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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

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 (1 hospital)
$55,076National $23,844 · California $55,076
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
12

1 hospital 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
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.