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Inpatient stay · MS-DRG 205

Other respiratory system diagnoses with MCC

In 2024, Medicare and patients paid an average of $22,775 per stay at 199 hospitals. Half of hospitals averaged between $14,355 and $23,347.

National figures, 2024

Average payment per case
$22,775
Typical range (middle half of hospitals)
$14,355–$23,347
Medicare’s share
$17,24276% of the payment
Average billed charge
$112,096
Hospitals reporting
1994,459 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 20 hospitals
$35,316National $22,775 · California $35,316
Median hospital
$19,971
Lowest to highest
$15,549–$59,635
Medicare stays
470

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

Medicare payments per case for Other respiratory system diagnoses with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
UCLA West Valley Medical CenterWest Hills, CA · CCN 05048112$15,54932% below the national average$14,291$159,776
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 05050311$15,88030% below the national average$14,675$72,174
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 05022414$16,02630% below the national average$14,826$72,530
Huntington HospitalPasadena, CA · CCN 05043813$16,69527% below the national average$15,133$149,205
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 05032411$17,39524% below the national average$16,063$121,100
Enloe HealthChico, CA · CCN 05003914$17,45423% below the national average$16,203$121,707
Memorial Medical CenterModesto, CA · CCN 05055711$18,22820% below the national average$16,927$135,748
Centinela Hospital Medical CenterInglewood, CA · CCN 05073923$18,67418% below the national average$18,177$48,628
West Anaheim Medical CenterAnaheim, CA · CCN 05042611$19,34715% below the national average$18,083$39,249
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 05039615$19,62114% below the national average$17,827$119,599
Saint Francis Medical CenterLynwood, CA · CCN 05010417$20,32111% below the national average$19,265$55,768
Sutter Medical Center, SacramentoSacramento, CA · CCN 05010811$24,691About average$18,755$69,388
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062541$25,48512% above the national average$20,954$299,596
University Of California Davis Medical CenterSacramento, CA · CCN 05059919$29,02727% above the national average$22,431$174,068
Keck Hospital Of USCLos Angeles, CA · CCN 05069614$31,42338% above the national average$20,647$153,798
El Camino HealthMountain View, CA · CCN 05030811$34,78053% above the national average$34,110$411,893
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 05026248$38,21268% above the national average$27,837$130,508
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 05002533$38,90371% above the national average$27,598$167,677
UCSF Medical CenterSan Francisco, CA · CCN 05045431$48,692114% above the national average$35,372$237,706
Stanford Health CareStanford, CA · CCN 050441110$59,635162% above the national average$34,893$416,569

National trend

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

  • Average payment
  • Average billed charge
2020: 2,947 stays at 126 hospitals · 2021: 3,445 stays at 146 hospitals · 2022: 3,824 stays at 159 hospitals · 2023: 4,182 stays at 190 hospitals · 2024: 4,459 stays at 199 hospitals
View data as a table
National average payment and billed charge for Other respiratory system diagnoses with MCC
Year of careAverage paymentAverage billed charge
2020$20K$88K
2021$22K$97K
2022$23K$103K
2023$23K$105K
2024$23K$112K

By state, 2024

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

Show all 41 states
Average payment by state for Other respiratory system diagnoses with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Mississippi226$11,238$11,202–$11,257
Louisiana113$11,994$11,994–$11,994
New Mexico117$13,839$13,839–$13,839
North Dakota114$14,298$14,298–$14,298
South Dakota224$14,408$14,333–$14,513
Delaware236$15,752$14,600–$15,896
Alabama359$15,850$12,974–$16,535
Indiana593$15,860$13,242–$14,333
Nevada112$16,014$16,014–$16,014
Oklahoma228$16,132$15,011–$17,627
New Hampshire226$17,154$14,147–$20,160
Nebraska228$17,165$15,120–$18,699
Tennessee592$17,566$13,853–$16,366
Kentucky258$17,684$15,063–$19,407
Kansas133$17,867$17,867–$17,867
Florida15352$17,919$13,054–$18,659
Ohio5123$18,468$14,911–$16,389
Utah123$18,734$18,734–$18,734
Michigan8139$19,048$15,257–$19,148
Missouri4100$19,214$12,770–$15,791
Idaho111$19,435$19,435–$19,435
New Jersey11162$19,678$15,599–$20,273
Illinois11253$20,025$14,396–$23,103
Washington229$20,243$18,165–$20,968
Iowa120$21,119$21,119–$21,119
Minnesota6139$21,310$15,446–$23,474
North Carolina5128$21,486$14,720–$23,358
Texas15420$21,506$13,037–$19,410
Connecticut366$21,673$15,477–$21,621
Colorado141$21,772$21,772–$21,772
Georgia475$22,029$17,694–$20,743
South Carolina230$22,414$21,822–$22,757
Virginia5111$22,442$14,014–$28,248
Wisconsin265$23,148$21,757–$23,661
Pennsylvania9260$23,169$16,379–$24,721
Arizona496$23,626$21,008–$25,115
Massachusetts13281$23,918$14,823–$23,000
District of Columbia111$25,514$25,514–$25,514
Maryland392$28,336$20,139–$28,073
New York15403$28,787$19,135–$26,096
California20470$35,316$17,439–$32,262

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.