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 501–550. 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
Poplar Bluff Regional Medical CenterPoplar Bluff, MO · CCN 260119	140	$12,031	20% below the national average	$10,419	$138,491
Rapides Regional Medical CenterAlexandria, LA · CCN 190026	35	$12,037	19% below the national average	$10,302	$94,651
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	27	$12,040	19% below the national average	$10,347	$29,414
UPMC LititzLititz, PA · CCN 390068	13	$12,041	19% below the national average	$10,585	$41,818
Mercy Regional Medical CenterLorain, OH · CCN 360172	18	$12,043	19% below the national average	$9,189	$45,775
Baptist Health Medical Center-Drew CountyMonticello, AR · CCN 040051	19	$12,049	19% below the national average	$11,019	$36,353
Jackson Purchase Medical CenterMayfield, KY · CCN 180116	23	$12,050	19% below the national average	$11,058	$67,025
St Vincent HospitalGreen Bay, WI · CCN 520075	18	$12,051	19% below the national average	$10,963	$62,757
Cape Canaveral HospitalCocoa Beach, FL · CCN 100177	82	$12,055	19% below the national average	$10,866	$59,580
Oviedo Medical CenterOviedo, FL · CCN 100329	28	$12,058	19% below the national average	$11,184	$87,588
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	15	$12,062	19% below the national average	$9,873	$79,944
Terre Haute Regional HospitalTerre Haute, IN · CCN 150046	15	$12,065	19% below the national average	$11,195	$90,084
St Elizabeth EdgewoodEdgewood, KY · CCN 180035	100	$12,067	19% below the national average	$9,995	$41,092
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	152	$12,069	19% below the national average	$10,813	$70,046
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 100166	52	$12,070	19% below the national average	$9,675	$121,644
North Mississippi Medical Center-Gilmore AmoryAmory, MS · CCN 250025	22	$12,072	19% below the national average	$10,535	$31,904
Columbus Regional Healthcare SystemWhiteville, NC · CCN 340068	21	$12,073	19% below the national average	$10,305	$38,350
Byrd Regional HospitalLeesville, LA · CCN 190164	27	$12,078	19% below the national average	$10,998	$73,830
SSM Health St Anthony Hospital - ShawneeShawnee, OK · CCN 370149	21	$12,079	19% below the national average	$10,836	$34,918
White River Medical CenterBatesville, AR · CCN 040119	36	$12,081	19% below the national average	$10,573	$27,431
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	55	$12,082	19% below the national average	$10,836	$82,884
Tampa General Hospital BrooksvilleBrooksville, FL · CCN 100071	50	$12,083	19% below the national average	$10,974	$79,589
Holy Cross Hospital-DavisLayton, UT · CCN 460041	19	$12,084	19% below the national average	$9,587	$50,822
Regional Hospital Of ScrantonScranton, PA · CCN 390237	90	$12,087	19% below the national average	$10,049	$69,175
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	162	$12,088	19% below the national average	$10,950	$24,401
Novant Health Matthews Medical CenterMatthews, NC · CCN 340171	58	$12,089	19% below the national average	$10,434	$46,251
Sanford Medical Center AberdeenAberdeen, SD · CCN 430097	14	$12,091	19% below the national average	$9,725	$31,608
Memorial HealthLawton, OK · CCN 370056	73	$12,093	19% below the national average	$10,821	$43,601
Avita OntarioOntario, OH · CCN 360365	14	$12,098	19% below the national average	$9,860	$42,047
Forbes HospitalMonroeville, PA · CCN 390267	56	$12,100	19% below the national average	$10,194	$59,480
Ascension St Vincent KokomoKokomo, IN · CCN 150010	32	$12,102	19% below the national average	$10,990	$39,726
Bsa HospitalAmarillo, TX · CCN 450231	117	$12,109	19% below the national average	$10,364	$66,272
Paris Regional Medical CenterParis, TX · CCN 450196	62	$12,111	19% below the national average	$11,162	$38,964
Reston Hospital CenterReston, VA · CCN 490107	64	$12,113	19% below the national average	$10,912	$70,434
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	129	$12,117	19% below the national average	$10,849	$49,145
AdventHealth Castle RockCastle Rock, CO · CCN 060125	21	$12,125	19% below the national average	$10,960	$62,226
North Mississippi Medical CenterTupelo, MS · CCN 250004	144	$12,126	19% below the national average	$10,437	$40,242
Ochsner American Legion HospitalJennings, LA · CCN 190053	19	$12,126	19% below the national average	$11,183	$27,984
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	74	$12,127	19% below the national average	$10,367	$45,084
Essentia HealthFargo, ND · CCN 350070	34	$12,128	19% below the national average	$9,883	$31,950
Bethesda NorthCincinnati, OH · CCN 360179	109	$12,129	19% below the national average	$8,978	$29,443
Baptist Health PaducahPaducah, KY · CCN 180104	70	$12,132	19% below the national average	$10,765	$64,967
Banner Ocotillo Medical CenterChandler, AZ · CCN 030147	29	$12,134	19% below the national average	$10,784	$52,828
Dyersburg Regional Medical CenterDyersburg, TN · CCN 440072	24	$12,134	19% below the national average	$11,116	$54,955
Lexington Memorial Hospital IncLexington, NC · CCN 340096	21	$12,134	19% below the national average	$10,795	$37,852
MercyOne Siouxland Medical CenterSioux City, IA · CCN 160153	24	$12,136	19% below the national average	$10,949	$48,451
Covenant Medical CenterSaginaw, MI · CCN 230070	121	$12,141	19% below the national average	$10,690	$33,862
Aurora Medical CenterGrafton, WI · CCN 520207	42	$12,141	19% below the national average	$10,196	$58,589
Catholic Medical CenterManchester, NH · CCN 300034	67	$12,143	19% below the national average	$11,050	$45,361
CHI Health St. FrancisGrand Island, NE · CCN 280023	30	$12,145	19% below the national average	$10,813	$50,009

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.