattleboro, VT | $11,151 |
| Coastal Carolina HospitalHardeeville, SC | $11,184 |
| Saint John HospitalLeavenworth, KS | $11,300 |
Highest
| Harris County Hospital DistrictHouston, TX | $134,211 |
|---|---|
| John H Stroger Jr HospitalChicago, IL | $77,715 |
| Kings County Hospital CenterBrooklyn, NY | $68,676 |
| Queens Hospital CenterJamaica, NY | $64,510 |
| University of Maryland Medical CenterBaltimore, MD | $62,864 |
| Parkland Health and Hospital SystemDallas, TX | $62,322 |
| Metropolitan Hospital CenterNew York, NY | $62,081 |
| Bellevue Hospital CenterNew York, NY | $57,504 |
| Woodhull Medical and Mental Health CenterBrooklyn, NY | $56,885 |
| Kaiser Foundation HospitalSanta Clara, CA | $53,362 |
Septicemia or severe sepsis without ventilator >96 hours 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 |
|---|---|---|---|---|
| Alabama | 51 | $80,836 | $14,639 | $11,774 – $25,299 |
| Alaska | 8 | $119,854 | $24,932 | $17,843 – $36,904 |
| Arizona | 51 | $87,670 | $17,451 | $13,599 – $35,300 |
| Arkansas | 37 | $56,356 | $14,251 | $11,349 – $20,471 |
| California | 261 | $143,082 | $23,020 | $15,208 – $53,362 |
| Colorado | 44 | $113,275 | $16,848 | $14,115 – $33,013 |
| Connecticut | 25 | $69,366 | $20,799 | $15,842 – $29,147 |
| Delaware | 6 | $58,234 | $17,988 | $15,395 – $19,415 |
| Florida | 163 | $112,870 | $15,659 | $11,735 – $33,908 |
| Georgia | 76 | $85,636 | $17,149 | $11,983 – $35,596 |
| Hawaii | 11 | $69,319 | $23,528 | $19,327 – $34,520 |
| Idaho | 12 | $65,631 | $16,189 | $13,486 – $19,852 |
| Illinois | 107 | $73,986 | $17,635 | $12,827 – $77,715 |
| Indiana | 69 | $63,258 | $15,369 | $13,231 – $25,186 |
| Iowa | 28 | $49,988 | $14,760 | $12,614 – $21,701 |
| Kansas | 35 | $85,340 | $15,539 | $10,344 – $22,859 |
| Kentucky | 55 | $63,520 | $14,769 | $11,830 – $21,845 |
| Louisiana | 51 | $68,454 | $14,389 | $11,835 – $29,374 |
| Maine | 17 | $57,965 | $19,002 | $13,447 – $24,788 |
| Maryland | 42 | $26,908 | $24,452 | $17,351 – $62,864 |
| Massachusetts | 50 | $45,234 | $19,534 | $13,546 – $36,169 |
| Michigan | 80 | $54,303 | $17,099 | $12,681 – $26,871 |
| Minnesota | 45 | $59,302 | $17,951 | $13,205 – $28,483 |
| Mississippi | 44 | $64,624 | $14,185 | $10,874 – $21,454 |
| Missouri | 61 | $72,932 | $15,809 | $12,159 – $29,856 |
| Montana | 10 | $42,659 | $15,849 | $13,751 – $19,232 |
| Nebraska | 19 | $57,742 | $15,825 | $12,159 – $23,517 |
| Nevada | 20 | $185,672 | $18,342 | $14,264 – $24,209 |
| New Hampshire | 13 | $62,580 | $17,104 | $13,853 – $25,728 |
| New Jersey | 61 | $131,698 | $19,296 | $14,948 – $40,666 |
| New Mexico | 21 | $66,015 | $17,242 | $11,605 – $29,039 |
| New York | 122 | $116,955 | $24,427 | $15,879 – $68,676 |
| North Carolina | 76 | $56,967 | $16,443 | $12,121 – $28,791 |
| North Dakota | 7 | $50,165 | $16,037 | $14,395 – $19,684 |
| Ohio | 107 | $64,317 | $15,665 | $9,605 – $25,434 |
| Oklahoma | 47 | $70,928 | $14,957 | $11,947 – $23,098 |
| Oregon | 31 | $59,598 | $19,972 | $15,000 – $29,578 |
| Pennsylvania | 117 | $88,226 | $16,882 | $11,850 – $35,189 |
| Rhode Island | 9 | $56,131 | $18,456 | $14,428 – $22,048 |
| South Carolina | 47 | $76,567 | $16,012 | $10,979 – $24,550 |
| South Dakota | 10 | $66,790 | $17,011 | $13,464 – $20,847 |
| Tennessee | 70 | $70,464 | $15,050 | $11,535 – $28,199 |
| Texas | 200 | $111,391 | $16,694 | $11,947 – $134,211 |
| Utah | 29 | $59,284 | $16,259 | $11,844 – $23,128 |
| Vermont | 6 | $47,528 | $12,534 | $9,040 – $22,714 |
| Virginia | 69 | $65,237 | $16,366 | $12,936 – $33,235 |
| Washington | 44 | $78,712 | $18,304 | $15,601 – $24,838 |
| West Virginia | 21 | $61,163 | $15,922 | $12,132 – $20,802 |
| Wisconsin | 61 | $59,504 | $16,722 | $11,776 – $26,632 |
| Wyoming | 9 | $53,749 | $21,131 | $18,079 – $26,021 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 3,400 | $129,307 | $17,194 |
| New York-Presbyterian HospitalNew York, NY | 2,607 | $218,019 | $33,092 |
| NYU Hospitals CenterNew York, NY | 2,348 | $184,739 | $29,564 |
| Methodist HospitalSan Antonio, TX | 1,615 | $141,255 | $14,942 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 1,307 | $155,760 | $24,561 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 1,247 | $330,924 | $28,713 |
| Mem Hermann Southwest HospHouston, TX | 1,218 | $80,142 | $17,637 |
| Inova Fairfax HospitalFalls Church, VA | 1,215 | $51,234 | $20,570 |
| Christiana Care Health Services, INC.Newark, DE | 1,193 | $63,922 | $19,031 |
| North Shore University HospitalManhasset, NY | 1,177 | $179,219 | $25,215 |
| South Nassau Communities HospitalOceanside, NY | 1,110 | $149,635 | $20,621 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | 1,082 | $82,100 | $17,894 |
| Jefferson Stratford HospitalCherry Hill, NJ | 1,078 | $115,228 | $18,768 |
| White Plains Hospital CtrWhite Plains, NY | 1,067 | $95,826 | $18,321 |
| Cape Cod HospitalHyannis, MA | 1,060 | $33,090 | $20,890 |
Questions
How much does septicemia or severe sepsis without ventilator >96 hours with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for septicemia or severe sepsis without ventilator >96 hours with major complications (DRG 871) at 2,661 hospitals in the U.S. was billed at $90,381 on average, while the average total payment was $18,230, of which Medicare paid $15,524. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for septicemia or severe sepsis without ventilator >96 hours with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Alaska ($24,932), Maryland ($24,452), New York ($24,427) and lowest in Vermont ($12,534), Mississippi ($14,185), Arkansas ($14,251).
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 5.0 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.