Tracheostomy for face, mouth and neck diagnoses or laryngectomy with major complications
What 26 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 major complications (DRG 011), from 2024 Medicare claims.
Average charge
$305,286
Hospital list price billed
Average payment
$65,224
Medicare + patient + other payers
Medicare paid
$52,601
Average per stay
Volume
371
Medicare hospital stays
Hospitals in the U.S. billed an average of $305,286 for tracheostomy for face, mouth and neck diagnoses or laryngectomy with major complications, about 4.7 times the average total payment of $65,224.
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 $65,224Billed $305,286
About 21¢ 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:
Tracheostomy for face, mouth and neck diagnoses or laryngectomy 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 |
|---|---|---|---|---|
| Alabama | 1 | $308,391 | $62,601 | – |
| California | 2 | $493,729 | $95,383 | $94,196 – $96,654 |
| Florida | 2 | $395,718 | $55,392 | $50,711 – $64,327 |
| Georgia | 1 | $300,891 | $60,457 | – |
| Indiana | 1 | $262,696 | $61,935 | – |
| Iowa | 1 | $291,581 | $51,548 | – |
| Kansas | 1 | $247,056 | $47,840 | – |
| Maryland | 1 | $137,251 | $126,472 | – |
| Massachusetts | 1 | $119,075 | $64,777 | – |
| Michigan | 1 | $204,968 | $71,022 | – |
| Minnesota | 1 | $173,038 | $66,500 | – |
| Missouri | 1 | $211,851 | $60,217 | – |
| North Carolina | 1 | $142,601 | $68,508 | – |
| Ohio | 2 | $222,313 | $54,898 | $51,425 – $57,145 |
| Oklahoma | 1 | $155,637 | $38,902 | – |
| Pennsylvania | 3 | $465,238 | $56,594 | $50,612 – $70,067 |
| South Carolina | 2 | $444,823 | $67,410 | $63,865 – $70,659 |
| Tennessee | 1 | $336,839 | $68,760 | – |
| Texas | 1 | $247,827 | $51,500 | – |
| Washington | 1 | $332,180 | $82,645 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| University of Kansas HospitalKansas City, KS | 24 | $247,056 | $47,840 |
| Adventhealth OrlandoOrlando, FL | 21 | $408,837 | $50,711 |
| UPMC Presbyterian ShadysidePittsburgh, PA | 19 | $499,122 | $51,468 |
| University of Maryland Medical CenterBaltimore, MD | 17 | $137,251 | $126,472 |
| Cleveland Clinic - Main CampusCleveland, OH | 17 | $233,699 | $57,145 |
| Univ of Michigan HospitalsAnn Arbor, MI | 16 | $204,968 | $71,022 |
| UCSF Medical CenterSan Francisco, CA | 15 | $467,466 | $94,196 |
| Clarian Health PartnersIndianapolis, IN | 15 | $262,696 | $61,935 |
| Barnes Jewish HospitalSt Louis, MO | 15 | $211,851 | $60,217 |
| USC University HospitalLos Angeles, CA | 14 | $521,869 | $96,654 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 14 | $173,038 | $66,500 |
| UNC HospitalsChapel Hill, NC | 14 | $142,601 | $68,508 |
| St John Medical Center, INCTulsa, OK | 14 | $155,637 | $38,902 |
| Emory University Hospital MidtownAtlanta, GA | 13 | $300,891 | $60,457 |
| University of Iowa Hospital & ClinicsIowa City, IA | 13 | $291,581 | $51,548 |
Questions
How much does tracheostomy for face, mouth and neck diagnoses or laryngectomy with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for tracheostomy for face, mouth and neck diagnoses or laryngectomy with major complications (DRG 011) at 26 hospitals in the U.S. was billed at $305,286 on average, while the average total payment was $65,224, of which Medicare paid $52,601. 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 major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Pennsylvania ($56,594) and lowest in Pennsylvania ($56,594).
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.