facebook tracking Septicemia or severe sepsis without ventilator >96 hours without major complications cost: hospital prices by state (DRG 872)

Septicemia or severe sepsis without ventilator >96 hours without major complications

What 2,216 hospitals in the U.S. charged and were paid for a Medicare hospital stay for septicemia or severe sepsis without ventilator >96 hours without major complications (DRG 872), from 2024 Medicare claims.

DRG 872 Inpatient 2024 Medicare data
Average charge $49,416 Hospital list price billed
Average payment $10,085 Medicare + patient + other payers
Medicare paid $7,681 Average per stay
Volume 103,998 Medicare hospital stays

Hospitals in the U.S. billed an average of $49,416 for septicemia or severe sepsis without ventilator >96 hours without major complications, about 4.9 times the average total payment of $10,085.

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 $10,085Billed $49,416

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:

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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

Rutland Regional Medical CenterRutland, VT$5,182
Marietta Memorial HospitalMarietta, OH$5,292
Central Vermont Medical CenterGraniteville-East Barre, VT$6,204
Saint Luke's South HospitalOverland Park, KS$6,212
Riverside Doctors' Hospital of WilliamsburgWilliamsburg, VA$6,331
St Tammany Parish HospitalCovington, LA$6,424
Boone Hospital CenterColumbia, MO$6,489
Mount Pleasant HospitalMount Pleasant, SC$6,515
Lake Hospital SystemPainesville, OH$6,518
Thomas Memorial HospitalSouth Charleston, WV$6,531

Highest

Septicemia or severe sepsis without ventilator >96 hours without 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 34 $40,521 $8,323 $6,566 – $13,384
Alaska 7 $64,826 $13,061 $9,930 – $17,829
Arizona 48 $48,254 $9,648 $7,441 – $16,106
Arkansas 24 $31,790 $7,807 $6,630 – $11,234
California 234 $76,403 $12,539 $8,169 – $29,028
Colorado 33 $65,618 $9,237 $7,401 – $16,639
Connecticut 25 $38,915 $11,460 $8,425 – $15,935
Delaware 6 $34,093 $9,700 $8,504 – $10,718
Florida 144 $62,877 $8,987 $6,635 – $18,298
Georgia 63 $44,196 $9,779 $6,616 – $23,146
Hawaii 8 $43,118 $14,243 $10,700 – $18,268
Idaho 10 $41,614 $9,419 $7,932 – $11,244
Illinois 89 $41,097 $9,811 $6,879 – $60,972
Indiana 54 $36,540 $8,663 $7,296 – $16,443
Iowa 26 $29,035 $8,038 $6,576 – $12,311
Kansas 23 $46,053 $8,290 $6,212 – $11,888
Kentucky 35 $35,003 $7,953 $6,975 – $11,918
Louisiana 37 $38,624 $7,994 $6,259 – $12,809
Maine 13 $32,236 $10,319 $7,471 – $13,476
Maryland 39 $14,573 $13,222 $9,167 – $24,520
Massachusetts 45 $24,488 $10,263 $7,976 – $19,488
Michigan 68 $29,442 $9,344 $6,766 – $14,194
Minnesota 40 $31,891 $9,454 $7,528 – $25,836
Mississippi 30 $36,058 $7,957 $6,893 – $12,174
Missouri 53 $39,635 $8,655 $6,449 – $14,485
Montana 10 $23,653 $8,575 $7,917 – $10,119
Nebraska 18 $32,315 $8,634 $6,888 – $12,313
Nevada 15 $107,147 $10,752 $8,970 – $14,083
New Hampshire 13 $38,768 $9,396 $7,906 – $13,262
New Jersey 53 $77,755 $10,712 $8,132 – $22,141
New Mexico 18 $39,067 $9,606 $6,489 – $13,337
New York 107 $61,586 $12,605 $8,347 – $54,830
North Carolina 63 $33,375 $9,342 $6,751 – $16,325
North Dakota 6 $24,843 $8,571 $7,738 – $8,986
Ohio 85 $34,239 $8,602 $5,292 – $13,880
Oklahoma 33 $36,887 $8,667 $6,703 – $17,657
Oregon 25 $33,698 $10,767 $8,490 – $13,904
Pennsylvania 99 $50,108 $9,070 $6,751 – $15,649
Rhode Island 8 $32,063 $10,751 $7,936 – $13,362
South Carolina 39 $44,588 $8,981 $6,515 – $15,071
South Dakota 8 $38,630 $9,169 $7,160 – $10,330
Tennessee 56 $41,248 $8,717 $6,626 – $16,404
Texas 159 $58,964 $10,116 $6,229 – $126,576
Utah 22 $32,552 $9,376 $6,583 – $12,944
Vermont 6 $30,180 $7,340 $5,182 – $11,778
Virginia 63 $36,992 $8,961 $6,331 – $16,204
Washington 42 $43,160 $9,984 $8,442 – $12,867
West Virginia 19 $34,177 $8,528 $6,531 – $10,610
Wisconsin 51 $34,544 $8,938 $6,788 – $13,638
Wyoming 5 $38,721 $11,570 $9,915 – $12,600

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Adventhealth OrlandoOrlando, FL490$70,119$9,903
New York-Presbyterian HospitalNew York, NY374$100,615$17,084
NYU Hospitals CenterNew York, NY358$98,829$15,494
Methodist HospitalSan Antonio, TX350$71,454$8,634
Sutter Roseville Medical CenterRoseville, CA283$57,256$11,321
Oroville HospitalOroville, CA262$29,539$10,230
Jefferson Stratford HospitalCherry Hill, NJ254$67,617$10,228
North Shore University HospitalManhasset, NY237$92,271$13,496
Hoag Memorial Hospital PresbyterianNewport Beach, CA235$45,733$10,240
Cedars-Sinai Medical CenterLos Angeles, CA231$168,556$15,292
Martin Memorial Health SystemsStuart, FL231$35,499$7,116
Lehigh Valley HospitalAllentown, PA227$59,240$9,639
Sarasota Memorial HospitalSarasota, FL226$47,045$7,936
Cape Cod HospitalHyannis, MA221$20,066$10,602
Eisenhower Memorial HospitalRancho Mirage, CA214$65,207$11,553

Questions

How much does septicemia or severe sepsis without ventilator >96 hours without major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for septicemia or severe sepsis without ventilator >96 hours without major complications (DRG 872) at 2,216 hospitals in the U.S. was billed at $49,416 on average, while the average total payment was $10,085, of which Medicare paid $7,681. 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 without major complications?

Among states with at least three hospitals reporting, the average total payment was highest in Hawaii ($14,243), Maryland ($13,222), Alaska ($13,061) and lowest in Vermont ($7,340), Arkansas ($7,807), Kentucky ($7,953).

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 4.9 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.