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

Hospitals in Pennsylvania

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Average payment across these 109 hospitals: $14,056National $14,949 · Pennsylvania $14,056
Median hospital: $13,079
Lowest to highest: $10,632–$28,086
Medicare stays: 5,907

109 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–100. 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
UPMC SomersetSomerset, PA · CCN 390039	14	$12,925	14% below the national average	$11,878	$25,982
UPMC AltoonaAltoona, PA · CCN 390073	67	$12,959	13% below the national average	$11,567	$49,017
Penn Highlands HuntingdonHuntingdon, PA · CCN 390056	11	$12,970	13% below the national average	$11,783	$16,726
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	38	$13,022	13% below the national average	$10,802	$62,060
St Mary Medical CenterLanghorne, PA · CCN 390258	114	$13,079	13% below the national average	$11,099	$47,728
Geisinger-Community Medical CenterScranton, PA · CCN 390001	126	$13,134	12% below the national average	$11,019	$127,721
UPMC Bedford MemorialEverett, PA · CCN 390117	16	$13,262	11% below the national average	$12,244	$32,605
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	35	$13,369	11% below the national average	$11,295	$78,433
St Luke's Hospital - Easton CampusEaston, PA · CCN 390162	15	$13,371	11% below the national average	$12,427	$78,996
Phoenixville HospitalPhoenixville, PA · CCN 390127	34	$13,453	10% below the national average	$11,476	$62,797
Penn State Health St. JosephReading, PA · CCN 390096	36	$13,521	About average	$10,951	$59,980
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 390003	28	$13,544	About average	$10,634	$51,288
UPMC St MargaretPittsburgh, PA · CCN 390102	47	$13,564	About average	$10,419	$72,493
ACMH HospitalKittanning, PA · CCN 390163	14	$13,639	About average	$12,593	$40,671
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	124	$13,640	About average	$11,427	$105,908
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	35	$13,707	About average	$10,995	$50,311
Saint Vincent HospitalErie, PA · CCN 390009	48	$13,751	About average	$12,192	$81,997
UPMC McKeesport HospitalMc Keesport, PA · CCN 390002	15	$13,860	About average	$9,696	$48,793
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	72	$13,880	About average	$11,005	$48,376
Jefferson Abington HospitalAbington, PA · CCN 390231	154	$14,058	About average	$12,016	$47,598
West Penn HospitalPittsburgh, PA · CCN 390090	13	$14,233	About average	$12,199	$73,661
Wayne Memorial HospitalHonesdale, PA · CCN 390125	41	$14,242	About average	$13,406	$46,600
Roxborough Memorial HospitalPhiladelphia, PA · CCN 390304	16	$14,326	About average	$12,302	$64,633
Main Line Hospital LankenauWynnewood, PA · CCN 390195	97	$14,471	About average	$12,344	$94,363
Warren General HospitalWarren, PA · CCN 390146	13	$14,496	About average	$13,367	$18,911
Wellspan Waynesboro HospitalWaynesboro, PA · CCN 390138	24	$14,505	About average	$13,182	$42,071
Reading HospitalWest Reading, PA · CCN 390044	117	$14,552	About average	$12,388	$58,609
Robert Packer HospitalSayre, PA · CCN 390079	91	$14,665	About average	$12,188	$53,589
UPMC HanoverHanover, PA · CCN 390233	71	$14,698	About average	$11,349	$54,214
Lehigh Valley HospitalAllentown, PA · CCN 390133	243	$14,728	About average	$12,135	$85,185
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	85	$14,747	About average	$11,434	$59,442
UPMC HamotErie, PA · CCN 390063	56	$14,868	About average	$12,780	$99,099
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	30	$14,911	About average	$12,189	$107,224
Mount Nittany Medical CenterState College, PA · CCN 390268	58	$14,935	About average	$12,948	$43,711
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 390183	16	$15,225	About average	$12,286	$75,844
St Lukes HospitalBethlehem, PA · CCN 390049	85	$15,365	About average	$13,376	$116,657
Crozer Chester Medical CenterUpland, PA · CCN 390180	59	$15,552	About average	$13,175	$123,799
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	62	$15,682	About average	$13,198	$171,195
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	101	$15,692	About average	$12,725	$48,846
Lower Bucks HospitalBristol, PA · CCN 390070	17	$15,719	About average	$13,401	$66,764
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	34	$15,839	About average	$9,984	$57,001
Independence Health System Clarion HospitalClarion, PA · CCN 390093	11	$15,984	About average	$13,863	$19,121
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	79	$15,988	About average	$14,130	$42,303
Nazareth HospitalPhiladelphia, PA · CCN 390204	52	$16,076	About average	$12,566	$51,676
Wellspan York HospitalYork, PA · CCN 390046	85	$16,146	About average	$11,016	$52,200
UPMC MercyPittsburgh, PA · CCN 390028	22	$16,216	About average	$13,107	$66,952
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	36	$16,240	About average	$14,498	$105,427
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	60	$17,216	15% above the national average	$9,364	$53,940
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	90	$17,365	16% above the national average	$13,197	$89,173
Geisinger Medical CenterDanville, PA · CCN 390006	93	$17,616	18% above the national average	$13,716	$99,691

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.