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 1,901–1,950. 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
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	58	$17,228	15% above the national average	$15,832	$63,920
Garden Grove Hospital & Medical CenterGarden Grove, CA · CCN 050230	53	$17,233	15% above the national average	$16,280	$95,945
Providence Holy Cross Medical CenterMission Hills, CA · CCN 050278	54	$17,243	15% above the national average	$15,858	$99,443
Advocate Trinity HospitalChicago, IL · CCN 140048	61	$17,247	15% above the national average	$10,658	$54,301
St Luke's Warren HospitalPhillipsburg, NJ · CCN 310060	31	$17,253	15% above the national average	$14,877	$121,330
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	78	$17,256	15% above the national average	$14,465	$140,797
CHI St Lukes Health Memorial LivingstonLivingston, TX · CCN 450395	18	$17,263	15% above the national average	$15,993	$62,978
Greater El Monte Community HospitalSouth El Monte, CA · CCN 050738	12	$17,274	16% above the national average	$16,053	$77,071
Oneida Health HospitalOneida, NY · CCN 330115	12	$17,288	16% above the national average	$16,205	$33,079
Mercy General HospitalSacramento, CA · CCN 050017	36	$17,292	16% above the national average	$16,122	$113,120
Kuakini Medical CenterHonolulu, HI · CCN 120007	52	$17,296	16% above the national average	$14,805	$56,092
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	115	$17,305	16% above the national average	$15,661	$240,914
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	25	$17,315	16% above the national average	$15,142	$45,390
Sunrise Hospital And Medical CenterLas Vegas, NV · CCN 290003	33	$17,326	16% above the national average	$12,473	$193,926
Self Regional HealthcareGreenwood, SC · CCN 420071	60	$17,339	16% above the national average	$15,207	$48,056
Antelope Valley HospitalLancaster, CA · CCN 050056	25	$17,348	16% above the national average	$16,156	$87,779
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	20	$17,352	16% above the national average	$10,213	$57,593
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	90	$17,365	16% above the national average	$13,197	$89,173
Inspira Medical Center VinelandVineland, NJ · CCN 310032	91	$17,373	16% above the national average	$15,182	$77,601
Ohio State University State Health SystemColumbus, OH · CCN 360085	100	$17,380	16% above the national average	$13,177	$75,242
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA · CCN 050761	84	$17,386	16% above the national average	$16,025	$111,053
MedStar Franklin Square Medical CenterRosedale, MD · CCN 210015	87	$17,393	16% above the national average	$15,711	$19,291
Mount Auburn HospitalCambridge, MA · CCN 220002	93	$17,409	16% above the national average	$14,843	$23,765
Straub Clinic And HospitalHonolulu, HI · CCN 120022	117	$17,409	16% above the national average	$14,927	$64,406
Orange County Global Medical CenterSanta Ana, CA · CCN 050746	14	$17,416	17% above the national average	$16,129	$68,381
Swedish Edmonds HospitalEdmonds, WA · CCN 500026	51	$17,421	17% above the national average	$12,350	$96,834
Cleveland ClinicCleveland, OH · CCN 360180	104	$17,437	17% above the national average	$12,646	$74,422
Desert Valley HospitalVictorville, CA · CCN 050709	98	$17,440	17% above the national average	$15,589	$60,554
Garnet Health Medical CenterMiddletown, NY · CCN 330126	213	$17,441	17% above the national average	$14,784	$76,840
MedStar Montgomery Medical CenterOlney, MD · CCN 210018	55	$17,444	17% above the national average	$16,303	$19,720
St Mary Medical CenterLong Beach, CA · CCN 050191	17	$17,456	17% above the national average	$16,123	$134,258
HCA Florida Lake City HospitalLake City, FL · CCN 100156	53	$17,476	17% above the national average	$13,828	$78,704
San Gabriel Valley Medical CenterSan Gabriel, CA · CCN 050132	53	$17,480	17% above the national average	$16,045	$117,002
Franciscan Health DyerDyer, IN · CCN 150090	54	$17,482	17% above the national average	$15,416	$76,191
Franciscan Health Olympia & Chicago HeightsOlympia Fields, IL · CCN 140172	59	$17,494	17% above the national average	$14,642	$58,843
Providence St Mary Medical CenterApple Valley, CA · CCN 050300	36	$17,498	17% above the national average	$16,390	$106,655
Plainview HospitalPlainview, NY · CCN 330331	168	$17,500	17% above the national average	$14,951	$95,479
Mission Community HospitalPanorama City, CA · CCN 050704	81	$17,508	17% above the national average	$16,142	$85,371
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	81	$17,514	17% above the national average	$15,353	$95,185
HCA Florida Osceola HospitalKissimmee, FL · CCN 100110	16	$17,516	17% above the national average	$13,646	$176,882
Lompoc Valley Medical CenterLompoc, CA · CCN 050110	23	$17,519	17% above the national average	$16,599	$60,969
Novato Community HospitalNovato, CA · CCN 050131	11	$17,532	17% above the national average	$16,493	$50,355
Coast Plaza HospitalNorwalk, CA · CCN 050771	11	$17,536	17% above the national average	$16,649	$97,261
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	52	$17,545	17% above the national average	$12,559	$96,321
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA · CCN 050305	30	$17,546	17% above the national average	$16,452	$67,094
Christus Southern New MexicoAlamogordo, NM · CCN 320004	32	$17,554	17% above the national average	$16,263	$115,778
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	78	$17,569	18% above the national average	$16,510	$107,052
Lower Keys Medical CenterKey West, FL · CCN 100150	32	$17,575	18% above the national average	$16,556	$84,995
Inova Fairfax HospitalFalls Church, VA · CCN 490063	193	$17,578	18% above the national average	$12,561	$44,606
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	110	$17,591	18% above the national average	$15,376	$126,754

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.