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 1,851–1,900. 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
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	57	$16,831	13% above the national average	$15,993	$99,099
Dominican HospitalSanta Cruz, CA · CCN 050242	94	$16,832	13% above the national average	$15,600	$155,738
Saint John's Health CenterSanta Monica, CA · CCN 050290	107	$16,835	13% above the national average	$15,135	$88,689
Hutchinson HealthHutchinson, MN · CCN 240187	17	$16,844	13% above the national average	$15,500	$17,118
MedStar Saint Mary's HospitalLeonardtown, MD · CCN 210028	34	$16,844	13% above the national average	$15,327	$18,194
Valley Hospital Medical CenterLas Vegas, NV · CCN 290021	31	$16,853	13% above the national average	$14,805	$292,066
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	143	$16,858	13% above the national average	$14,156	$43,675
Morristown Medical CenterMorristown, NJ · CCN 310015	348	$16,862	13% above the national average	$14,272	$124,092
Los Angeles Community HospitalLos Angeles, CA · CCN 050663	85	$16,872	13% above the national average	$15,759	$60,959
Grossmont HospitalLa Mesa, CA · CCN 050026	163	$16,880	13% above the national average	$15,859	$112,678
Mercy HospitalBakersfield, CA · CCN 050295	69	$16,881	13% above the national average	$15,817	$112,179
Montclair Hospital Medical CenterMontclair, CA · CCN 050758	31	$16,900	13% above the national average	$15,483	$62,209
Northwell Hospital Glen CoveGlen Cove, NY · CCN 330181	50	$16,910	13% above the national average	$15,359	$92,288
Norwalk HospitalNorwalk, CT · CCN 070034	76	$16,930	13% above the national average	$14,742	$48,380
Memorial HospitalLogansport, IN · CCN 150072	11	$16,935	13% above the national average	$15,451	$36,245
Chenango Memorial HospitalNorwich, NY · CCN 330033	12	$16,954	13% above the national average	$15,866	$38,882
Research Medical CenterKansas City, MO · CCN 260027	22	$16,958	13% above the national average	$13,047	$146,229
Glendale Memorial Hospital & Health CenterGlendale, CA · CCN 050058	38	$16,974	14% above the national average	$15,987	$105,587
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	14	$16,980	14% above the national average	$15,465	$55,746
HCA Houston Healthcare WestHouston, TX · CCN 450644	28	$17,001	14% above the national average	$14,402	$114,366
Trinity MuscatineMuscatine, IA · CCN 160013	25	$17,002	14% above the national average	$15,759	$21,873
Alhambra Hospital Medical CenterAlhambra, CA · CCN 050281	49	$17,007	14% above the national average	$16,128	$102,878
Phelps County Regional Medical CenterRolla, MO · CCN 260017	35	$17,010	14% above the national average	$14,601	$78,732
Providence Medford Medical CenterMedford, OR · CCN 380075	33	$17,010	14% above the national average	$15,523	$58,648
Summit Healthcare Regional Medical CenterShow Low, AZ · CCN 030062	29	$17,028	14% above the national average	$15,622	$30,501
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	218	$17,036	14% above the national average	$14,889	$93,212
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	76	$17,039	14% above the national average	$14,891	$140,350
Sherman Oaks HospitalSherman Oaks, CA · CCN 050755	56	$17,040	14% above the national average	$15,919	$61,991
Adventist Health St HelenaSaint Helena, CA · CCN 050013	18	$17,045	14% above the national average	$16,093	$117,456
Waterbury HospitalWaterbury, CT · CCN 070005	69	$17,045	14% above the national average	$14,843	$78,239
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	142	$17,051	14% above the national average	$15,561	$88,882
Kaiser Foundation Hospital - San DiegoSan Diego, CA · CCN 050515	16	$17,055	14% above the national average	$12,304	$54,827
Frederick Health HospitalFrederick, MD · CCN 210005	140	$17,056	14% above the national average	$15,100	$18,610
Clovis Community Medical CenterClovis, CA · CCN 050492	115	$17,065	14% above the national average	$15,311	$111,497
Emanate Health Inter-Community HospitalCovina, CA · CCN 050382	119	$17,070	14% above the national average	$15,737	$68,812
Tidalhealth Peninsula Regional, IncSalisbury, MD · CCN 210019	81	$17,078	14% above the national average	$15,890	$19,078
St James HospitalHornell, NY · CCN 330151	12	$17,083	14% above the national average	$15,859	$23,014
Mountainview HospitalLas Vegas, NV · CCN 290039	86	$17,094	14% above the national average	$14,450	$164,407
Saint James HospitalPontiac, IL · CCN 140161	15	$17,094	14% above the national average	$15,789	$50,102
Providence Alaska Medical CenterAnchorage, AK · CCN 020001	65	$17,099	14% above the national average	$13,777	$110,321
Corona Regional Medical CenterCorona, CA · CCN 050329	41	$17,117	15% above the national average	$15,759	$151,926
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	51	$17,124	15% above the national average	$12,038	$62,365
HCA Houston Healthcare NorthwestHouston, TX · CCN 450638	12	$17,133	15% above the national average	$15,630	$145,442
Mercy Medical Center ReddingRedding, CA · CCN 050280	77	$17,138	15% above the national average	$15,385	$106,997
St Vincent's Medical CenterBridgeport, CT · CCN 070028	94	$17,202	15% above the national average	$15,260	$68,409
Southside HospitalBay Shore, NY · CCN 330043	130	$17,208	15% above the national average	$15,546	$118,561
Houston Methodist HospitalHouston, TX · CCN 450358	215	$17,211	15% above the national average	$13,279	$118,884
Clara Maass Medical CenterBelleville, NJ · CCN 310009	48	$17,212	15% above the national average	$15,572	$145,877
San Ramon Regional Medical CenterSan Ramon, CA · CCN 050689	42	$17,213	15% above the national average	$15,931	$236,094
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	60	$17,216	15% above the national average	$9,364	$53,940

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.