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 2,051–2,100. 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 Presbyterian ShadysidePittsburgh, PA · CCN 390164	103	$18,660	25% above the national average	$14,576	$177,336
Kaweah Health Medical CenterVisalia, CA · CCN 050057	95	$18,661	25% above the national average	$16,962	$64,830
Sharp Memorial HospitalSan Diego, CA · CCN 050100	89	$18,690	25% above the national average	$15,790	$138,786
Gallup Indian Medical CenterGallup, NM · CCN 320061	15	$18,690	25% above the national average	$17,276	$33,031
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	99	$18,707	25% above the national average	$14,955	$47,538
University Medical CenterLubbock, TX · CCN 450686	68	$18,714	25% above the national average	$16,161	$73,982
Saint Agnes HospitalBaltimore, MD · CCN 210011	54	$18,732	25% above the national average	$17,321	$21,531
Shands JacksonvilleJacksonville, FL · CCN 100001	56	$18,755	25% above the national average	$16,416	$52,786
Loma Linda University Medical Center-MurrietaMurrieta, CA · CCN 050770	40	$18,759	25% above the national average	$17,162	$80,728
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	61	$18,760	25% above the national average	$16,125	$47,495
Cooper University HospitalCamden, NJ · CCN 310014	54	$18,763	26% above the national average	$16,334	$87,153
The Nebraska Medical CenterOmaha, NE · CCN 280013	59	$18,775	26% above the national average	$14,183	$74,732
Petaluma Valley HospitalPetaluma, CA · CCN 050136	22	$18,790	26% above the national average	$16,785	$154,778
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	112	$18,820	26% above the national average	$14,607	$124,317
UH St John Medical CenterWestlake, OH · CCN 360123	81	$18,837	26% above the national average	$16,609	$43,412
Sierra View Medical CenterPorterville, CA · CCN 050261	25	$18,843	26% above the national average	$17,034	$45,980
Sheridan Memorial HospitalSheridan, WY · CCN 530006	32	$18,846	26% above the national average	$17,571	$32,744
Adventist Health HanfordHanford, CA · CCN 050121	47	$18,851	26% above the national average	$15,411	$68,366
Sampson Regional Medical CenterClinton, NC · CCN 340024	11	$18,852	26% above the national average	$13,310	$27,911
Alameda HospitalAlameda, CA · CCN 050211	44	$18,855	26% above the national average	$17,890	$97,569
Hemet Global Medical CenterHemet, CA · CCN 050390	23	$18,866	26% above the national average	$16,718	$59,329
Saint Agnes Medical CenterFresno, CA · CCN 050093	147	$18,869	26% above the national average	$16,658	$75,513
Chino Valley Medical CenterChino, CA · CCN 050586	24	$18,879	26% above the national average	$16,218	$80,917
Phoebe Putney Memorial HospitalAlbany, GA · CCN 110007	38	$18,888	26% above the national average	$14,317	$53,945
Garnet Health Medical Center CatskillsHarris, NY · CCN 330386	31	$18,919	27% above the national average	$13,875	$81,143
Northwestern Memorial HospitalChicago, IL · CCN 140281	250	$18,924	27% above the national average	$14,700	$80,745
Allegheny General HospitalPittsburgh, PA · CCN 390050	50	$18,927	27% above the national average	$12,380	$97,041
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	75	$18,936	27% above the national average	$17,935	$155,239
UH Cleveland Medical CenterCleveland, OH · CCN 360137	46	$18,963	27% above the national average	$14,241	$67,380
O U Medical CenterOklahoma City, OK · CCN 370093	94	$18,985	27% above the national average	$14,886	$115,026
Memorial Regional HospitalHollywood, FL · CCN 100038	70	$19,020	27% above the national average	$15,243	$170,870
St Rose HospitalHayward, CA · CCN 050002	22	$19,054	27% above the national average	$17,365	$90,420
Washington HospitalFremont, CA · CCN 050195	144	$19,074	28% above the national average	$17,780	$131,813
Rochester General HospitalRochester, NY · CCN 330125	77	$19,076	28% above the national average	$15,599	$48,567
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050	39	$19,103	28% above the national average	$16,921	$48,428
Verde Valley Medical CenterCottonwood, AZ · CCN 030007	54	$19,110	28% above the national average	$17,491	$88,620
Chinle Comprehensive Health Care FacilityChinle, AZ · CCN 030084	12	$19,112	28% above the national average	$17,888	$19,061
St Mary's General HospitalPassaic, NJ · CCN 310006	23	$19,119	28% above the national average	$16,802	$52,185
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	169	$19,122	28% above the national average	$17,017	$185,207
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	163	$19,137	28% above the national average	$13,351	$82,977
Kaiser Foundation Hospital - Orange County - AnaheimAnaheim, CA · CCN 050609	18	$19,148	28% above the national average	$11,543	$56,020
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	37	$19,154	28% above the national average	$17,626	$227,316
Indiana University HealthIndianapolis, IN · CCN 150056	77	$19,154	28% above the national average	$14,216	$69,602
Ventura County Medical CenterVentura, CA · CCN 050159	14	$19,158	28% above the national average	$17,951	$86,308
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	45	$19,177	28% above the national average	$14,424	$75,889
Northwestern Medical Center IncSaint Albans, VT · CCN 470024	24	$19,186	28% above the national average	$17,794	$20,390
Lenox Hill HospitalNew York, NY · CCN 330119	67	$19,198	28% above the national average	$16,286	$102,787
Deborah Heart And Lung CenterBrowns Mills, NJ · CCN 310031	23	$19,223	29% above the national average	$17,117	$120,117
Rhode Island HospitalProvidence, RI · CCN 410007	126	$19,259	29% above the national average	$15,017	$55,458
Mercy Catholic Medical Center- Mercy FitzgeraldDarby, PA · CCN 390156	19	$19,265	29% above the national average	$15,066	$61,517

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.