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 701–750. 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
Lexington Medical CenterWest Columbia, SC · CCN 420073	207	$12,513	16% below the national average	$10,069	$67,480
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	77	$12,520	16% below the national average	$10,127	$49,298
St Lukes Regional Medical CenterSioux City, IA · CCN 160146	59	$12,526	16% below the national average	$10,606	$38,648
Palomar Medical Center PowayPoway, CA · CCN 050636	60	$12,529	16% below the national average	$11,333	$134,013
Trident Medical CenterCharleston, SC · CCN 420079	95	$12,530	16% below the national average	$11,067	$143,751
Lakeland Regional Medical CenterLakeland, FL · CCN 100157	248	$12,531	16% below the national average	$11,106	$59,536
Emerson Hospital -W Concord, MA · CCN 220084	88	$12,536	16% below the national average	$11,350	$27,350
Fairview HospitalCleveland, OH · CCN 360077	101	$12,546	16% below the national average	$10,153	$55,380
M Health Fairview Ridges HospitalBurnsville, MN · CCN 240207	66	$12,546	16% below the national average	$11,280	$56,274
Bryan Medical CenterLincoln, NE · CCN 280003	122	$12,546	16% below the national average	$10,836	$52,649
Sibley Memorial HospitalWashington, DC · CCN 090005	104	$12,550	16% below the national average	$11,160	$45,781
Saint Joseph EastLexington, KY · CCN 180143	13	$12,551	16% below the national average	$9,935	$34,874
Aiken Regional Medical CenterAiken, SC · CCN 420082	41	$12,552	16% below the national average	$11,184	$88,575
Baptist Memorial Hospital - Carroll CountyHuntingdon, TN · CCN 440016	13	$12,553	16% below the national average	$11,800	$32,160
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	110	$12,555	16% below the national average	$11,212	$78,954
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	20	$12,563	16% below the national average	$11,585	$33,219
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	91	$12,571	16% below the national average	$10,940	$38,282
Uchicago Medicine AdventHealth GlenoaksGlendale Heights, IL · CCN 140292	27	$12,574	16% below the national average	$10,712	$45,213
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	36	$12,578	16% below the national average	$10,607	$45,353
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	116	$12,585	16% below the national average	$11,196	$55,032
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	35	$12,586	16% below the national average	$11,373	$42,066
Adena Regional Medical CenterChillicothe, OH · CCN 360159	33	$12,586	16% below the national average	$10,855	$44,279
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	252	$12,587	16% below the national average	$10,672	$69,877
Baystate Noble HospitalWestfield, MA · CCN 220065	35	$12,587	16% below the national average	$11,264	$17,610
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	23	$12,588	16% below the national average	$10,743	$39,412
Benefis Hospitals IncGreat Falls, MT · CCN 270012	51	$12,593	16% below the national average	$11,099	$47,140
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	148	$12,603	16% below the national average	$11,328	$63,094
Kosciusko Community HospitalWarsaw, IN · CCN 150133	21	$12,604	16% below the national average	$11,440	$75,797
Parkridge Medical CenterChattanooga, TN · CCN 440156	43	$12,604	16% below the national average	$10,156	$83,306
Southern Maine Health CareBiddeford, ME · CCN 200019	29	$12,604	16% below the national average	$11,760	$49,679
Thomas HospitalFairhope, AL · CCN 010100	59	$12,605	16% below the national average	$10,181	$34,081
Grand Island Regional Medical CenterGrand Island, NE · CCN 280139	23	$12,608	16% below the national average	$8,238	$33,515
Memorial HospitalBelleville, IL · CCN 140185	111	$12,608	16% below the national average	$11,072	$57,409
Christus Santa Rosa Hospital-San MarcosSan Marcos, TX · CCN 450272	19	$12,609	16% below the national average	$11,578	$64,396
HCA Florida Capital HospitalTallahassee, FL · CCN 100254	37	$12,609	16% below the national average	$11,287	$115,367
Community Hospital NorthIndianapolis, IN · CCN 150169	73	$12,609	16% below the national average	$10,947	$45,868
Mercy Hospital Ardmore, IncArdmore, OK · CCN 370047	142	$12,610	16% below the national average	$11,645	$36,416
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	24	$12,612	16% below the national average	$11,252	$37,178
Community HospitalMunster, IN · CCN 150125	200	$12,615	16% below the national average	$10,287	$47,987
Memorial HospitalMarysville, OH · CCN 360092	11	$12,616	16% below the national average	$11,726	$25,627
Jackson-Madison County General HospitalJackson, TN · CCN 440002	178	$12,618	16% below the national average	$10,854	$51,165
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 340183	51	$12,621	16% below the national average	$10,222	$48,992
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	271	$12,624	16% below the national average	$10,853	$84,952
Advocate Sherman HospitalElgin, IL · CCN 140030	68	$12,627	16% below the national average	$11,500	$62,133
AdventHealth GordonCalhoun, GA · CCN 110023	26	$12,629	16% below the national average	$11,312	$99,003
Catawba Valley Medical CenterHickory, NC · CCN 340143	41	$12,630	16% below the national average	$11,193	$36,349
Montrose Regional HealthMontrose, CO · CCN 060006	13	$12,631	16% below the national average	$11,626	$43,903
St. Mary's HospitalTucson, AZ · CCN 030010	17	$12,632	15% below the national average	$11,578	$104,550
West Allis Memorial HospitalWest Allis, WI · CCN 520139	29	$12,638	15% below the national average	$9,797	$66,306
MUSC Health Florence Medical CenterFlorence, SC · CCN 420091	34	$12,643	15% below the national average	$9,376	$93,647

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.