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Respiratory Infections and Inflammations without with Complications/with major complications
Medicare DRG 179. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$35,599
Avg total payment
$7,179
Avg Medicare pays
$5,281
Hospitals reporting
66
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| New Jersey | 7 | $60,716 | $4,842 |
| California | 1 | $53,795 | $6,619 |
| New York | 9 | $42,958 | $5,975 |
| Alabama | 1 | $42,437 | $4,046 |
| Florida | 12 | $41,631 | $4,940 |
| Kentucky | 2 | $40,639 | $3,697 |
| Texas | 1 | $36,711 | $5,224 |
| Pennsylvania | 5 | $35,627 | $4,668 |
| Delaware | 1 | $33,799 | $5,405 |
| Arizona | 3 | $32,991 | $6,100 |
| Missouri | 1 | $30,582 | $3,543 |
| Illinois | 6 | $30,439 | $4,633 |
| Indiana | 1 | $28,784 | $3,982 |
| North Carolina | 1 | $20,857 | $4,435 |
| Michigan | 1 | $18,639 | $4,251 |
| Massachusetts | 9 | $18,598 | $5,094 |
| Rhode Island | 1 | $17,725 | $5,225 |
| Maryland | 4 | $11,654 | $9,039 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.