Signs and symptoms with major complications
What 93 hospitals in the U.S. charged and were paid for a Medicare hospital stay for signs and symptoms with major complications (DRG 947), from 2024 Medicare claims.
Average charge
$71,557
Hospital list price billed
Average payment
$15,144
Medicare + patient + other payers
Medicare paid
$11,395
Average per stay
Volume
1,417
Medicare hospital stays
Hospitals in the U.S. billed an average of $71,557 for signs and symptoms with major complications, about 4.7 times the average total payment of $15,144.
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 $15,144Billed $71,557
About 21¢ 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
| Sarasota Memorial HospitalSarasota, FL | $9,117 |
|---|---|
| McLeod Regional Medical CenterFlorence, SC | $10,250 |
| Adventhealth OrlandoOrlando, FL | $10,649 |
| Community Medical CenterToms River, NJ | $11,022 |
| Baylor University Medical CenterDallas, TX | $14,076 |
| Cleveland Clinic - Main CampusCleveland, OH | $14,335 |
| Massachusetts General HospitalBoston, MA | $17,528 |
| New York-Presbyterian HospitalNew York, NY | $18,051 |
| NYU Hospitals CenterNew York, NY | $19,614 |
| Vanderbilt University HospitalNashville, TN | $21,900 |
Highest
| Stanford HospitalPalo Alto, CA | $26,698 |
|---|---|
| Brigham and Women's HosptialBoston, MA | $24,113 |
| Vanderbilt University HospitalNashville, TN | $21,900 |
| NYU Hospitals CenterNew York, NY | $19,614 |
| New York-Presbyterian HospitalNew York, NY | $18,051 |
| Massachusetts General HospitalBoston, MA | $17,528 |
| Cleveland Clinic - Main CampusCleveland, OH | $14,335 |
| Baylor University Medical CenterDallas, TX | $14,076 |
| Community Medical CenterToms River, NJ | $11,022 |
| Adventhealth OrlandoOrlando, FL | $10,649 |
Signs and symptoms 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 | 2 | $58,122 | $19,400 | $9,018 – $25,957 |
| California | 5 | $144,723 | $19,968 | $11,754 – $26,698 |
| Connecticut | 1 | $65,325 | $20,454 | – |
| Delaware | 1 | $54,591 | $12,513 | – |
| Florida | 9 | $63,348 | $10,860 | $8,491 – $18,113 |
| Georgia | 1 | $61,860 | $18,826 | – |
| Illinois | 4 | $42,518 | $14,555 | $9,082 – $18,675 |
| Iowa | 2 | $66,518 | $12,809 | $9,820 – $16,341 |
| Kansas | 2 | $64,327 | $11,373 | $9,666 – $12,938 |
| Kentucky | 2 | $62,834 | $10,367 | $9,193 – $11,046 |
| Louisiana | 1 | $38,434 | $9,344 | – |
| Maryland | 4 | $24,676 | $21,911 | $9,942 – $36,569 |
| Massachusetts | 6 | $61,320 | $16,487 | $9,526 – $24,113 |
| Michigan | 5 | $40,783 | $12,606 | $9,014 – $17,785 |
| Minnesota | 2 | $35,172 | $14,924 | $12,841 – $16,131 |
| Mississippi | 1 | $42,142 | $9,833 | – |
| Nebraska | 1 | $19,305 | $9,740 | – |
| Nevada | 1 | $22,215 | $10,653 | – |
| New Jersey | 6 | $83,243 | $10,714 | $9,795 – $11,670 |
| New York | 10 | $117,362 | $18,132 | $10,344 – $21,391 |
| North Carolina | 6 | $51,773 | $14,019 | $8,280 – $21,808 |
| Ohio | 3 | $47,791 | $12,202 | $8,905 – $14,335 |
| Pennsylvania | 3 | $128,250 | $16,059 | $8,964 – $27,423 |
| South Carolina | 2 | $45,768 | $12,903 | $10,250 – $16,985 |
| Tennessee | 1 | $97,180 | $21,900 | – |
| Texas | 6 | $63,534 | $19,102 | $8,373 – $57,306 |
| Virginia | 1 | $22,899 | $11,275 | – |
| Washington | 3 | $44,476 | $11,708 | $10,206 – $15,047 |
| Wisconsin | 1 | $62,286 | $14,785 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 46 | $138,730 | $19,614 |
| Sarasota Memorial HospitalSarasota, FL | 34 | $44,634 | $9,117 |
| Stanford HospitalPalo Alto, CA | 33 | $274,037 | $26,698 |
| Adventhealth OrlandoOrlando, FL | 30 | $86,811 | $10,649 |
| Brigham and Women's HosptialBoston, MA | 27 | $110,218 | $24,113 |
| New York-Presbyterian HospitalNew York, NY | 26 | $111,359 | $18,051 |
| Vanderbilt University HospitalNashville, TN | 25 | $97,180 | $21,900 |
| Cleveland Clinic - Main CampusCleveland, OH | 23 | $49,033 | $14,335 |
| Baylor University Medical CenterDallas, TX | 23 | $43,098 | $14,076 |
| Massachusetts General HospitalBoston, MA | 21 | $73,145 | $17,528 |
| Community Medical CenterToms River, NJ | 20 | $73,128 | $11,022 |
| McLeod Regional Medical CenterFlorence, SC | 20 | $43,886 | $10,250 |
| Mayo Clinic HospitalPhoenix, AZ | 19 | $60,281 | $25,957 |
| Baptist Hospital EastLouisville, KY | 19 | $77,491 | $11,046 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 19 | $37,796 | $16,131 |
Questions
How much does signs and symptoms with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for signs and symptoms with major complications (DRG 947) at 93 hospitals in the U.S. was billed at $71,557 on average, while the average total payment was $15,144, of which Medicare paid $11,395. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for signs and symptoms with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($21,911), California ($19,968), Texas ($19,102) and lowest in New Jersey ($10,714), Florida ($10,860), Washington ($11,708).
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 4.7 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.