Signs and symptoms without major complications
What 569 hospitals in the U.S. charged and were paid for a Medicare hospital stay for signs and symptoms without major complications (DRG 948), from 2024 Medicare claims.
Average charge
$39,255
Hospital list price billed
Average payment
$8,086
Medicare + patient + other payers
Medicare paid
$6,097
Average per stay
Volume
11,326
Medicare hospital stays
Hospitals in the U.S. billed an average of $39,255 for signs and symptoms without major complications, about 4.9 times the average total payment of $8,086.
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 $8,086Billed $39,255
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
| Delray Medical CenterDelray Beach, FL | $4,789 |
|---|---|
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $5,157 |
| Baptist Hospital EastLouisville, KY | $5,160 |
| Weirton Medical CenterWeirton, WV | $5,209 |
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $5,453 |
| St Lukes HospitalCedar Rapids, IA | $5,560 |
| Mease Countryside HospitalSafety Harbor, FL | $5,580 |
| Camden Clark Memorial HospitalParkersburg, WV | $5,597 |
| Mercy Medical Center-DubuqueDubuque, IA | $5,640 |
| Rex HospitalRaleigh, NC | $5,675 |
Highest
| The Johns Hopkins HospitalBaltimore, MD | $18,331 |
|---|---|
| Stanford HospitalPalo Alto, CA | $17,722 |
| University of Alabama HospitalBirmingham, AL | $15,464 |
| Baltimore Washington Medical CenterGlen Burnie, MD | $14,915 |
| Barnes Jewish HospitalSt Louis, MO | $14,660 |
| Sinai Hospital of BaltimoreBaltimore, MD | $14,527 |
| St John's Episcopal Hospital at South ShoreFar Rockaway, NY | $14,322 |
| Good Samaritan HospitalBaltimore, MD | $14,258 |
| Upper Chesapeake Medical CenterBel Air, MD | $13,325 |
| Vanderbilt University HospitalNashville, TN | $13,205 |
Signs and symptoms 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 | 9 | $32,326 | $7,514 | $5,053 – $15,464 |
| Arizona | 10 | $41,940 | $7,340 | $5,763 – $12,406 |
| Arkansas | 5 | $19,241 | $5,981 | $5,346 – $6,342 |
| California | 49 | $69,543 | $9,560 | $7,222 – $17,722 |
| Colorado | 2 | $57,977 | $6,221 | $6,113 – $6,321 |
| Connecticut | 2 | $35,540 | $10,481 | $9,264 – $11,954 |
| Delaware | 3 | $31,531 | $7,686 | $6,446 – $8,229 |
| Florida | 47 | $43,446 | $6,991 | $4,789 – $15,834 |
| Georgia | 20 | $36,335 | $8,396 | $5,481 – $14,136 |
| Hawaii | 1 | $55,225 | $9,801 | – |
| Idaho | 3 | $30,113 | $6,530 | $5,408 – $7,178 |
| Illinois | 31 | $34,236 | $7,733 | $5,330 – $12,506 |
| Indiana | 18 | $29,299 | $6,838 | $5,453 – $10,279 |
| Iowa | 7 | $25,477 | $6,065 | $5,324 – $6,593 |
| Kansas | 6 | $38,294 | $6,521 | $5,031 – $8,148 |
| Kentucky | 13 | $29,046 | $6,216 | $5,160 – $9,090 |
| Louisiana | 9 | $32,367 | $6,130 | $5,273 – $8,389 |
| Maine | 1 | $26,307 | $7,725 | – |
| Maryland | 21 | $13,009 | $11,671 | $7,187 – $18,331 |
| Massachusetts | 24 | $24,854 | $8,132 | $6,375 – $11,793 |
| Michigan | 23 | $25,484 | $7,823 | $5,773 – $11,347 |
| Minnesota | 8 | $29,539 | $7,616 | $6,006 – $10,697 |
| Mississippi | 5 | $21,268 | $5,979 | $5,581 – $6,512 |
| Missouri | 12 | $36,180 | $7,688 | $5,321 – $14,660 |
| Montana | 2 | $30,348 | $7,617 | $6,247 – $9,182 |
| Nebraska | 5 | $36,925 | $9,440 | $5,654 – $20,583 |
| Nevada | 1 | $30,858 | $8,102 | – |
| New Hampshire | 4 | $29,292 | $6,374 | $5,898 – $6,670 |
| New Jersey | 23 | $58,302 | $7,860 | $6,419 – $13,129 |
| New Mexico | 1 | $24,112 | $10,241 | – |
| New York | 41 | $57,774 | $10,211 | $6,411 – $38,464 |
| North Carolina | 18 | $29,322 | $7,947 | $5,642 – $12,068 |
| North Dakota | 2 | $29,521 | $7,329 | $6,479 – $7,833 |
| Ohio | 23 | $28,323 | $7,146 | $5,483 – $10,428 |
| Oklahoma | 6 | $40,814 | $7,729 | $6,117 – $11,666 |
| Oregon | 3 | $32,186 | $9,224 | $7,811 – $12,228 |
| Pennsylvania | 30 | $46,230 | $7,637 | $5,152 – $12,850 |
| Rhode Island | 1 | $34,018 | $9,290 | – |
| South Carolina | 8 | $32,660 | $8,054 | $4,837 – $12,156 |
| South Dakota | 3 | $29,202 | $7,064 | $6,564 – $7,535 |
| Tennessee | 12 | $31,545 | $7,718 | $4,909 – $13,205 |
| Texas | 20 | $42,422 | $7,836 | $5,806 – $22,876 |
| Utah | 1 | $32,037 | $10,097 | – |
| Vermont | 1 | $33,034 | $6,261 | – |
| Virginia | 13 | $28,779 | $7,666 | $5,684 – $13,402 |
| Washington | 5 | $29,638 | $8,416 | $6,660 – $10,422 |
| West Virginia | 7 | $27,661 | $6,872 | $5,168 – $9,556 |
| Wisconsin | 8 | $33,021 | $8,145 | $5,241 – $11,143 |
| Wyoming | 1 | $22,818 | $7,420 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Sarasota Memorial HospitalSarasota, FL | 102 | $40,193 | $6,136 |
| New York-Presbyterian HospitalNew York, NY | 101 | $80,379 | $11,494 |
| NYU Hospitals CenterNew York, NY | 84 | $93,027 | $11,610 |
| Adventhealth OrlandoOrlando, FL | 75 | $59,094 | $6,856 |
| University HospitalStony Brook, NY | 61 | $72,684 | $10,943 |
| South Shore HospitalSouth Weymouth, MA | 60 | $14,111 | $6,402 |
| Grossmont HospitalLa Mesa, CA | 57 | $53,753 | $8,373 |
| Baptist Hospital EastLouisville, KY | 57 | $34,312 | $5,160 |
| Huntsville HospitalHuntsville, AL | 52 | $25,769 | $6,729 |
| Iowa Methodist Medical CenterDes Moines, IA | 51 | $30,854 | $6,441 |
| Massachusetts General HospitalBoston, MA | 49 | $54,067 | $11,793 |
| Community Medical CenterToms River, NJ | 49 | $57,355 | $6,918 |
| Orlando Regional HealthcareOrlando, FL | 47 | $47,616 | $8,054 |
| Anne Arundel Medical CenterAnnapolis, MD | 47 | $7,820 | $7,187 |
| Univ of Michigan HospitalsAnn Arbor, MI | 47 | $42,840 | $11,303 |
Questions
How much does signs and symptoms without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for signs and symptoms without major complications (DRG 948) at 569 hospitals in the U.S. was billed at $39,255 on average, while the average total payment was $8,086, of which Medicare paid $6,097. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for signs and symptoms without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($11,671), New York ($10,211), California ($9,560) and lowest in Mississippi ($5,979), Arkansas ($5,981), Iowa ($6,065).
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.