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 551–600. 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
HCA Florida West HospitalPensacola, FL · CCN 100231	69	$12,151	19% below the national average	$10,857	$90,697
Wadley Regional Medical CenterTexarkana, TX · CCN 450200	21	$12,153	19% below the national average	$10,858	$50,695
Penn Highlands DuboisDubois, PA · CCN 390086	41	$12,155	19% below the national average	$10,716	$21,093
Shannon Medical CenterSan Angelo, TX · CCN 450571	103	$12,156	19% below the national average	$10,541	$63,989
DeKalb Regional Medical CenterFort Payne, AL · CCN 010012	14	$12,159	19% below the national average	$10,877	$46,755
St Mary Medical Center IncHobart, IN · CCN 150034	129	$12,160	19% below the national average	$9,898	$45,467
Morton Plant HospitalClearwater, FL · CCN 100127	151	$12,161	19% below the national average	$10,535	$59,806
Norton Clark HospitalJeffersonville, IN · CCN 150009	45	$12,161	19% below the national average	$10,047	$67,061
Banner Baywood Medical CenterMesa, AZ · CCN 030088	98	$12,162	19% below the national average	$10,882	$54,133
Delta County Memorial HospitalDelta, CO · CCN 060071	11	$12,162	19% below the national average	$9,378	$40,755
AdventHealth Dade CityDade City, FL · CCN 100211	30	$12,168	19% below the national average	$10,862	$86,857
Wentworth-Douglass HospitalDover, NH · CCN 300018	137	$12,171	19% below the national average	$10,929	$44,780
Anderson HospitalMaryville, IL · CCN 140289	35	$12,171	19% below the national average	$10,895	$50,191
Insight Hospital And Medical Center TrumbullWarren, OH · CCN 360055	32	$12,172	19% below the national average	$10,301	$66,289
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	86	$12,178	19% below the national average	$10,932	$54,901
Emory Houston Hospital Warner RobinsWarner Robins, GA · CCN 110069	91	$12,178	19% below the national average	$10,591	$39,297
UPMC WilliamsportWilliamsport, PA · CCN 390045	65	$12,184	18% below the national average	$10,882	$60,393
Baptist Memorial Hospital DesotoSouthaven, MS · CCN 250141	180	$12,188	18% below the national average	$10,112	$54,937
T J Samson Community HospitalGlasgow, KY · CCN 180017	45	$12,189	18% below the national average	$10,941	$25,510
Orlando Health-Health Central HospitalOcoee, FL · CCN 100030	34	$12,190	18% below the national average	$11,183	$84,809
Ochsner Rush HospitalMeridian, MS · CCN 250069	18	$12,194	18% below the national average	$10,596	$40,609
Fort Loudoun Medical CenterLenoir City, TN · CCN 440110	23	$12,206	18% below the national average	$11,144	$22,900
Baptist HospitalPensacola, FL · CCN 100093	76	$12,215	18% below the national average	$10,667	$52,326
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	61	$12,215	18% below the national average	$10,589	$37,790
Johnston HealthSmithfield, NC · CCN 340090	68	$12,215	18% below the national average	$10,758	$49,454
Rush Oak Park HospitalOak Park, IL · CCN 140063	28	$12,216	18% below the national average	$10,967	$31,415
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	22	$12,219	18% below the national average	$9,652	$33,919
UT Health East Texas Athens HospitalAthens, TX · CCN 450389	26	$12,220	18% below the national average	$10,363	$93,167
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307	72	$12,232	18% below the national average	$11,258	$42,654
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	44	$12,232	18% below the national average	$11,121	$70,197
HCA Florida Putnam HospitalPalatka, FL · CCN 100232	28	$12,233	18% below the national average	$10,954	$83,875
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	45	$12,235	18% below the national average	$9,502	$49,641
Tishomingo Health Services IncIuka, MS · CCN 250002	13	$12,238	18% below the national average	$11,236	$19,532
Franciscan Health Crown PointCrown Point, IN · CCN 150126	113	$12,238	18% below the national average	$10,485	$57,675
Mercy Hospital AdaAda, OK · CCN 370020	70	$12,238	18% below the national average	$11,281	$28,301
Southern Tennessee Regional Health System WinchestWinchester, TN · CCN 440058	22	$12,246	18% below the national average	$10,711	$67,125
Ascension St Vincent's RiversideJacksonville, FL · CCN 100040	69	$12,249	18% below the national average	$10,504	$52,056
Aspirus Wausau HospitalWausau, WI · CCN 520030	28	$12,256	18% below the national average	$10,869	$55,923
MH St Elizabeth Youngstown HospitalYoungstown, OH · CCN 360064	56	$12,258	18% below the national average	$10,542	$53,246
Marshfield Medical Center - MinocquaMinocqua, WI · CCN 520212	11	$12,260	18% below the national average	$9,167	$24,362
Good Samaritan Medical Center LLCLafayette, CO · CCN 060116	27	$12,263	18% below the national average	$10,068	$91,882
Lutheran Hospital Of IndianaFort Wayne, IN · CCN 150017	40	$12,264	18% below the national average	$10,689	$104,993
UNC Lenoir Health CareKinston, NC · CCN 340027	48	$12,265	18% below the national average	$10,729	$23,969
Sarasota Memorial HospitalSarasota, FL · CCN 100087	302	$12,265	18% below the national average	$10,801	$54,821
Saint Francis Medical CenterCape Girardeau, MO · CCN 260183	48	$12,265	18% below the national average	$11,025	$63,599
Wellstar Paulding Medical CenterHiram, GA · CCN 110042	71	$12,267	18% below the national average	$9,688	$87,219
Cox Medical Center BransonBranson, MO · CCN 260094	39	$12,270	18% below the national average	$10,251	$45,740
St Joseph's HospitalTucson, AZ · CCN 030011	30	$12,270	18% below the national average	$11,291	$129,900
Columbus Regional HospitalColumbus, IN · CCN 150112	56	$12,278	18% below the national average	$10,330	$25,164
Palestine Regional Medical CenterPalestine, TX · CCN 450747	18	$12,278	18% below the national average	$11,373	$96,550

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.