facebook tracking Simple pneumonia and pleurisy with major complications cost in Alaska: 7 hospitals compared (DRG 193)

Simple pneumonia and pleurisy with major complications in Alaska

What 7 hospitals in Alaska charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.

DRG 193 Inpatient 2024 Medicare data
Average charge $81,360 Hospital list price billed
Average payment $16,879 Medicare + patient + other payers
Medicare paid $15,263 Average per stay
State rank #50 of 50 1 = lowest average payment

Hospitals in Alaska billed an average of $81,360 for simple pneumonia and pleurisy with major complications, about 4.8 times the average total payment of $16,879. That payment is 40% above the U.S. average of $12,020.

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 $16,879Billed $81,360

About 21¢ was paid for every $1 hospitals in Alaska billed for this stay.

Alaska hospitals: simple pneumonia and pleurisy with major complications

Every Alaska hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Providence Alaska Medical CtrAnchorage 62 $90,408 $13,696 $10,680
Alaska Regional HospitalAnchorage 54 $109,677 $11,744 $10,726
Central Peninsula General HospitalSoldotna 50 $62,504 $21,438 $20,165
Mat-Su Regional Medical CenterPalmer 44 $98,790 $16,670 $15,372
Fairbanks Memorial HospitalFairbanks 35 $45,179 $20,958 $19,700
Alaska Native Medical CenterAnchorage 19 $71,658 $18,857 $17,655
Bartlett Regional HospitalJuneau 14 $48,246 $22,266 $20,867
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Lowest and highest payments in Alaska

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Alaska Regional HospitalAnchorage, AK$11,744
Providence Alaska Medical CtrAnchorage, AK$13,696
Mat-Su Regional Medical CenterPalmer, AK$16,670
Alaska Native Medical CenterAnchorage, AK$18,857
Fairbanks Memorial HospitalFairbanks, AK$20,958

Highest

Simple pneumonia and pleurisy with major complications in other states

Questions

How much does simple pneumonia and pleurisy with major complications cost in Alaska?

In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 7 hospitals in Alaska was billed at $81,360 on average, while the average total payment was $16,879, of which Medicare paid $15,263. Your own cost depends on your insurance, deductible and the hospital.

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 Alaska, average charges were 4.8 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.