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

Hospitals in Massachusetts

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Average payment across these 49 hospitals: $15,844National $14,949 · Massachusetts $15,844
Median hospital: $13,838
Lowest to highest: $12,088–$29,633
Medicare stays: 6,487

49 hospitals reported at least 11 Medicare stays for this in 2024. 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
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	162	$12,088	19% below the national average	$10,950	$24,401
Emerson Hospital -W Concord, MA · CCN 220084	88	$12,536	16% below the national average	$11,350	$27,350
Baystate Noble HospitalWestfield, MA · CCN 220065	35	$12,587	16% below the national average	$11,264	$17,610
Nashoba Valley Medical CenterAyer, MA · CCN 220098	16	$12,714	15% below the national average	$11,592	$21,393
Falmouth HospitalFalmouth, MA · CCN 220135	119	$12,744	15% below the national average	$11,668	$27,243
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	97	$12,796	14% below the national average	$11,619	$19,164
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	47	$12,949	13% below the national average	$11,977	$17,436
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	182	$13,043	13% below the national average	$11,929	$22,820
Winchester HospitalWinchester, MA · CCN 220105	209	$13,070	13% below the national average	$11,783	$25,568
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	70	$13,166	12% below the national average	$11,617	$30,054
Mercy Medical CenterSpringfield, MA · CCN 220066	41	$13,255	11% below the national average	$11,983	$26,056
Heywood Hospital -Gardner, MA · CCN 220095	35	$13,291	11% below the national average	$12,267	$21,457
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	48	$13,305	11% below the national average	$12,049	$26,792
Marlborough HospitalMarlborough, MA · CCN 220049	82	$13,309	11% below the national average	$11,876	$36,402
South Shore HospitalSouth Weymouth, MA · CCN 220100	436	$13,321	11% below the national average	$12,100	$25,102
Anna Jaques HospitalNewburyport, MA · CCN 220029	77	$13,399	10% below the national average	$12,132	$28,614
Good Samaritan Medical CenterBrockton, MA · CCN 220111	147	$13,464	About average	$12,085	$21,921
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	191	$13,465	About average	$12,313	$29,255
Milford Regional Medical CenterMilford, MA · CCN 220090	214	$13,557	About average	$12,225	$20,322
Holyoke Medical CenterHolyoke, MA · CCN 220024	49	$13,599	About average	$12,468	$18,940
Baystate Wing HospitalPalmer, MA · CCN 220030	49	$13,722	About average	$12,525	$22,285
Saint Anne's HospitalFall River, MA · CCN 220020	114	$13,739	About average	$12,795	$27,508
Holy Family HospitalMethuen, MA · CCN 220080	89	$13,747	About average	$12,689	$20,465
Brown University Health Morton HospitalTaunton, MA · CCN 220073	118	$13,755	About average	$12,175	$25,762
Southcoast Hospitals GroupFall River, MA · CCN 220074	392	$13,838	About average	$12,515	$34,952
Northeast Hospital CorporationBeverly, MA · CCN 220033	189	$13,907	About average	$11,985	$33,721
Lowell General HospitalLowell, MA · CCN 220063	155	$14,034	About average	$11,963	$30,933
Newton-Wellesley HospitalNewton, MA · CCN 220101	228	$14,220	About average	$12,381	$38,629
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	109	$14,480	About average	$13,046	$44,307
MelroseWakefield HealthcareMelrose, MA · CCN 220070	98	$14,505	About average	$11,973	$24,212
North Shore Medical Center -Salem, MA · CCN 220035	275	$15,053	About average	$13,698	$40,393
MetroWest Medical CenterFramingham, MA · CCN 220175	74	$15,658	About average	$14,237	$73,738
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	115	$15,906	About average	$14,045	$27,725
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	14	$15,910	About average	$12,836	$31,021
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	143	$16,858	13% above the national average	$14,156	$43,675
Mount Auburn HospitalCambridge, MA · CCN 220002	93	$17,409	16% above the national average	$14,843	$23,765
Cape Cod HospitalHyannis, MA · CCN 220012	196	$17,826	19% above the national average	$15,482	$26,627
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	203	$17,830	19% above the national average	$14,795	$30,607
Berkshire Medical CenterPittsfield, MA · CCN 220046	170	$18,087	21% above the national average	$16,187	$28,544
Boston Medical Center-BrightonBrighton, MA · CCN 220036	27	$18,218	22% above the national average	$15,806	$23,190
St Vincent HospitalWorcester, MA · CCN 220176	64	$18,235	22% above the national average	$15,491	$78,275
Baystate Medical CenterSpringfield, MA · CCN 220077	152	$18,332	23% above the national average	$15,383	$27,090
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	210	$21,505	44% above the national average	$18,105	$61,160
Tufts Medical CenterBoston, MA · CCN 220116	57	$21,573	44% above the national average	$17,275	$42,309
Massachusetts General HospitalBoston, MA · CCN 220071	329	$22,336	49% above the national average	$17,031	$89,121
Brigham And Women's HospitalBoston, MA · CCN 220110	216	$22,724	52% above the national average	$18,553	$104,573
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	175	$22,902	53% above the national average	$18,217	$40,275
Cambridge Health AllianceCambridge, MA · CCN 220011	40	$24,604	65% above the national average	$21,242	$28,791
Boston Medical CenterBoston, MA · CCN 220031	48	$29,633	98% above the national average	$25,178	$47,665

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.