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 2,201–2,250. 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
St Joseph's Medical CenterYonkers, NY · CCN 330006	14	$21,738	45% above the national average	$20,170	$95,301
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	108	$21,809	46% above the national average	$15,182	$67,499
Hilo Benioff Medical CenterHilo, HI · CCN 120005	34	$21,939	47% above the national average	$20,523	$59,919
Covenant Health Hobbs HospitalHobbs, NM · CCN 320065	20	$21,952	47% above the national average	$20,280	$58,695
MedStar Good Samaritan HospitalBaltimore, MD · CCN 210056	50	$22,008	47% above the national average	$19,982	$24,727
Temple University HospitalPhiladelphia, PA · CCN 390027	79	$22,076	48% above the national average	$17,134	$225,191
Community Regional Medical CenterFresno, CA · CCN 050060	56	$22,082	48% above the national average	$17,132	$92,593
Kaiser Foundation Hospital - Oakland/RichmondOakland, CA · CCN 050075	30	$22,088	48% above the national average	$18,090	$70,512
Scripps Green HospitalLa Jolla, CA · CCN 050424	34	$22,223	49% above the national average	$15,686	$64,229
Mount Sinai Beth IsraelNew York, NY · CCN 330169	98	$22,232	49% above the national average	$17,347	$141,672
Northwest Hospital CenterRandallstown, MD · CCN 210040	101	$22,267	49% above the national average	$20,448	$25,105
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	65	$22,295	49% above the national average	$16,020	$100,557
Massachusetts General HospitalBoston, MA · CCN 220071	329	$22,336	49% above the national average	$17,031	$89,121
Harborview Medical CenterSeattle, WA · CCN 500064	19	$22,372	50% above the national average	$18,213	$95,189
California Pacific Medical Center - Mission BernalSan Francisco, CA · CCN 050055	40	$22,382	50% above the national average	$19,152	$72,194
Saint Joseph HospitalDenver, CO · CCN 060028	41	$22,437	50% above the national average	$17,272	$177,696
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	69	$22,483	50% above the national average	$21,300	$72,379
Palisades Medical CenterNorth Bergen, NJ · CCN 310003	50	$22,503	51% above the national average	$18,602	$108,124
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	16	$22,551	51% above the national average	$17,071	$60,313
Westchester Medical CenterValhalla, NY · CCN 330234	66	$22,587	51% above the national average	$19,161	$235,529
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 330184	30	$22,595	51% above the national average	$15,970	$79,817
AdventHealth Heart Of FloridaDavenport, FL · CCN 100137	23	$22,645	51% above the national average	$10,256	$184,681
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	19	$22,666	52% above the national average	$21,052	$27,486
Brigham And Women's HospitalBoston, MA · CCN 220110	216	$22,724	52% above the national average	$18,553	$104,573
Kaiser Foundation Hospital South SacramentoSacramento, CA · CCN 050674	13	$22,779	52% above the national average	$17,280	$81,837
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	330	$22,810	53% above the national average	$18,265	$259,500
Strong Memorial HospitalRochester, NY · CCN 330285	57	$22,811	53% above the national average	$16,886	$46,551
Richmond University Medical CenterStaten Island, NY · CCN 330028	73	$22,815	53% above the national average	$18,471	$98,116
UCSF Health St. Mary's HospitalSan Francisco, CA · CCN 050457	44	$22,824	53% above the national average	$20,520	$107,017
Temecula Valley HospitalTemecula, CA · CCN 050775	52	$22,855	53% above the national average	$19,513	$151,935
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	290	$22,877	53% above the national average	$18,564	$124,628
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	175	$22,902	53% above the national average	$18,217	$40,275
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	30	$22,929	53% above the national average	$13,608	$63,311
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 050292	29	$22,982	54% above the national average	$21,663	$127,436
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 050352	14	$22,992	54% above the national average	$21,477	$76,950
Duke University HospitalDurham, NC · CCN 340030	126	$23,014	54% above the national average	$15,017	$58,620
Kaiser Foundation Hospital - Walnut CreekWalnut Creek, CA · CCN 050072	13	$23,028	54% above the national average	$9,326	$61,608
Mount Sinai WestNew York, NY · CCN 330046	110	$23,104	55% above the national average	$19,183	$128,209
UCSF Health Saint Francis HospitalSan Francisco, CA · CCN 050152	13	$23,208	55% above the national average	$22,350	$179,252
Hillsboro Medical CenterHillsboro, OR · CCN 380021	24	$23,357	56% above the national average	$16,496	$88,607
Sutter Amador HospitalJackson, CA · CCN 050014	17	$23,448	57% above the national average	$18,808	$68,080
Alaska Native Medical CenterAnchorage, AK · CCN 020026	20	$23,451	57% above the national average	$22,473	$114,161
Newark Beth Israel Medical CenterNewark, NJ · CCN 310002	12	$23,464	57% above the national average	$17,123	$174,044
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	93	$23,508	57% above the national average	$14,023	$86,654
Larkin Community Hospital Palm Springs CampusHialeah, FL · CCN 100050	30	$23,562	58% above the national average	$17,275	$80,893
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	38	$23,600	58% above the national average	$15,602	$73,089
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	250	$23,609	58% above the national average	$16,189	$62,353
Western Maryland Regional Medical CenterCumberland, MD · CCN 210027	62	$23,737	59% above the national average	$22,606	$26,763
The University Of Chicago Medical CenterChicago, IL · CCN 140088	88	$23,900	60% above the national average	$17,104	$107,269
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	93	$23,947	60% above the national average	$19,850	$52,416

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.