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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

Hospitals in Texas

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
Texas
Specific hospitals up to 10
Average payment (1 hospital)
$6,411National $7,142 · Texas $6,411
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare stays
11

1 hospital reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Respiratory infections and inflammations without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
United Regional Health Care SystemWichita Falls, TX · CCN 45001011$6,41110% below the national average$5,224$36,711

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.