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Inpatient stay · MS-DRG 179

Respiratory infections and inflammations without CC/MCC

In 2024, Medicare and patients paid an average of $7,142 per stay at 66 hospitals. Half of hospitals averaged between $5,726 and $7,861.

National figures, 2024

Average payment per case
$7,142
Typical range (middle half of hospitals)
$5,726–$7,861
Medicare’s share
$5,26774% of the payment
Average billed charge
$35,260
Hospitals reporting
66953 stays

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Specific hospitals up to 10

66 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–66. Download as CSV

Medicare payments per case for Respiratory infections and inflammations without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Newton-Wellesley HospitalNewton, MA · CCN 22010111$8,10313% above the national average$4,804$28,958
Marion Communtiy HospitalOcala, FL · CCN 10021211$8,23415% above the national average$4,705$49,192
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 05039612$8,27116% above the national average$6,619$53,795
Baystate Medical CenterSpringfield, MA · CCN 22007713$8,33817% above the national average$6,262$14,982
Community Medical CenterToms River, NJ · CCN 31004112$8,40018% above the national average$4,126$65,171
North Shore University HospitalManhasset, NY · CCN 33010612$9,37331% above the national average$6,732$69,929
New York-Presbyterian HospitalNew York, NY · CCN 33010121$9,83638% above the national average$7,312$56,184
Saint Peter's University HospitalNew Brunswick, NJ · CCN 31007013$9,92839% above the national average$6,034$74,085
Adventist Healthcare White Oak Medical CenterSilver Spring, MD · CCN 21001613$10,05741% above the national average$8,676$11,193
Luminis Health Anne Arundel Medical Center, IncAnnapolis, MD · CCN 21002315$10,14242% above the national average$8,619$11,092
Chinle Comprehensive Health Care FacilityChinle, AZ · CCN 03008411$10,26444% above the national average$8,781$19,408
Frederick Health HospitalFrederick, MD · CCN 21000514$10,39446% above the national average$8,881$11,388
West Jersey HospitalVoorhees, NJ · CCN 31002211$11,04055% above the national average$3,615$76,554
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 33039315$11,14156% above the national average$7,215$59,213
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 21005712$11,40460% above the national average$9,982$12,943
Jackson Health SystemMiami, FL · CCN 10002214$14,656105% above the national average$12,404$29,535

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 2,008 stays at 123 hospitals · 2021: 1,175 stays at 74 hospitals · 2022: 3,541 stays at 199 hospitals · 2023: 2,013 stays at 123 hospitals · 2024: 953 stays at 66 hospitals
View data as a table
National average payment and billed charge for Respiratory infections and inflammations without CC/MCC
Year of careAverage paymentAverage billed charge
2020$8,280$28K
2021$8,944$30K
2022$8,940$33K
2023$7,980$34K
2024$7,142$35K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 18 states
Average payment by state for Respiratory infections and inflammations without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Missouri115$4,977$4,977–$4,977
Kentucky229$5,116$5,084–$5,209
Indiana113$5,255$5,255–$5,255
Michigan113$5,475$5,475–$5,475
North Carolina112$5,559$5,559–$5,559
Alabama113$5,703$5,703–$5,703
Pennsylvania569$6,152$5,286–$6,842
Texas111$6,411$6,411–$6,411
Illinois699$6,644$5,715–$7,031
Florida12176$6,738$5,582–$6,944
Massachusetts9141$6,899$6,361–$7,335
Delaware111$7,148$7,148–$7,148
Arizona342$7,323$6,172–$8,455
Rhode Island111$7,361$7,361–$7,361
New Jersey797$7,716$6,474–$9,164
New York9135$8,236$7,245–$9,373
California112$8,271$8,271–$8,271
Maryland454$10,467$10,121–$10,646

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.