Viral illness without major complications
What 34 hospitals in the U.S. charged and were paid for a Medicare hospital stay for viral illness without major complications (DRG 866), from 2024 Medicare claims.
Average charge
$57,108
Hospital list price billed
Average payment
$11,755
Medicare + patient + other payers
Medicare paid
$7,724
Average per stay
Volume
536
Medicare hospital stays
Hospitals in the U.S. billed an average of $57,108 for viral illness without major complications, about 4.9 times the average total payment of $11,755.
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.
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
| Adventhealth OrlandoOrlando, FL | $8,057 |
|---|---|
| Duke University Medical CenterDurham, NC | $11,835 |
| New York-Presbyterian HospitalNew York, NY | $12,422 |
| Massachusetts General HospitalBoston, MA | $12,567 |
| North Shore University HospitalManhasset, NY | $13,568 |
| NYU Hospitals CenterNew York, NY | $16,410 |
Highest
| NYU Hospitals CenterNew York, NY | $16,410 |
|---|---|
| North Shore University HospitalManhasset, NY | $13,568 |
| Massachusetts General HospitalBoston, MA | $12,567 |
| New York-Presbyterian HospitalNew York, NY | $12,422 |
| Duke University Medical CenterDurham, NC | $11,835 |
| Adventhealth OrlandoOrlando, FL | $8,057 |
Viral illness without 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 |
|---|---|---|---|---|
| Arizona | 1 | $24,359 | $15,204 | – |
| California | 1 | $91,332 | $19,393 | – |
| Connecticut | 1 | $45,893 | $13,840 | – |
| Delaware | 1 | $34,096 | $8,868 | – |
| Florida | 2 | $63,229 | $9,028 | $8,057 – $10,747 |
| Illinois | 2 | $30,305 | $10,115 | $6,809 – $13,861 |
| Kansas | 1 | $89,771 | $12,074 | – |
| Maryland | 1 | $14,174 | $12,321 | – |
| Massachusetts | 3 | $34,822 | $11,073 | $7,547 – $12,567 |
| Michigan | 2 | $26,718 | $9,056 | $6,502 – $11,397 |
| Missouri | 1 | $38,476 | $12,852 | – |
| New Jersey | 2 | $62,675 | $11,103 | $7,849 – $14,559 |
| New York | 7 | $88,204 | $12,864 | $7,612 – $16,410 |
| North Carolina | 1 | $23,347 | $11,835 | – |
| Ohio | 1 | $66,112 | $13,627 | – |
| Pennsylvania | 4 | $53,877 | $9,027 | $6,777 – $13,208 |
| Tennessee | 1 | $44,445 | $12,884 | – |
| Virginia | 1 | $54,602 | $15,502 | – |
| Wisconsin | 1 | $26,366 | $10,565 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 30 | $153,577 | $16,410 |
| New York-Presbyterian HospitalNew York, NY | 29 | $75,079 | $12,422 |
| Adventhealth OrlandoOrlando, FL | 23 | $67,117 | $8,057 |
| Duke University Medical CenterDurham, NC | 22 | $23,347 | $11,835 |
| Massachusetts General HospitalBoston, MA | 21 | $54,732 | $12,567 |
| North Shore University HospitalManhasset, NY | 21 | $97,672 | $13,568 |
| Yale-New Haven HospitalNew Haven, CT | 19 | $45,893 | $13,840 |
| St Francis Hospital, RoslynRoslyn, NY | 19 | $44,970 | $9,031 |
| Northwest Community HospitalArlington Heights, IL | 17 | $20,846 | $6,809 |
| Valley HospitalRidgewood, NJ | 17 | $36,437 | $7,849 |
| Hackensack University Medical CenterHackensack, NJ | 16 | $90,552 | $14,559 |
| University HospitalStony Brook, NY | 16 | $50,784 | $13,436 |
| Christiana Care Health Services, INC.Newark, DE | 15 | $34,096 | $8,868 |
| Northwestern Memorial HospitalChicago, IL | 15 | $41,027 | $13,861 |
| University of Kansas HospitalKansas City, KS | 15 | $89,771 | $12,074 |
Questions
How much does viral illness without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for viral illness without major complications (DRG 866) at 34 hospitals in the U.S. was billed at $57,108 on average, while the average total payment was $11,755, of which Medicare paid $7,724. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for viral illness without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($12,864), Massachusetts ($11,073), Pennsylvania ($9,027) and lowest in Pennsylvania ($9,027), Massachusetts ($11,073), New York ($12,864).
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.