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Inpatient stay · MS-DRG 168 · Surgery or procedure

Other respiratory system O.R. procedures without CC/MCC

In 2024, Medicare and patients paid an average of $15,575 per stay at 6 hospitals. Half of hospitals averaged between $13,012 and $15,720.

Limited data: use with caution

Only 6 hospitals reported this in 2024 (76 stays). Medicare covers few patients for some procedures (births, for example), and CMS leaves out hospitals with fewer than 11 cases, so these figures may not represent typical costs.

National figures, 2024

Average payment per case
$15,575
Typical range (middle half of hospitals)
$13,012–$15,720
Medicare’s share
$12,18778% of the payment
Average billed charge
$67,320
Hospitals reporting
676 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

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

Medicare payments per case for Other respiratory system O.R. procedures without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
St Joseph's Hospital - SavannahSavannah, GA · CCN 11004312$9,57839% below the national average$6,962$39,596
Tristar Centennial Medical CenterNashville, TN · CCN 44016112$12,38021% below the national average$8,213$126,589
Duke University HospitalDurham, NC · CCN 34003012$14,909About average$11,851$45,797
Barnes Jewish HospitalSaint Louis, MO · CCN 26003215$15,034About average$10,707$49,840
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 39011114$15,949About average$13,251$106,725
The Johns Hopkins HospitalBaltimore, MD · CCN 21000911$26,59471% above the national average$23,256$30,074

National trend

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

  • Average payment
  • Average billed charge
2020: 103 stays at 8 hospitals · 2021: 112 stays at 9 hospitals · 2022: 113 stays at 8 hospitals · 2023: 69 stays at 5 hospitals · 2024: 76 stays at 6 hospitals
View data as a table
National average payment and billed charge for Other respiratory system O.R. procedures without CC/MCC
Year of careAverage paymentAverage billed charge
2020$13K$61K
2021$14K$61K
2022$15K$56K
2023$18K$89K
2024$16K$67K

By state, 2024

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

Show all 6 states
Average payment by state for Other respiratory system O.R. procedures without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Georgia112$9,578$9,578–$9,578
Tennessee112$12,380$12,380–$12,380
North Carolina112$14,909$14,909–$14,909
Missouri115$15,034$15,034–$15,034
Pennsylvania114$15,949$15,949–$15,949
Maryland111$26,594$26,594–$26,594

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.