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 101–150. 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
Baptist Health - Fort SmithFort Smith, AR · CCN 040055	106	$10,807	28% below the national average	$9,437	$54,159
Upper Valley Medical CenterTroy, OH · CCN 360174	36	$10,817	28% below the national average	$9,640	$47,173
Kearney Regional Medical CenterKearney, NE · CCN 280134	35	$10,819	28% below the national average	$9,170	$44,856
Minden Medical CenterMinden, LA · CCN 190144	19	$10,836	28% below the national average	$9,720	$28,898
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191	78	$10,837	28% below the national average	$9,795	$53,326
Carrollton Regional Medical CenterCarrollton, TX · CCN 450730	21	$10,842	27% below the national average	$9,443	$37,995
Kettering Health TroyTroy, OH · CCN 360368	19	$10,844	27% below the national average	$9,814	$51,635
Baptist Health LexingtonLexington, KY · CCN 180103	141	$10,846	27% below the national average	$9,281	$62,896
Fmol Health St FrancisMonroe, LA · CCN 190125	81	$10,851	27% below the national average	$9,665	$44,205
York HospitalYork, ME · CCN 200020	34	$10,852	27% below the national average	$9,797	$38,308
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	149	$10,856	27% below the national average	$9,255	$49,141
Mary Greeley Medical CenterAmes, IA · CCN 160030	69	$10,862	27% below the national average	$9,163	$38,757
Jupiter Medical CenterJupiter, FL · CCN 100253	251	$10,862	27% below the national average	$9,670	$60,157
Saint Luke's South HospitalOverland Park, KS · CCN 170185	51	$10,869	27% below the national average	$9,451	$80,056
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	16	$10,894	27% below the national average	$9,568	$53,674
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL · CCN 100176	132	$10,897	27% below the national average	$9,770	$146,956
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 260200	60	$10,898	27% below the national average	$9,830	$31,407
Mercy Regional Medical CenterVille Platte, LA · CCN 190167	18	$10,905	27% below the national average	$9,817	$64,021
Mercy Medical CenterCanton, OH · CCN 360070	49	$10,907	27% below the national average	$9,047	$43,311
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 360359	106	$10,910	27% below the national average	$9,893	$44,921
HCA Florida Fawcett HospitalPort Charlotte, FL · CCN 100236	77	$10,925	27% below the national average	$9,924	$168,883
HCA Florida South Shore HospitalSun City Center, FL · CCN 100259	66	$10,937	27% below the national average	$9,769	$146,990
Uva Health Haymarket Medical CenterHaymarket, VA · CCN 490144	30	$10,942	27% below the national average	$9,867	$39,873
Helen Keller HospitalSheffield, AL · CCN 010019	31	$10,948	27% below the national average	$9,554	$49,453
Jefferson HospitalJefferson Hills, PA · CCN 390265	61	$10,951	27% below the national average	$9,468	$61,364
St Mary's Regional Medical CenterEnid, OK · CCN 370026	28	$10,952	27% below the national average	$9,572	$111,379
Blanchard Valley HospitalFindlay, OH · CCN 360095	44	$10,960	27% below the national average	$9,915	$27,431
Mercy Health-Anderson HospitalCincinnati, OH · CCN 360001	55	$10,966	27% below the national average	$9,692	$53,216
Roane Medical CenterHarriman, TN · CCN 440031	30	$10,976	27% below the national average	$8,846	$20,229
Christus Shreveport-Bossier Health SystemShreveport, LA · CCN 190041	51	$10,980	27% below the national average	$9,226	$50,421
Morristown Hamblen Hospital AssociationMorristown, TN · CCN 440030	45	$10,984	27% below the national average	$9,784	$32,297
Raleigh General HospitalBeckley, WV · CCN 510070	69	$10,987	27% below the national average	$9,809	$52,303
Mercy Health - West HospitalCincinnati, OH · CCN 360234	67	$10,997	26% below the national average	$9,740	$55,942
St Francis-DowntownGreenville, SC · CCN 420023	79	$10,997	26% below the national average	$9,738	$52,983
Atrium Medical CenterFranklin, OH · CCN 360076	65	$10,999	26% below the national average	$9,613	$49,234
Ascension Seton Cedar ParkCedar Park, TX · CCN 670043	40	$11,000	26% below the national average	$9,858	$69,796
Mercy Health - Clermont HospitalBatavia, OH · CCN 360236	65	$11,002	26% below the national average	$9,862	$54,517
Baptist Health FloydNew Albany, IN · CCN 150044	116	$11,004	26% below the national average	$9,554	$54,417
Thomas Memorial HospitalSouth Charleston, WV · CCN 510029	38	$11,004	26% below the national average	$9,282	$44,395
Ascension St Vincent's St Johns CountySt. Johns, FL · CCN 100361	37	$11,010	26% below the national average	$8,279	$49,896
Mercy Health - Fairfield HospitalFairfield, OH · CCN 360056	48	$11,013	26% below the national average	$9,252	$46,255
NMC HealthNewton, KS · CCN 170103	11	$11,014	26% below the national average	$9,830	$29,746
Tristar Greenview Regional HospitalBowling Green, KY · CCN 180124	26	$11,023	26% below the national average	$8,960	$76,061
Lakewood Ranch Medical CenterBradenton, FL · CCN 100299	65	$11,025	26% below the national average	$9,310	$113,158
Saint Luke's East HospitalLees Summit, MO · CCN 260216	83	$11,033	26% below the national average	$9,020	$92,469
Hillcrest Hospital SouthTulsa, OK · CCN 370202	57	$11,034	26% below the national average	$9,710	$52,310
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	100	$11,034	26% below the national average	$6,517	$56,298
Carle Health Proctor HospitalPeoria, IL · CCN 140013	24	$11,036	26% below the national average	$9,880	$55,036
Central Vermont Medical CenterBarre, VT · CCN 470001	31	$11,037	26% below the national average	$8,771	$38,920
Licking Memorial HospitalNewark, OH · CCN 360218	31	$11,037	26% below the national average	$9,879	$40,616

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.