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Inpatient stay · MS-DRG 865

Viral illness with MCC

In 2024, Medicare and patients paid an average of $23,844 per stay at 17 hospitals. Half of hospitals averaged between $16,364 and $22,289.

National figures, 2024

Average payment per case
$23,844
Typical range (middle half of hospitals)
$16,364–$22,289
Medicare’s share
$18,61778% of the payment
Average billed charge
$129,762
Hospitals reporting
17272 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

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

Medicare payments per case for Viral illness with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Baptist Memorial HospitalMemphis, TN · CCN 44004811$12,10349% below the national average$9,293$50,637
Newton-Wellesley HospitalNewton, MA · CCN 22010111$13,81442% below the national average$12,345$26,290
Valley HospitalParamus, NJ · CCN 31001217$13,95041% below the national average$12,796$76,414
Christiana HospitalNewark, DE · CCN 08000114$15,10237% below the national average$12,397$38,396
Houston Methodist HospitalHouston, TX · CCN 45035811$16,36431% below the national average$11,015$173,655
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 33019511$16,70430% below the national average$13,800$115,584
Northwestern Memorial HospitalChicago, IL · CCN 14028111$16,75030% below the national average$13,897$57,790
AdventHealth OrlandoOrlando, FL · CCN 10000717$17,23028% below the national average$9,580$98,015
Beth Israel Deaconess Medical CenterBoston, MA · CCN 22008618$20,50714% below the national average$17,710$29,742
Yale-New Haven HospitalNew Haven, CT · CCN 07002223$20,60614% below the national average$17,672$52,113
Brigham And Women's HospitalBoston, MA · CCN 22011012$20,79613% below the national average$17,681$93,943
New York-Presbyterian HospitalNew York, NY · CCN 33010127$21,15011% below the national average$17,561$114,657
UNC HospitalsChapel Hill, NC · CCN 34006112$22,289About average$15,782$44,671
North Shore University HospitalManhasset, NY · CCN 33010613$22,339About average$14,600$107,675
Massachusetts General HospitalBoston, MA · CCN 22007121$26,76512% above the national average$16,116$99,634
Nyu Langone HospitalsNew York, NY · CCN 33021431$47,30798% above the national average$37,926$330,441
Stanford Health CareStanford, CA · CCN 05044112$55,076131% above the national average$45,095$575,004

National trend

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

  • Average payment
  • Average billed charge
2020: 86 stays at 7 hospitals · 2021: 118 stays at 7 hospitals · 2022: 191 stays at 14 hospitals · 2023: 208 stays at 15 hospitals · 2024: 272 stays at 17 hospitals
View data as a table
National average payment and billed charge for Viral illness with MCC
Year of careAverage paymentAverage billed charge
2020$18K$91K
2021$21K$110K
2022$20K$86K
2023$19K$82K
2024$24K$130K

By state, 2024

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

Show all 11 states
Average payment by state for Viral illness with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Tennessee111$12,103$12,103–$12,103
New Jersey117$13,950$13,950–$13,950
Delaware114$15,102$15,102–$15,102
Texas111$16,364$16,364–$16,364
Illinois111$16,750$16,750–$16,750
Florida117$17,230$17,230–$17,230
Connecticut123$20,606$20,606–$20,606
Massachusetts462$21,495$18,834–$22,288
North Carolina112$22,289$22,289–$22,289
New York482$30,631$20,039–$28,581
California112$55,076$55,076–$55,076

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.