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 2,101–2,150. 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
Bassett HealthcareCooperstown, NY · CCN 330136	33	$19,341	29% above the national average	$17,304	$36,309
Scripps Mercy HospitalSan Diego, CA · CCN 050077	72	$19,373	30% above the national average	$17,153	$87,602
Sisters Of Charity HospitalBuffalo, NY · CCN 330078	27	$19,386	30% above the national average	$12,030	$33,224
Samaritan Medical CenterWatertown, NY · CCN 330157	37	$19,387	30% above the national average	$18,139	$42,821
Northern Light Maine Coast HospitalEllsworth, ME · CCN 200050	22	$19,387	30% above the national average	$18,202	$50,362
Mosaic Medical Center - MaryvilleMaryville, MO · CCN 260050	13	$19,391	30% above the national average	$18,010	$35,460
Saint Francis Medical CenterPeoria, IL · CCN 140067	121	$19,397	30% above the national average	$12,718	$72,150
Adventist Healthcare Fort Washington Medical CenterFort Washington, MD · CCN 210060	15	$19,397	30% above the national average	$18,093	$22,148
University Of Mississippi Medical CenterJackson, MS · CCN 250001	17	$19,470	30% above the national average	$14,056	$81,376
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	142	$19,476	30% above the national average	$15,597	$49,825
UNM HospitalAlbuquerque, NM · CCN 320001	58	$19,503	30% above the national average	$15,724	$29,587
MedStar Washington Hospital CenterWashington, DC · CCN 090011	60	$19,540	31% above the national average	$14,625	$83,738
Piedmont Hospital, IncAtlanta, GA · CCN 110083	44	$19,569	31% above the national average	$10,426	$66,244
New York-Presbyterian/QueensFlushing, NY · CCN 330055	129	$19,575	31% above the national average	$17,003	$122,882
University Of Washington Medical CenterSeattle, WA · CCN 500008	195	$19,583	31% above the national average	$14,130	$57,312
Kaiser Foundation Hospital - Los AngelesLos Angeles, CA · CCN 050138	11	$19,602	31% above the national average	$11,684	$69,571
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	76	$19,651	31% above the national average	$16,859	$182,585
Sutter Coast HospitalCrescent City, CA · CCN 050417	14	$19,654	31% above the national average	$18,141	$66,293
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	192	$19,659	32% above the national average	$18,542	$136,842
NorthBay Medical CenterFairfield, CA · CCN 050367	70	$19,666	32% above the national average	$18,452	$212,725
Windham Community Memorial HospitalWillimantic, CT · CCN 070021	22	$19,670	32% above the national average	$17,715	$47,004
Saint Peter's University HospitalNew Brunswick, NJ · CCN 310070	64	$19,747	32% above the national average	$17,089	$253,073
Providence Regional Medical Center EverettEverett, WA · CCN 500014	71	$19,754	32% above the national average	$11,904	$79,932
Erie County Medical CenterBuffalo, NY · CCN 330219	24	$19,756	32% above the national average	$15,539	$49,178
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	98	$19,801	32% above the national average	$15,256	$101,604
Valley Presbyterian HospitalVan Nuys, CA · CCN 050126	28	$19,814	33% above the national average	$18,824	$65,629
Northern Navajo Medical CenterShiprock, NM · CCN 320059	16	$19,883	33% above the national average	$18,357	$29,821
Eskenazi HealthIndianapolis, IN · CCN 150024	14	$19,887	33% above the national average	$18,092	$62,275
Peninsula Medical CenterBurlingame, CA · CCN 050007	75	$20,005	34% above the national average	$18,234	$79,391
OhioHealth O'Bleness HospitalAthens, OH · CCN 360014	31	$20,008	34% above the national average	$18,514	$32,797
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	91	$20,019	34% above the national average	$18,176	$22,741
Regional Medical Center Of San JoseSan Jose, CA · CCN 050125	30	$20,036	34% above the national average	$18,733	$275,184
Arnot Ogden Medical CenterElmira, NY · CCN 330090	34	$20,047	34% above the national average	$16,440	$43,494
Virginia Mason Medical CenterSeattle, WA · CCN 500005	39	$20,067	34% above the national average	$15,555	$68,367
Carroll Hospital CenterWestminster, MD · CCN 210033	88	$20,082	34% above the national average	$18,676	$22,742
Watsonville Community HospitalWatsonville, CA · CCN 050194	21	$20,094	34% above the national average	$18,928	$125,862
Northside HospitalAtlanta, GA · CCN 110161	79	$20,105	34% above the national average	$17,496	$103,422
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	108	$20,119	35% above the national average	$14,208	$97,120
The Queens Medical CenterHonolulu, HI · CCN 120001	161	$20,204	35% above the national average	$15,014	$79,045
MUSC Medical CenterCharleston, SC · CCN 420004	92	$20,210	35% above the national average	$13,020	$49,345
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	69	$20,251	35% above the national average	$15,137	$52,179
Holy Cross HospitalSilver Spring, MD · CCN 210004	63	$20,265	36% above the national average	$18,363	$22,427
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	28	$20,273	36% above the national average	$15,598	$71,599
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	224	$20,347	36% above the national average	$16,953	$133,780
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	50	$20,390	36% above the national average	$18,933	$21,620
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	64	$20,399	36% above the national average	$17,604	$93,769
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	104	$20,407	37% above the national average	$13,509	$67,638
Holy Cross Germantown HospitalGermantown, MD · CCN 210065	48	$20,491	37% above the national average	$18,455	$22,975
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	42	$20,496	37% above the national average	$15,950	$54,466
University Of Alabama HospitalBirmingham, AL · CCN 010033	79	$20,527	37% above the national average	$12,645	$82,548

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.