Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou
What 212 hospitals in the U.S. charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.
Average charge
$680,475
Hospital list price billed
Average payment
$139,119
Medicare + patient + other payers
Medicare paid
$120,704
Average per stay
Volume
3,589
Medicare hospital stays
Hospitals in the U.S. billed an average of $680,475 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 4.9 times the average total payment of $139,119.
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 $139,119Billed $680,475
About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.
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
| CHI St. Vincent Hospital Hot SpringsHot Springs, AR | $45,527 |
|---|---|
| Orlando Regional HealthcareOrlando, FL | $75,832 |
| Baptist Memorial HospitalMemphis, TN | $77,170 |
| Methodist Healthcare-MemphisMemphis, TN | $78,398 |
| Methodist HospitalSan Antonio, TX | $78,692 |
| Forrest General HospitalHattiesburg, MS | $82,269 |
| Mem Hermann Southwest HospHouston, TX | $83,298 |
| Deaconess Hospital INCEvansville, IN | $86,751 |
| North Mississippi Medical CenterTupelo, MS | $87,170 |
| West Virginia University HospitalsMorgantown, WV | $88,102 |
Highest
| New York-Presbyterian HospitalNew York, NY | $291,018 |
|---|---|
| Mount Sinai WestNew York, NY | $280,867 |
| UCSF Medical CenterSan Francisco, CA | $272,143 |
| Mount Sinai HospitalNew York, NY | $259,972 |
| Hospital of the Univ of PaPhiladelphia, PA | $226,640 |
| Montefiore Medical CenterBronx, NY | $223,091 |
| Providence Saint Joseph Medical CtrBurbank, CA | $211,496 |
| NYU Hospitals CenterNew York, NY | $210,831 |
| Westchester Medical CenterValhalla, NY | $209,641 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $208,772 |
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou 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 | 2 | $507,118 | $113,761 | $101,008 – $130,438 |
| Arizona | 3 | $488,216 | $123,794 | $102,631 – $157,070 |
| Arkansas | 4 | $232,382 | $65,397 | $45,527 – $80,332 |
| California | 22 | $1,305,849 | $198,823 | $98,367 – $539,356 |
| Colorado | 2 | $1,247,173 | $120,015 | $115,291 – $125,466 |
| Connecticut | 2 | $780,665 | $204,478 | $151,022 – $245,355 |
| Delaware | 1 | $343,823 | $114,051 | – |
| Florida | 18 | $612,877 | $97,025 | $60,151 – $164,571 |
| Georgia | 9 | $573,229 | $115,038 | $59,661 – $187,713 |
| Hawaii | 1 | $722,593 | $136,560 | – |
| Illinois | 5 | $527,121 | $142,837 | $115,545 – $160,978 |
| Indiana | 2 | $386,192 | $96,861 | $86,751 – $111,303 |
| Kentucky | 4 | $315,293 | $95,031 | $72,660 – $115,185 |
| Louisiana | 3 | $503,180 | $92,142 | $67,955 – $115,590 |
| Maryland | 6 | $164,588 | $147,049 | $94,838 – $194,003 |
| Massachusetts | 4 | $581,992 | $167,009 | $133,246 – $213,542 |
| Michigan | 6 | $385,980 | $115,230 | $88,810 – $163,777 |
| Minnesota | 1 | $393,097 | $154,939 | – |
| Mississippi | 4 | $310,357 | $97,743 | $81,753 – $121,020 |
| Missouri | 5 | $395,617 | $121,450 | $75,383 – $161,521 |
| Nevada | 4 | $1,202,713 | $120,554 | $82,786 – $162,586 |
| New Jersey | 10 | $702,629 | $131,125 | $68,586 – $181,357 |
| New Mexico | 1 | $253,724 | $126,258 | – |
| New York | 28 | $879,115 | $191,793 | $105,457 – $291,018 |
| North Carolina | 6 | $337,276 | $121,981 | $83,364 – $188,982 |
| North Dakota | 1 | $332,659 | $105,988 | – |
| Ohio | 8 | $464,536 | $114,699 | $84,421 – $144,119 |
| Oklahoma | 3 | $413,044 | $85,130 | $72,698 – $95,220 |
| Pennsylvania | 10 | $904,614 | $144,543 | $77,810 – $226,640 |
| South Carolina | 6 | $472,021 | $117,468 | $68,631 – $177,655 |
| Tennessee | 6 | $375,027 | $88,620 | $56,238 – $138,159 |
| Texas | 15 | $682,383 | $112,150 | $64,738 – $187,678 |
| Virginia | 5 | $638,878 | $178,388 | $107,169 – $308,828 |
| West Virginia | 2 | $338,867 | $93,001 | $88,102 – $101,574 |
| Wisconsin | 1 | $428,140 | $130,488 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Maimonides Medical CenterBrooklyn, NY | 70 | $771,408 | $186,537 |
| New York-Presbyterian HospitalNew York, NY | 56 | $1,667,320 | $291,018 |
| Adventhealth OrlandoOrlando, FL | 49 | $663,043 | $108,053 |
| Mount Sinai HospitalNew York, NY | 42 | $1,122,394 | $259,972 |
| Methodist HospitalSan Antonio, TX | 41 | $900,669 | $78,692 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 36 | $2,172,667 | $208,772 |
| NYU Hospitals CenterNew York, NY | 35 | $1,156,313 | $210,831 |
| University of Mississippi Med CenterJackson, MS | 32 | $336,449 | $121,020 |
| Methodist Healthcare-MemphisMemphis, TN | 32 | $284,458 | $78,398 |
| South Nassau Communities HospitalOceanside, NY | 30 | $953,241 | $138,618 |
| Thomas Jefferson University HospitalPhiladelphia, PA | 30 | $466,429 | $149,652 |
| Jackson Health SystemMiami, FL | 29 | $411,370 | $113,793 |
| Mem Hermann Southwest HospHouston, TX | 29 | $346,701 | $83,298 |
| CHI St. Vincent Hospital Hot SpringsHot Springs, AR | 28 | $140,791 | $45,527 |
| Christiana Care Health Services, INC.Newark, DE | 27 | $343,823 | $114,051 |
Questions
How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in the U.S.?
In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 212 hospitals in the U.S. was billed at $680,475 on average, while the average total payment was $139,119, of which Medicare paid $120,704. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou?
Among states with at least three hospitals reporting, the average total payment was highest in California ($198,823), New York ($191,793), Virginia ($178,388) and lowest in Arkansas ($65,397), Oklahoma ($85,130), Tennessee ($88,620).
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.