facebook tracking Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Arkansas: 4 hospitals compared (DRG 004)

Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in Arkansas

What 4 hospitals in Arkansas 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.

DRG 004 Inpatient 2024 Medicare data
Average charge $232,382 Hospital list price billed
Average payment $65,397 Medicare + patient + other payers
Medicare paid $60,735 Average per stay
State rank #1 of 24 1 = lowest average payment

Hospitals in Arkansas billed an average of $232,382 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 3.6 times the average total payment of $65,397. That payment is 53% below the U.S. average 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 $65,397Billed $232,382

About 28¢ was paid for every $1 hospitals in Arkansas billed for this stay.

Arkansas hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou

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

Hospital Stays Avg charge Avg payment Medicare paid
CHI St. Vincent Hospital Hot SpringsHot Springs 28 $140,791 $45,527 $44,598
Baptist Health Medical Center-Little RockLittle Rock 17 $399,451 $80,332 $68,018
St Vincent Infirmary Medical CenterLittle Rock 14 $296,366 $76,108 $74,881
University of Arkansas Medical SciencesLittle Rock 11 $125,891 $79,261 $72,551
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Lowest and highest payments in Arkansas

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.

Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states

Questions

How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Arkansas?

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 4 hospitals in Arkansas was billed at $232,382 on average, while the average total payment was $65,397, of which Medicare paid $60,735. 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 Arkansas, average charges were 3.6 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.