Tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications
What 34 hospitals in the U.S. charged and were paid for a Medicare hospital stay for tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications (DRG 012), from 2024 Medicare claims.
Average charge
$234,088
Hospital list price billed
Average payment
$53,118
Medicare + patient + other payers
Medicare paid
$40,955
Average per stay
Volume
625
Medicare hospital stays
Hospitals in the U.S. billed an average of $234,088 for tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications, about 4.4 times the average total payment of $53,118.
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 $53,118Billed $234,088
About 23¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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
| UPMC Presbyterian ShadysidePittsburgh, PA | $37,092 |
|---|---|
| University of Arkansas Medical SciencesLittle Rock, AR | $37,219 |
| University of Kansas HospitalKansas City, KS | $38,234 |
| University of Alabama HospitalBirmingham, AL | $39,195 |
| Barnes Jewish HospitalSt Louis, MO | $45,033 |
| Vanderbilt University HospitalNashville, TN | $46,984 |
| Hospital of the Univ of PaPhiladelphia, PA | $49,020 |
| Univ of Michigan HospitalsAnn Arbor, MI | $52,558 |
| Massachusetts Eye and Ear InfirmaryBoston, MA | $52,876 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $61,870 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $119,983 |
|---|---|
| Stanford HospitalPalo Alto, CA | $70,806 |
| USC University HospitalLos Angeles, CA | $69,340 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $61,870 |
| Massachusetts Eye and Ear InfirmaryBoston, MA | $52,876 |
| Univ of Michigan HospitalsAnn Arbor, MI | $52,558 |
| Hospital of the Univ of PaPhiladelphia, PA | $49,020 |
| Vanderbilt University HospitalNashville, TN | $46,984 |
| Barnes Jewish HospitalSt Louis, MO | $45,033 |
| University of Alabama HospitalBirmingham, AL | $39,195 |
Tracheostomy for face, mouth and neck diagnoses or laryngectomy with 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 | 1 | $200,667 | $39,195 | – |
| Arizona | 1 | $255,785 | $73,024 | – |
| Arkansas | 1 | $92,783 | $37,219 | – |
| California | 3 | $513,601 | $68,366 | $64,083 – $70,806 |
| Florida | 2 | $202,066 | $39,558 | $38,942 – $40,174 |
| Georgia | 1 | $215,811 | $51,417 | – |
| Illinois | 1 | $157,966 | $43,610 | – |
| Indiana | 1 | $227,310 | $40,303 | – |
| Iowa | 1 | $212,287 | $41,454 | – |
| Kansas | 1 | $206,228 | $38,234 | – |
| Kentucky | 1 | $171,250 | $35,180 | – |
| Maryland | 2 | $117,736 | $106,113 | $67,025 – $119,983 |
| Massachusetts | 1 | $110,272 | $52,876 | – |
| Michigan | 1 | $207,845 | $52,558 | – |
| Minnesota | 1 | $149,154 | $61,870 | – |
| Mississippi | 1 | $110,828 | $37,726 | – |
| Missouri | 1 | $142,040 | $45,033 | – |
| North Carolina | 3 | $159,986 | $51,133 | $43,411 – $59,521 |
| Ohio | 2 | $197,333 | $47,241 | $40,567 – $54,430 |
| Oregon | 1 | $207,447 | $63,387 | – |
| Pennsylvania | 3 | $331,461 | $43,843 | $37,092 – $49,020 |
| South Carolina | 1 | $640,653 | $30,625 | – |
| Tennessee | 1 | $246,090 | $46,984 | – |
| Texas | 1 | $234,846 | $46,485 | – |
| Virginia | 1 | $203,805 | $56,329 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 38 | $149,154 | $61,870 |
| University of Maryland Medical CenterBaltimore, MD | 31 | $132,529 | $119,983 |
| University of Kansas HospitalKansas City, KS | 28 | $206,228 | $38,234 |
| UPMC Presbyterian ShadysidePittsburgh, PA | 25 | $409,542 | $37,092 |
| USC University HospitalLos Angeles, CA | 24 | $333,163 | $69,340 |
| Massachusetts Eye and Ear InfirmaryBoston, MA | 24 | $110,272 | $52,876 |
| Univ of Michigan HospitalsAnn Arbor, MI | 24 | $207,845 | $52,558 |
| University of Alabama HospitalBirmingham, AL | 23 | $200,667 | $39,195 |
| Stanford HospitalPalo Alto, CA | 22 | $745,223 | $70,806 |
| University of Arkansas Medical SciencesLittle Rock, AR | 21 | $92,783 | $37,219 |
| Vanderbilt University HospitalNashville, TN | 21 | $246,090 | $46,984 |
| Barnes Jewish HospitalSt Louis, MO | 20 | $142,040 | $45,033 |
| Hospital of the Univ of PaPhiladelphia, PA | 20 | $291,752 | $49,020 |
| Shands Hospital at the University of FloridaGainesville, FL | 19 | $221,817 | $38,942 |
| Mayo ClinicJacksonville, FL | 19 | $182,314 | $40,174 |
Questions
How much does tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications (DRG 012) at 34 hospitals in the U.S. was billed at $234,088 on average, while the average total payment was $53,118, of which Medicare paid $40,955. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for tracheostomy for face, mouth and neck diagnoses or laryngectomy with complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($68,366), North Carolina ($51,133), Pennsylvania ($43,843) and lowest in Pennsylvania ($43,843), North Carolina ($51,133), California ($68,366).
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 4.4 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.