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 651–700. 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
Harlingen Medical CenterHarlingen, TX · CCN 450855	36	$12,408	17% below the national average	$11,094	$80,944
Longs Peak HospitalLongmont, CO · CCN 060128	38	$12,410	17% below the national average	$11,282	$86,151
Methodist Hospitals IncGary, IN · CCN 150002	48	$12,411	17% below the national average	$10,904	$59,178
Saint Joseph Hospital-ElginElgin, IL · CCN 140217	26	$12,411	17% below the national average	$11,596	$71,235
University Hospitals Samaritan Medical CenterAshland, OH · CCN 360002	23	$12,413	17% below the national average	$11,066	$24,656
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	25	$12,415	17% below the national average	$10,981	$47,907
Intermountain Health Riverton HospitalRiverton, UT · CCN 460058	20	$12,421	17% below the national average	$10,262	$31,070
Baptist Health LagrangeLa Grange, KY · CCN 180138	14	$12,422	17% below the national average	$10,790	$41,495
Intermountain Health Alta View HospitalSandy, UT · CCN 460044	22	$12,425	17% below the national average	$9,970	$28,888
Northside Hospital ForsythCumming, GA · CCN 110005	138	$12,426	17% below the national average	$11,270	$87,511
South Arkansas Regional Hospital LLCEl Dorado, AR · CCN 040088	19	$12,426	17% below the national average	$11,469	$71,915
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	81	$12,435	17% below the national average	$10,440	$61,037
Sentara Careplex HospitalHampton, VA · CCN 490093	30	$12,441	17% below the national average	$11,136	$43,203
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 150113	40	$12,442	17% below the national average	$10,348	$34,788
CHI Health LakesideOmaha, NE · CCN 280130	38	$12,442	17% below the national average	$8,755	$42,071
Holmes Regional Medical CenterMelbourne, FL · CCN 100019	186	$12,447	17% below the national average	$11,176	$77,042
Atrium Health ClevelandShelby, NC · CCN 340021	66	$12,447	17% below the national average	$10,924	$56,194
Southeast Health Medical CenterDothan, AL · CCN 010001	78	$12,451	17% below the national average	$10,237	$54,523
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 490141	22	$12,451	17% below the national average	$11,119	$52,431
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	52	$12,454	17% below the national average	$10,143	$43,272
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 140286	97	$12,455	17% below the national average	$11,311	$56,096
Southside Community Hospital, IncFarmville, VA · CCN 490090	24	$12,458	17% below the national average	$11,506	$46,182
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	59	$12,458	17% below the national average	$10,347	$38,703
Medina HospitalMedina, OH · CCN 360091	83	$12,458	17% below the national average	$10,534	$61,944
St Luke's Regional Medical CenterBoise, ID · CCN 130006	145	$12,459	17% below the national average	$11,101	$56,497
Houston Methodist West HospitalHouston, TX · CCN 670077	100	$12,460	17% below the national average	$11,415	$64,239
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 440012	60	$12,460	17% below the national average	$10,003	$49,694
Lima Memorial Health SystemLima, OH · CCN 360009	40	$12,463	17% below the national average	$10,996	$35,538
Lake Charles Memorial HospitalLake Charles, LA · CCN 190060	61	$12,464	17% below the national average	$10,645	$52,037
St Lucie Medical CenterPort Saint Lucie, FL · CCN 100260	59	$12,468	17% below the national average	$11,146	$138,273
St Francis Regional Medical CenterShakopee, MN · CCN 240104	24	$12,473	17% below the national average	$11,250	$29,507
Alexian Brothers Medical Center 1Elk Grove Village, IL · CCN 140258	114	$12,473	17% below the national average	$11,393	$63,319
AdventHealth Fish MemorialOrange City, FL · CCN 100072	55	$12,475	17% below the national average	$10,799	$49,726
Sovah Health DanvilleDanville, VA · CCN 490075	63	$12,475	17% below the national average	$10,207	$67,554
Mary Washington HospitalFredericksburg, VA · CCN 490022	203	$12,476	17% below the national average	$10,944	$28,254
Lake Cumberland Regional HospitalSomerset, KY · CCN 180132	52	$12,478	17% below the national average	$10,777	$104,369
Rutherford Regional Medical CenterRutherfordton, NC · CCN 340013	14	$12,478	17% below the national average	$11,312	$64,533
Marion General HospitalMarion, OH · CCN 360011	46	$12,479	17% below the national average	$10,514	$34,878
Acadia General HospitalCrowley, LA · CCN 190044	12	$12,483	16% below the national average	$10,579	$51,896
SSM Health DePaul Hospital St LouisBridgeton, MO · CCN 260104	62	$12,488	16% below the national average	$11,308	$51,722
Bozeman Health Deaconess HospitalBozeman, MT · CCN 270057	57	$12,489	16% below the national average	$10,971	$28,260
Medical City North HillsNorth Richland Hills, TX · CCN 450087	32	$12,489	16% below the national average	$11,187	$95,042
Tristar Skyline Medical CenterNashville, TN · CCN 440006	28	$12,490	16% below the national average	$11,095	$114,973
Sentara Leigh HospitalNorfolk, VA · CCN 490046	100	$12,492	16% below the national average	$10,353	$42,028
Meadowview Regional Medical CenterMaysville, KY · CCN 180019	16	$12,493	16% below the national average	$11,473	$38,584
HCA Florida Lehigh HospitalLehigh Acres, FL · CCN 100107	20	$12,497	16% below the national average	$11,316	$51,101
Beauregard Memorial HospitalDeridder, LA · CCN 190050	11	$12,497	16% below the national average	$11,162	$52,382
Medical City PlanoPlano, TX · CCN 450651	77	$12,501	16% below the national average	$10,244	$106,907
Herrin HospitalHerrin, IL · CCN 140011	57	$12,501	16% below the national average	$10,545	$44,152
Westerly HospitalWesterly, RI · CCN 410013	41	$12,511	16% below the national average	$11,159	$49,444

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.