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Inpatient stay · MS-DRG 186

Pleural effusion with MCC

In 2024, Medicare and patients paid an average of $14,801 per stay at 123 hospitals. Half of hospitals averaged between $11,653 and $16,547.

National figures, 2024

Average payment per case
$14,801
Typical range (middle half of hospitals)
$11,653–$16,547
Medicare’s share
$12,13982% of the payment
Average billed charge
$81,947
Hospitals reporting
1231,751 stays

Hospitals in California

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
California
Specific hospitals up to 10
Average payment across these 13 hospitals
$19,352National $14,801 · California $19,352
Median hospital
$16,544
Lowest to highest
$14,930–$37,043
Medicare stays
173

13 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Pleural effusion with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Bakersfield Memorial HospitalBakersfield, CA · CCN 05003612$14,930About average$13,835$81,681
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 05067811$14,973About average$13,637$111,339
Providence Saint Joseph Medical CenterBurbank, CA · CCN 05023515$15,153About average$13,882$101,760
Eisenhower Medical CenterRancho Mirage, CA · CCN 05057316$15,549About average$13,577$86,937
Saint Agnes Medical CenterFresno, CA · CCN 05009313$16,34410% above the national average$15,116$36,184
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 05018011$16,49611% above the national average$16,035$178,980
Glendale Adventist Medical CenterGlendale, CA · CCN 05023915$16,54412% above the national average$15,460$102,811
Saint John's Health CenterSanta Monica, CA · CCN 05029011$17,05115% above the national average$12,855$87,698
Kaweah Health Medical CenterVisalia, CA · CCN 05005712$18,02822% above the national average$16,374$55,375
Sutter Medical Center, SacramentoSacramento, CA · CCN 05010813$19,90634% above the national average$15,665$86,323
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062515$21,28844% above the national average$16,635$256,179
Sutter Roseville Medical CenterRoseville, CA · CCN 05030913$23,94062% above the national average$11,570$80,093
Stanford Health CareStanford, CA · CCN 05044116$37,043150% above the national average$32,752$285,409

National trend

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

  • Average payment
  • Average billed charge
2020: 1,570 stays at 118 hospitals · 2021: 1,670 stays at 119 hospitals · 2022: 1,506 stays at 106 hospitals · 2023: 1,684 stays at 116 hospitals · 2024: 1,751 stays at 123 hospitals
View data as a table
National average payment and billed charge for Pleural effusion with MCC
Year of careAverage paymentAverage billed charge
2020$13K$60K
2021$13K$65K
2022$14K$66K
2023$15K$75K
2024$15K$82K

By state, 2024

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

Show all 36 states
Average payment by state for Pleural effusion with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Mississippi112$9,947$9,947–$9,947
New Mexico115$10,780$10,780–$10,780
Nebraska227$10,867$10,578–$11,321
Colorado111$10,976$10,976–$10,976
Kentucky119$10,980$10,980–$10,980
Louisiana223$11,024$10,663–$11,327
Arkansas111$11,055$11,055–$11,055
Florida19306$11,870$11,042–$12,774
South Carolina224$11,982$11,792–$12,249
Missouri225$12,097$11,839–$12,317
Tennessee672$12,174$10,937–$13,810
Iowa237$12,313$12,068–$12,652
Oklahoma343$12,335$12,039–$12,777
Maryland335$12,755$10,759–$14,463
Illinois677$13,206$10,930–$14,114
North Carolina464$13,454$11,994–$14,029
Virginia338$13,569$12,266–$15,104
Texas680$13,831$11,729–$14,932
Kansas335$13,865$13,252–$14,361
Delaware119$14,051$14,051–$14,051
Utah112$14,084$14,084–$14,084
New Jersey564$14,205$13,528–$14,745
Arizona686$14,328$11,857–$13,435
Montana112$14,585$14,585–$14,585
Ohio114$14,751$14,751–$14,751
Georgia445$15,079$12,171–$16,854
Pennsylvania461$15,350$13,297–$15,747
Nevada120$16,553$16,553–$16,553
Massachusetts340$16,607$14,604–$18,576
West Virginia114$17,272$17,272–$17,272
Connecticut226$19,321$17,862–$20,390
California13173$19,352$15,549–$19,906
Michigan111$19,973$19,973–$19,973
Hawaii114$20,311$20,311–$20,311
Alabama115$21,094$21,094–$21,094
New York9171$21,286$18,498–$23,012

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.