Inpatient stay · MS-DRG 176

Pulmonary embolism without MCC

In 2024, Medicare and patients paid an average of $8,293 per stay at 515 hospitals. Half of hospitals averaged between $6,587 and $9,217.

National figures, 2024

Average payment per case: $8,293
Typical range (middle half of hospitals): $6,587–$9,217
Medicare’s share: $5,97972% of the payment
Average billed charge: $41,798
Hospitals reporting: 5159,457 stays

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Year of care

515 hospitals reported at least 11 Medicare stays for this in 2024; showing 401–450. Download as CSV

Medicare payments per case for Pulmonary embolism without MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
El Camino HealthMountain View, CA · CCN 050308	22	$9,371	13% above the national average	$8,169	$119,893
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	26	$9,437	14% above the national average	$6,265	$18,668
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	16	$9,439	14% above the national average	$7,243	$38,853
Inova Fairfax HospitalFalls Church, VA · CCN 490063	17	$9,452	14% above the national average	$5,393	$29,688
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	20	$9,471	14% above the national average	$8,165	$95,724
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	17	$9,496	14% above the national average	$7,575	$60,596
Memorial Hospital WestPembroke Pines, FL · CCN 100281	16	$9,522	15% above the national average	$6,333	$93,201
UH St John Medical CenterWestlake, OH · CCN 360123	12	$9,527	15% above the national average	$7,795	$27,546
Kaweah Health Medical CenterVisalia, CA · CCN 050057	19	$9,534	15% above the national average	$7,880	$31,528
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	15	$9,534	15% above the national average	$7,664	$47,645
The Miriam HospitalProvidence, RI · CCN 410012	22	$9,589	16% above the national average	$5,285	$20,295
Kent County Memorial HospitalWarwick, RI · CCN 410009	11	$9,606	16% above the national average	$5,645	$20,749
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	13	$9,619	16% above the national average	$6,078	$34,419
United Regional Health Care SystemWichita Falls, TX · CCN 450010	20	$9,646	16% above the national average	$4,726	$26,383
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	15	$9,653	16% above the national average	$6,938	$42,300
Orlando HealthOrlando, FL · CCN 100006	37	$9,721	17% above the national average	$6,790	$70,637
Indiana University HealthIndianapolis, IN · CCN 150056	19	$9,783	18% above the national average	$6,976	$35,793
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	13	$9,822	18% above the national average	$7,754	$87,461
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	21	$9,823	18% above the national average	$5,521	$69,054
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	12	$9,849	19% above the national average	$8,363	$166,577
Northside Hospital ForsythCumming, GA · CCN 110005	11	$9,852	19% above the national average	$4,407	$47,323
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093	11	$9,861	19% above the national average	$5,234	$22,698
Portsmouth Regional HospitalPortsmouth, NH · CCN 300029	14	$9,879	19% above the national average	$4,764	$53,385
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	11	$9,910	19% above the national average	$7,518	$51,484
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	16	$9,926	20% above the national average	$7,156	$46,555
Baylor University Medical CenterDallas, TX · CCN 450021	19	$9,945	20% above the national average	$6,762	$38,300
University Of Washington Medical CenterSeattle, WA · CCN 500008	17	$9,949	20% above the national average	$6,093	$27,533
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	13	$9,950	20% above the national average	$7,597	$39,008
UF Health Shands HospitalGainesville, FL · CCN 100113	34	$9,976	20% above the national average	$6,668	$48,917
The Nebraska Medical CenterOmaha, NE · CCN 280013	12	$9,988	20% above the national average	$6,103	$29,777
Milton S Hershey Medical CenterHershey, PA · CCN 390256	11	$10,106	22% above the national average	$6,361	$42,338
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	15	$10,108	22% above the national average	$6,945	$39,099
St Lukes HospitalBethlehem, PA · CCN 390049	26	$10,166	23% above the national average	$5,022	$80,617
Rhode Island HospitalProvidence, RI · CCN 410007	19	$10,194	23% above the national average	$7,294	$30,416
University Of Maryland Baltimore Washington Medical CenterGlen Burnie, MD · CCN 210043	24	$10,198	23% above the national average	$8,839	$10,997
Advocate Sherman HospitalElgin, IL · CCN 140030	13	$10,203	23% above the national average	$4,823	$41,476
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	13	$10,212	23% above the national average	$7,236	$41,688
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	17	$10,301	24% above the national average	$7,454	$23,028
Berkshire Medical CenterPittsfield, MA · CCN 220046	13	$10,307	24% above the national average	$6,897	$20,323
University Of Alabama HospitalBirmingham, AL · CCN 010033	15	$10,392	25% above the national average	$6,779	$50,914
Hartford HospitalHartford, CT · CCN 070025	31	$10,445	26% above the national average	$6,681	$49,680
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	30	$10,461	26% above the national average	$5,973	$33,833
Houston Methodist HospitalHouston, TX · CCN 450358	17	$10,475	26% above the national average	$5,227	$72,531
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	20	$10,496	27% above the national average	$7,208	$64,093
CentraState Medical CenterFreehold, NJ · CCN 310111	12	$10,529	27% above the national average	$4,093	$47,352
Mayo ClinicJacksonville, FL · CCN 100151	19	$10,536	27% above the national average	$4,606	$31,978
MUSC Medical CenterCharleston, SC · CCN 420004	17	$10,596	28% above the national average	$6,121	$26,683
Northwestern Memorial HospitalChicago, IL · CCN 140281	19	$10,597	28% above the national average	$6,351	$52,666
O U Medical CenterOklahoma City, OK · CCN 370093	11	$10,610	28% above the national average	$8,732	$65,351
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	14	$10,633	28% above the national average	$6,768	$43,100

National trend

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

Average payment
Average billed charge

2020: 13,932 stays at 714 hospitals · 2021: 12,596 stays at 666 hospitals · 2022: 9,891 stays at 542 hospitals · 2023: 10,016 stays at 550 hospitals · 2024: 9,457 stays at 515 hospitals

View data as a table

National average payment and billed charge for Pulmonary embolism without MCC
Year of care	Average payment	Average billed charge
2020	$7,548	$33K
2021	$8,048	$35K
2022	$8,131	$38K
2023	$8,019	$39K
2024	$8,293	$42K

By state, 2024

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

Show all 46 states

Average payment by state for Pulmonary embolism without MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	1	22	$5,383	$5,383–$5,383
Arkansas	3	36	$5,763	$5,501–$6,079
Iowa	4	57	$5,987	$5,951–$6,010
Mississippi	4	62	$6,285	$6,323–$6,728
Montana	1	12	$6,314	$6,314–$6,314
Kentucky	9	190	$6,322	$5,898–$6,813
Kansas	5	86	$6,370	$5,585–$7,155
Colorado	3	55	$6,637	$6,588–$6,808
Indiana	13	198	$6,980	$6,130–$7,128
Missouri	16	246	$7,006	$5,898–$7,445
Alabama	7	114	$7,041	$6,090–$6,931
North Dakota	2	31	$7,131	$7,055–$7,218
Arizona	17	305	$7,196	$6,357–$7,117
Ohio	27	428	$7,304	$6,149–$7,684
South Dakota	1	16	$7,345	$7,345–$7,345
Louisiana	6	75	$7,356	$5,700–$7,944
South Carolina	12	198	$7,397	$6,788–$7,613
Wisconsin	3	43	$7,410	$6,452–$8,073
Florida	40	863	$7,418	$6,272–$7,885
West Virginia	4	63	$7,538	$6,919–$7,969
Idaho	3	38	$7,574	$7,328–$7,819
Nebraska	5	91	$7,650	$6,673–$8,723
Pennsylvania	35	616	$7,713	$6,125–$8,447
Tennessee	16	255	$7,721	$6,403–$8,308
Delaware	3	113	$7,759	$7,364–$8,397
Oklahoma	4	52	$7,805	$6,763–$8,428
Michigan	11	206	$7,840	$7,374–$8,329
Virginia	22	385	$7,868	$6,641–$7,944
New Hampshire	5	65	$7,912	$6,428–$9,879
Texas	20	341	$7,945	$6,601–$9,647
Illinois	28	556	$8,201	$6,696–$9,394
North Carolina	22	424	$8,217	$6,785–$8,306
Minnesota	7	130	$8,274	$6,625–$8,483
Washington	5	71	$8,284	$7,507–$8,537
Nevada	4	63	$8,311	$8,133–$8,544
New Jersey	21	399	$8,334	$7,641–$9,088
Massachusetts	19	391	$8,689	$7,114–$9,872
Utah	2	32	$8,855	$7,988–$9,530
Georgia	15	274	$9,190	$7,334–$9,693
Rhode Island	3	52	$9,813	$9,597–$9,900
District of Columbia	3	37	$9,822	$9,063–$11,144
New York	32	680	$10,116	$7,950–$11,043
California	26	463	$10,201	$8,826–$10,769
Connecticut	3	83	$10,618	$9,524–$11,423
New Mexico	1	13	$10,881	$10,881–$10,881
Maryland	22	527	$11,951	$9,027–$13,236

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.