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Inpatient stay · MS-DRG 199

Pneumothorax with MCC

In 2024, Medicare and patients paid an average of $18,061 per stay at 86 hospitals. Half of hospitals averaged between $14,312 and $20,743.

National figures, 2024

Average payment per case
$18,061
Typical range (middle half of hospitals)
$14,312–$20,743
Medicare’s share
$13,95877% of the payment
Average billed charge
$88,934
Hospitals reporting
861,183 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 6 hospitals
$20,972National $18,061 · California $20,972
Median hospital
$18,408
Lowest to highest
$16,494–$34,329
Medicare stays
73

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

Medicare payments per case for Pneumothorax with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 05032413$16,494About average$15,115$230,898
Enloe HealthChico, CA · CCN 05003912$16,971About average$15,614$148,049
Mercy Medical Center ReddingRedding, CA · CCN 05028014$18,351About average$17,203$104,237
Sutter Roseville Medical CenterRoseville, CA · CCN 05030912$18,466About average$17,434$63,068
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062511$23,34029% above the national average$19,732$315,867
Alta Bates Summit Medical CenterOakland, CA · CCN 05004311$34,32990% above the national average$17,442$118,576

National trend

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

  • Average payment
  • Average billed charge
2020: 765 stays at 56 hospitals · 2021: 1,176 stays at 85 hospitals · 2022: 1,290 stays at 95 hospitals · 2023: 1,391 stays at 99 hospitals · 2024: 1,183 stays at 86 hospitals
View data as a table
National average payment and billed charge for Pneumothorax with MCC
Year of careAverage paymentAverage billed charge
2020$15K$66K
2021$17K$73K
2022$17K$76K
2023$17K$81K
2024$18K$89K

By state, 2024

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

Show all 31 states
Average payment by state for Pneumothorax with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Mississippi114$12,519$12,519–$12,519
Arkansas227$12,662$12,338–$13,037
Arizona223$13,155$13,083–$13,241
Idaho111$13,718$13,718–$13,718
Oklahoma229$13,966$13,857–$14,191
Ohio115$14,515$14,515–$14,515
North Dakota114$14,515$14,515–$14,515
New Hampshire111$14,527$14,527–$14,527
North Carolina124$14,657$14,657–$14,657
Kentucky237$14,697$13,519–$16,009
Florida9126$14,957$12,601–$14,994
Texas570$15,534$13,722–$16,698
Kansas457$16,040$14,378–$16,678
New Jersey113$16,221$16,221–$16,221
Iowa222$16,854$15,549–$18,158
Minnesota336$16,935$14,301–$18,464
Tennessee466$17,986$13,657–$20,031
Nevada340$18,086$16,971–$19,185
Indiana351$18,101$17,264–$19,824
Delaware227$18,119$15,679–$19,240
Georgia225$18,219$17,328–$18,978
Maryland335$18,813$16,551–$20,986
Virginia447$19,440$16,556–$21,522
Michigan112$19,655$19,655–$19,655
Pennsylvania448$19,849$17,369–$22,015
California673$20,972$17,316–$22,122
Rhode Island114$21,392$21,392–$21,392
Massachusetts7100$22,194$19,961–$25,151
Missouri113$22,324$22,324–$22,324
Illinois233$22,535$19,815–$27,621
New York570$25,914$20,976–$27,143

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.