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 2,451–2,500. 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
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	588	$24,890	37% above the national average	$19,106	$186,460
Southeast Georgia Health System -- Camden CampusSaint Marys, GA · CCN 110146	30	$24,899	37% above the national average	$23,539	$23,569
Harper University HospitalDetroit, MI · CCN 230104	50	$24,919	37% above the national average	$18,999	$97,220
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	118	$24,969	37% above the national average	$19,979	$85,782
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park, CA · CCN 050723	80	$24,983	37% above the national average	$14,802	$71,972
Northwest Hospital CenterRandallstown, MD · CCN 210040	299	$25,000	37% above the national average	$23,522	$28,260
San Joaquin General HospitalFrench Camp, CA · CCN 050167	115	$25,001	37% above the national average	$23,068	$165,202
Mt Sinai Hospital Medical CenterChicago, IL · CCN 140018	59	$25,050	37% above the national average	$22,609	$70,759
New York-Presbyterian/QueensFlushing, NY · CCN 330055	896	$25,092	38% above the national average	$20,187	$143,945
Kaiser Foundation Hospital - DowneyDowney, CA · CCN 050139	112	$25,133	38% above the national average	$17,885	$119,602
Eskenazi HealthIndianapolis, IN · CCN 150024	117	$25,186	38% above the national average	$22,818	$78,695
St Joseph Medical CenterHouston, TX · CCN 450035	11	$25,198	38% above the national average	$23,078	$97,233
North Shore University HospitalManhasset, NY · CCN 330106	1,177	$25,215	38% above the national average	$19,970	$179,219
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	70	$25,295	39% above the national average	$20,772	$89,454
USA Health University HospitalMobile, AL · CCN 010087	57	$25,299	39% above the national average	$15,202	$59,355
Martin Luther King, Jr. Community HospitalLos Angeles, CA · CCN 050779	148	$25,348	39% above the national average	$23,827	$287,652
Duke University HospitalDurham, NC · CCN 340030	347	$25,363	39% above the national average	$17,386	$67,361
Ivinson Memorial HospitalLaramie, WY · CCN 530025	32	$25,406	39% above the national average	$24,489	$44,036
Piedmont Hospital, IncAtlanta, GA · CCN 110083	362	$25,422	39% above the national average	$12,182	$96,100
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	134	$25,434	40% above the national average	$19,201	$96,046
Erie County Medical CenterBuffalo, NY · CCN 330219	90	$25,458	40% above the national average	$19,636	$68,159
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	142	$25,466	40% above the national average	$18,473	$107,454
Saint Michael's Medical CenterNewark, NJ · CCN 310096	76	$25,480	40% above the national average	$21,740	$124,243
St Joseph's Medical CenterYonkers, NY · CCN 330006	62	$25,597	40% above the national average	$23,379	$108,028
Mat-Su Regional Medical CenterPalmer, AK · CCN 020006	290	$25,600	40% above the national average	$23,225	$119,960
Palisades Medical CenterNorth Bergen, NJ · CCN 310003	148	$25,622	41% above the national average	$21,175	$117,730
Sutter Amador HospitalJackson, CA · CCN 050014	214	$25,623	41% above the national average	$23,303	$77,005
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	458	$25,649	41% above the national average	$20,158	$146,994
Carepoint Health-Hoboken University Medical CenterHoboken, NJ · CCN 310040	46	$25,675	41% above the national average	$22,080	$338,159
Riverside Community HospitalRiverside, CA · CCN 050022	614	$25,680	41% above the national average	$20,984	$276,017
MedStar Good Samaritan HospitalBaltimore, MD · CCN 210056	295	$25,691	41% above the national average	$23,759	$28,891
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	252	$25,728	41% above the national average	$20,288	$83,993
Flushing Hospital Medical CenterFlushing, NY · CCN 330193	356	$25,734	41% above the national average	$21,646	$38,900
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	84	$25,737	41% above the national average	$22,796	$68,584
Kaiser Foundation Hospital - South BayHarbor City, CA · CCN 050411	84	$25,741	41% above the national average	$13,607	$88,790
Kaiser Foundation Hospital - Redwood CityRedwood City, CA · CCN 050541	25	$25,747	41% above the national average	$16,335	$88,473
Kaiser Foundation Hospital - SacramentoSacramento, CA · CCN 050425	155	$25,760	41% above the national average	$21,171	$114,580
San Mateo Medical CenterSan Mateo, CA · CCN 050113	15	$25,772	41% above the national average	$24,328	$63,259
Lenox Hill HospitalNew York, NY · CCN 330119	576	$25,809	42% above the national average	$20,711	$133,038
Scripps Green HospitalLa Jolla, CA · CCN 050424	141	$25,815	42% above the national average	$19,558	$97,745
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	830	$25,823	42% above the national average	$23,594	$170,717
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	439	$25,881	42% above the national average	$19,085	$105,757
Wilcox Memorial HospitalLihue, HI · CCN 120014	46	$25,913	42% above the national average	$22,751	$54,739
Kaiser Foundation Hospital Fontana/OntarioFontana, CA · CCN 050140	138	$25,969	42% above the national average	$15,415	$96,068
St Johns Medical CenterJackson, WY · CCN 530015	27	$26,021	43% above the national average	$23,773	$52,294
University Of Maryland Shore Medical Center At ChestertownChestertown, MD · CCN 210030	54	$26,057	43% above the national average	$24,166	$28,689
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	504	$26,080	43% above the national average	$23,950	$29,528
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	49	$26,171	44% above the national average	$22,010	$52,969
Temecula Valley HospitalTemecula, CA · CCN 050775	144	$26,199	44% above the national average	$23,031	$150,252
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	762	$26,281	44% above the national average	$21,603	$80,122

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.