Inpatient stay · MS-DRG 871

Septicemia or severe sepsis without MV >96 hours with MCC

In 2024, Medicare and patients paid an average of $18,230 per stay at 2,661 hospitals. Half of hospitals averaged between $14,504 and $19,301.

Also known as: Sepsis

National figures, 2024

Average payment per case: $18,230
Typical range (middle half of hospitals): $14,504–$19,301
Medicare’s share: $15,52485% of the payment
Average billed charge: $90,381
Hospitals reporting: 2,661577,119 stays

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2,661 hospitals reported at least 11 Medicare stays for this in 2024; showing 2,401–2,450. Download as CSV

Medicare payments per case for Septicemia or severe sepsis without MV >96 hours with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Kaiser Foundation Hospital - West LALos Angeles, CA · CCN 050561	120	$23,707	30% above the national average	$19,345	$103,736
Lompoc Valley Medical CenterLompoc, CA · CCN 050110	72	$23,734	30% above the national average	$22,617	$71,164
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	327	$23,739	30% above the national average	$18,442	$72,547
Kaiser Foundation Hospital - Woodland HillsWoodland Hills, CA · CCN 050677	41	$23,767	30% above the national average	$16,890	$106,344
Munson Healthcare Manistee HospitalManistee, MI · CCN 230303	30	$23,783	30% above the national average	$22,533	$22,765
Saint Agnes Medical CenterFresno, CA · CCN 050093	419	$23,795	31% above the national average	$20,282	$88,122
Community Hospital Of San BernardinoSan Bernardino, CA · CCN 050089	50	$23,811	31% above the national average	$22,669	$137,740
Washington HospitalFremont, CA · CCN 050195	337	$23,856	31% above the national average	$22,330	$156,979
Adventist Health Ukiah ValleyUkiah, CA · CCN 050301	167	$23,873	31% above the national average	$21,790	$103,160
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	142	$23,895	31% above the national average	$18,668	$84,336
Staten Island University HospitalStaten Island, NY · CCN 330160	814	$23,914	31% above the national average	$20,273	$107,086
Alta Bates Summit Medical Center - Alta Bates CampBerkeley, CA · CCN 050305	358	$23,921	31% above the national average	$21,565	$93,963
MedStar Washington Hospital CenterWashington, DC · CCN 090011	421	$23,936	31% above the national average	$19,088	$95,122
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	367	$23,975	32% above the national average	$22,307	$170,563
University Of Washington Medical CenterSeattle, WA · CCN 500008	211	$23,983	32% above the national average	$17,950	$81,501
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	620	$24,126	32% above the national average	$18,032	$153,184
Harborview Medical CenterSeattle, WA · CCN 500064	82	$24,152	32% above the national average	$19,293	$110,643
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	282	$24,163	33% above the national average	$21,533	$191,834
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	327	$24,169	33% above the national average	$22,550	$25,960
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014	74	$24,195	33% above the national average	$14,700	$259,082
University Medical CenterLas Vegas, NV · CCN 290007	156	$24,209	33% above the national average	$18,826	$113,900
UH Regional HospitalsChardon, OH · CCN 360075	135	$24,226	33% above the national average	$21,018	$45,857
Kaiser Foundation HospitalHonolulu, HI · CCN 120011	124	$24,256	33% above the national average	$14,647	$55,578
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	287	$24,267	33% above the national average	$21,693	$166,601
MedStar Southern Maryland Hospital CenterClinton, MD · CCN 210062	303	$24,277	33% above the national average	$22,266	$25,449
The Queens Medical CenterHonolulu, HI · CCN 120001	553	$24,307	33% above the national average	$17,441	$86,064
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	522	$24,335	33% above the national average	$20,814	$217,186
California Pacific Medical Center - Mission BernalSan Francisco, CA · CCN 050055	194	$24,398	34% above the national average	$23,397	$91,040
Holy Cross HospitalSilver Spring, MD · CCN 210004	475	$24,407	34% above the national average	$22,600	$27,023
Adventist Health White MemorialLos Angeles, CA · CCN 050103	258	$24,440	34% above the national average	$22,289	$202,486
Temple University HospitalPhiladelphia, PA · CCN 390027	128	$24,454	34% above the national average	$19,508	$217,652
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	335	$24,470	34% above the national average	$20,684	$215,164
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 330184	191	$24,502	34% above the national average	$19,426	$94,098
Hilo Benioff Medical CenterHilo, HI · CCN 120005	177	$24,514	34% above the national average	$21,999	$58,769
Campbell County HealthGillette, WY · CCN 530002	37	$24,534	35% above the national average	$23,123	$34,406
MUSC Medical CenterCharleston, SC · CCN 420004	497	$24,550	35% above the national average	$15,961	$70,072
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	488	$24,560	35% above the national average	$21,364	$104,594
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	1,307	$24,561	35% above the national average	$20,700	$155,760
Regional Medical Center Of San JoseSan Jose, CA · CCN 050125	456	$24,621	35% above the national average	$21,869	$358,489
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	260	$24,644	35% above the national average	$15,592	$94,586
North Hawaii Community Hospital, IncKamuela, HI · CCN 120028	21	$24,664	35% above the national average	$21,642	$94,943
Northeast Regional Medical CenterKirksville, MO · CCN 260022	162	$24,671	35% above the national average	$20,805	$101,558
Memorial Hospital Sweetwater CountyRock Springs, WY · CCN 530011	51	$24,715	36% above the national average	$23,500	$40,831
MacNeal HospitalBerwyn, IL · CCN 140054	87	$24,736	36% above the national average	$15,920	$112,058
Northern Light Inland HospitalWaterville, ME · CCN 200041	31	$24,766	36% above the national average	$23,451	$36,944
University Of Maryland Baltimore Washington Medical CenterGlen Burnie, MD · CCN 210043	895	$24,778	36% above the national average	$23,324	$26,773
Hackensack University Medical CenterHackensack, NJ · CCN 310001	812	$24,781	36% above the national average	$20,076	$140,083
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	409	$24,783	36% above the national average	$19,682	$114,869
Mainehealth Pen Bay HospitalRockport, ME · CCN 200063	61	$24,788	36% above the national average	$17,609	$47,548
Virginia Mason Medical CenterSeattle, WA · CCN 500005	154	$24,838	36% above the national average	$19,367	$97,145

National trend

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

Average payment
Average billed charge

2020: 591,720 stays at 2,743 hospitals · 2021: 538,823 stays at 2,718 hospitals · 2022: 550,306 stays at 2,713 hospitals · 2023: 561,795 stays at 2,678 hospitals · 2024: 577,119 stays at 2,661 hospitals

View data as a table

National average payment and billed charge for Septicemia or severe sepsis without MV >96 hours with MCC
Year of care	Average payment	Average billed charge
2020	$16K	$72K
2021	$17K	$79K
2022	$17K	$82K
2023	$18K	$86K
2024	$18K	$90K

By state, 2024

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

Show all 51 states

Average payment by state for Septicemia or severe sepsis without MV >96 hours with MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	1,006	$12,534	$10,837–$13,808
Mississippi	44	7,801	$14,185	$13,005–$15,431
Arkansas	37	6,804	$14,251	$13,038–$15,064
Louisiana	51	7,387	$14,389	$12,826–$15,923
Alabama	51	6,955	$14,639	$13,126–$14,904
Iowa	28	5,143	$14,760	$13,503–$15,813
Kentucky	55	8,861	$14,769	$13,502–$15,083
Oklahoma	47	9,012	$14,957	$13,449–$15,840
Tennessee	70	13,989	$15,050	$13,473–$15,661
Indiana	69	11,894	$15,369	$14,335–$15,891
Kansas	35	6,218	$15,539	$13,009–$16,911
Florida	163	46,590	$15,659	$13,841–$16,401
Ohio	107	17,642	$15,665	$13,447–$16,983
Missouri	61	11,126	$15,809	$13,747–$18,235
Nebraska	19	3,628	$15,825	$14,183–$17,758
Montana	10	1,891	$15,849	$15,190–$15,962
West Virginia	21	3,893	$15,922	$13,188–$16,028
South Carolina	47	9,623	$16,012	$13,571–$17,701
North Dakota	7	1,608	$16,037	$15,482–$16,908
Idaho	12	2,208	$16,189	$15,262–$16,437
Utah	29	3,577	$16,259	$13,499–$16,406
Virginia	69	18,991	$16,366	$14,579–$16,797
North Carolina	76	14,182	$16,443	$14,262–$16,622
Texas	200	41,514	$16,694	$14,574–$17,326
Wisconsin	61	7,778	$16,722	$14,601–$16,855
Colorado	44	6,492	$16,848	$15,091–$18,150
Pennsylvania	117	23,264	$16,882	$13,742–$17,712
South Dakota	10	1,761	$17,011	$14,453–$16,961
Michigan	80	13,620	$17,099	$15,546–$18,044
New Hampshire	13	2,559	$17,104	$14,906–$17,807
Georgia	76	16,014	$17,149	$14,810–$18,248
New Mexico	21	3,188	$17,242	$14,867–$21,113
Arizona	51	11,083	$17,451	$14,930–$19,252
Illinois	107	23,221	$17,635	$14,990–$19,078
Minnesota	45	7,342	$17,951	$15,543–$18,157
Delaware	6	2,564	$17,988	$16,441–$18,698
Washington	44	10,226	$18,304	$16,999–$18,793
Nevada	20	5,276	$18,342	$16,834–$19,272
Rhode Island	9	1,237	$18,456	$15,029–$19,713
Maine	17	1,525	$19,002	$16,559–$21,117
New Jersey	61	18,670	$19,296	$17,165–$21,889
Massachusetts	50	16,108	$19,534	$15,639–$21,484
Oregon	31	4,533	$19,972	$16,884–$21,509
Connecticut	25	7,081	$20,799	$17,887–$20,857
Wyoming	9	829	$21,131	$20,621–$24,715
California	261	71,060	$23,020	$19,880–$24,983
Hawaii	11	1,722	$23,528	$20,458–$25,288
District of Columbia	6	1,461	$23,955	$22,133–$28,718
New York	122	40,824	$24,427	$18,094–$25,791
Maryland	42	14,696	$24,452	$19,678–$27,642
Alaska	8	1,442	$24,932	$24,806–$32,784

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.