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Inpatient stay · MS-DRG 155

Other ear, nose, mouth and throat diagnoses with CC

In 2024, Medicare and patients paid an average of $10,280 per stay at 14 hospitals. Half of hospitals averaged between $8,176 and $12,765.

National figures, 2024

Average payment per case
$10,280
Typical range (middle half of hospitals)
$8,176–$12,765
Medicare’s share
$7,39672% of the payment
Average billed charge
$60,942
Hospitals reporting
14205 stays

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Specific hospitals up to 10

14 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Other ear, nose, mouth and throat diagnoses with CC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sarasota Memorial HospitalSarasota, FL · CCN 10008711$7,44928% below the national average$5,930$47,427
South Shore HospitalSouth Weymouth, MA · CCN 22010013$7,81124% below the national average$6,430$14,322
HCA Florida Lawnwood HospitalFort Pierce, FL · CCN 10024611$8,04622% below the national average$6,508$104,849
Jefferson Abington HospitalAbington, PA · CCN 39023114$8,17320% below the national average$6,380$35,585
Christiana HospitalNewark, DE · CCN 08000111$8,18620% below the national average$6,963$28,340
Lehigh Valley HospitalAllentown, PA · CCN 39013326$8,55517% below the national average$6,578$61,819
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 14001014$8,80414% below the national average$7,149$27,796
AdventHealth OrlandoOrlando, FL · CCN 10000724$9,884About average$5,457$53,282
Morristown Medical CenterMorristown, NJ · CCN 31001511$12,25119% above the national average$7,275$85,480
New York-Presbyterian HospitalNew York, NY · CCN 33010118$12,67923% above the national average$9,654$66,442
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062512$12,79324% above the national average$10,044$121,607
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 22016312$13,16028% above the national average$8,816$32,058
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 31003811$13,25129% above the national average$7,826$129,166
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 33039317$13,40230% above the national average$9,504$67,389

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 125 stays at 9 hospitals · 2021: 88 stays at 6 hospitals · 2022: 149 stays at 11 hospitals · 2023: 192 stays at 13 hospitals · 2024: 205 stays at 14 hospitals
View data as a table
National average payment and billed charge for Other ear, nose, mouth and throat diagnoses with CC
Year of careAverage paymentAverage billed charge
2020$8,906$47K
2021$9,128$38K
2022$10K$48K
2023$11K$59K
2024$10K$61K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 8 states
Average payment by state for Other ear, nose, mouth and throat diagnoses with CC, 2024
StateHospitalsCasesAverage paymentTypical range
Delaware111$8,186$8,186–$8,186
Pennsylvania240$8,422$8,269–$8,460
Illinois114$8,804$8,804–$8,804
Florida346$8,862$7,748–$8,965
Massachusetts225$10,378$9,148–$11,823
New Jersey222$12,751$12,501–$13,001
California112$12,793$12,793–$12,793
New York235$13,030$12,860–$13,221

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.