Inpatient stay · MS-DRG 177

Respiratory infections and inflammations with MCC

In 2024, Medicare and patients paid an average of $14,949 per stay at 2,332 hospitals. Half of hospitals averaged between $12,238 and $16,175.

National figures, 2024

Average payment per case: $14,949
Typical range (middle half of hospitals): $12,238–$16,175
Medicare’s share: $12,66885% of the payment
Average billed charge: $71,065
Hospitals reporting: 2,332141,351 stays

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2,332 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Respiratory infections and inflammations with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Memorial HospitalFremont, OH · CCN 360156	18	$6,120	59% below the national average	$4,943	$33,570
Marietta Memorial HospitalMarietta, OH · CCN 360147	51	$7,494	50% below the national average	$5,508	$33,529
AdventHealth South Overland Park, IncOverland Park, KS · CCN 170208	21	$8,448	43% below the national average	$7,360	$43,994
Pelham Medical CenterGreer, SC · CCN 420103	17	$8,643	42% below the national average	$7,491	$41,219
Coastal Carolina HospitalHardeeville, SC · CCN 420101	24	$8,815	41% below the national average	$7,524	$77,393
Prisma Health Hillcrest HospitalSimpsonville, SC · CCN 420037	20	$8,967	40% below the national average	$7,808	$40,309
Southwestern Vermont Medical CenterBennington, VT · CCN 470012	54	$9,337	38% below the national average	$7,467	$27,172
Rutland Regional Medical CenterRutland, VT · CCN 470005	40	$9,707	35% below the national average	$7,475	$44,093
Novant Health Ballantyne Medical CenterCharlotte, NC · CCN 340195	26	$9,737	35% below the national average	$8,005	$40,491
Novant Health East Cooper Medical CenterMount Pleasant, SC · CCN 420089	23	$9,757	35% below the national average	$8,410	$97,980
Resolute Health HospitalNew Braunfels, TX · CCN 670098	40	$9,773	35% below the national average	$8,713	$114,924
Highland Community HospitalPicayune, MS · CCN 250117	25	$9,816	34% below the national average	$8,772	$37,836
Orlando Health Sebastian River HospitalSebastian, FL · CCN 100217	33	$9,889	34% below the national average	$8,628	$65,371
Glenwood Regional Medical CenterWest Monroe, LA · CCN 190160	31	$9,893	34% below the national average	$8,738	$90,050
Lane Regional Medical CenterZachary, LA · CCN 190020	15	$9,948	33% below the national average	$9,078	$32,174
Ogden Regional Medical CenterOgden, UT · CCN 460005	13	$9,999	33% below the national average	$8,493	$48,700
Oconomowoc Memorial HospitalOconomowoc, WI · CCN 520062	17	$10,028	33% below the national average	$8,686	$36,360
Shelby Baptist Medical CenterAlabaster, AL · CCN 010016	15	$10,077	33% below the national average	$9,098	$90,223
CHI Health MidlandsPapillion, NE · CCN 280105	14	$10,102	32% below the national average	$8,938	$38,894
AdventHealth Palm Coast ParkwayPalm Coast, FL · CCN 100363	51	$10,130	32% below the national average	$8,487	$50,717
Medical City DecaturDecatur, TX · CCN 450271	18	$10,150	32% below the national average	$9,085	$118,853
Via Christi Hospital Wichita St Teresa, IncWichita, KS · CCN 170200	44	$10,156	32% below the national average	$8,546	$37,444
Reynolds Memorial Hospital, IncGlen Dale, WV · CCN 510013	15	$10,172	32% below the national average	$9,066	$22,128
St Joseph Medical CenterKansas City, MO · CCN 260085	42	$10,174	32% below the national average	$9,203	$70,756
Walker Baptist Medical CenterJasper, AL · CCN 010089	21	$10,186	32% below the national average	$9,098	$60,061
Marion General HospitalColumbia, MS · CCN 250085	18	$10,200	32% below the national average	$9,384	$24,447
Iberia Medical CenterNew Iberia, LA · CCN 190054	33	$10,216	32% below the national average	$8,881	$30,429
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 670044	30	$10,220	32% below the national average	$9,160	$47,480
Cleveland Clinic Avon HospitalAvon, OH · CCN 360364	89	$10,228	32% below the national average	$8,432	$39,191
Terrebonne General Medical Center - ParishHouma, LA · CCN 190008	46	$10,241	31% below the national average	$9,057	$39,991
Roper HospitalCharleston, SC · CCN 420087	86	$10,252	31% below the national average	$9,123	$42,598
Tennova Healthcare-Jefferson Memorial HospitalJefferson City, TN · CCN 440056	24	$10,264	31% below the national average	$8,544	$57,011
Paintsville ARH HospitalPaintsville, KY · CCN 180078	20	$10,278	31% below the national average	$9,298	$57,544
Williamson Medical CenterFranklin, TN · CCN 440029	59	$10,278	31% below the national average	$9,054	$29,245
Southwest General Health CenterMiddleburg Heights, OH · CCN 360155	77	$10,294	31% below the national average	$8,846	$33,649
Three Crosses Regional Hospital LLCLas Cruces, NM · CCN 320091	14	$10,309	31% below the national average	$7,933	$30,034
Mount Pleasant HospitalMount Pleasant, SC · CCN 420104	29	$10,319	31% below the national average	$8,539	$35,095
Wooster Community HospitalWooster, OH · CCN 360036	36	$10,336	31% below the national average	$9,340	$24,485
Boone Hospital CenterColumbia, MO · CCN 260068	76	$10,337	31% below the national average	$9,178	$40,847
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	50	$10,339	31% below the national average	$8,483	$37,896
West Boca Medical CenterBoca Raton, FL · CCN 100268	57	$10,343	31% below the national average	$9,040	$112,001
Delray Medical CenterDelray Beach, FL · CCN 100258	243	$10,350	31% below the national average	$8,940	$142,327
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · CCN 490143	19	$10,355	31% below the national average	$9,326	$37,776
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	77	$10,356	31% below the national average	$8,712	$28,410
Thibodaux Regional Medical CenterThibodaux, LA · CCN 190004	37	$10,359	31% below the national average	$9,257	$65,056
Weirton Medical Center, IncWeirton, WV · CCN 510023	27	$10,415	30% below the national average	$9,206	$26,816
Southwest Mississippi Regional Medical CenterMccomb, MS · CCN 250097	27	$10,417	30% below the national average	$9,329	$31,169
Medical Center EnterpriseEnterprise, AL · CCN 010049	18	$10,425	30% below the national average	$8,976	$66,000
Lake HealthConcord, OH · CCN 360098	130	$10,431	30% below the national average	$9,365	$47,320
Saint John HospitalLeavenworth, KS · CCN 170009	53	$10,445	30% below the national average	$8,855	$35,912

National trend

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

Average payment
Average billed charge

2020: 324,669 stays at 2,774 hospitals · 2021: 362,952 stays at 2,830 hospitals · 2022: 275,104 stays at 2,768 hospitals · 2023: 166,662 stays at 2,472 hospitals · 2024: 141,351 stays at 2,332 hospitals

View data as a table

National average payment and billed charge for Respiratory infections and inflammations with MCC
Year of care	Average payment	Average billed charge
2020	$17K	$60K
2021	$19K	$66K
2022	$18K	$65K
2023	$16K	$67K
2024	$15K	$71K

By state, 2024

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

Show all 51 states

Average payment by state for Respiratory infections and inflammations with MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	273	$11,385	$10,039–$12,435
Louisiana	36	1,594	$11,782	$10,763–$12,486
Arkansas	28	1,624	$11,823	$11,032–$12,519
Mississippi	37	1,711	$12,035	$11,422–$13,169
Kentucky	46	2,262	$12,083	$11,472–$12,746
Alabama	42	1,966	$12,304	$11,294–$12,567
Iowa	25	1,300	$12,515	$11,403–$13,854
Oklahoma	37	2,249	$12,653	$11,422–$13,681
West Virginia	20	1,119	$12,781	$11,707–$14,525
Tennessee	63	2,979	$12,885	$11,453–$13,457
Indiana	63	3,502	$12,968	$12,170–$14,271
Idaho	10	548	$13,009	$12,577–$14,206
Missouri	51	3,169	$13,071	$11,623–$14,142
Ohio	95	5,235	$13,078	$11,307–$13,919
Florida	159	12,403	$13,181	$11,812–$14,205
Montana	10	452	$13,317	$12,515–$13,569
South Carolina	44	2,377	$13,437	$11,439–$14,642
Kansas	26	1,324	$13,556	$10,905–$14,396
Nebraska	19	739	$13,608	$12,063–$15,278
Texas	164	9,159	$13,698	$12,395–$14,139
Virginia	61	3,931	$13,715	$12,113–$14,011
North Dakota	6	475	$13,746	$13,325–$13,825
Colorado	33	1,422	$13,818	$12,410–$14,462
Pennsylvania	109	5,907	$14,056	$11,650–$14,868
Michigan	67	3,418	$14,233	$13,163–$14,935
North Carolina	71	4,177	$14,270	$12,175–$14,298
Illinois	95	6,773	$14,298	$12,487–$15,180
South Dakota	8	466	$14,305	$11,939–$13,788
Utah	18	599	$14,338	$11,941–$13,541
Wisconsin	50	1,870	$14,386	$12,074–$14,349
New Hampshire	12	974	$14,418	$12,626–$15,380
New Mexico	18	690	$14,747	$12,098–$18,422
Georgia	70	3,592	$14,751	$12,388–$14,713
Arizona	45	2,842	$14,822	$12,696–$15,564
Delaware	5	776	$14,910	$13,373–$15,896
Maine	14	596	$15,351	$13,521–$16,267
Nevada	18	1,128	$15,423	$14,753–$16,799
Minnesota	39	1,788	$15,568	$12,889–$15,219
Rhode Island	9	538	$15,760	$12,511–$16,337
Washington	42	2,432	$15,780	$14,181–$16,201
Massachusetts	49	6,487	$15,844	$13,305–$17,826
New Jersey	57	5,176	$16,061	$14,055–$18,524
Oregon	28	1,095	$16,803	$14,595–$17,753
Connecticut	24	2,345	$17,516	$15,290–$17,382
District of Columbia	5	250	$17,636	$14,932–$20,993
Wyoming	8	331	$18,168	$17,555–$21,248
California	218	12,929	$18,934	$16,625–$19,653
New York	114	9,012	$19,437	$15,089–$20,694
Maryland	40	2,462	$19,784	$16,523–$21,460
Hawaii	11	638	$19,796	$17,353–$22,973
Alaska	7	247	$22,051	$19,067–$27,783

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.