Inpatient stays / DRG 004
MS-DRG 004 · 212 hospitals · 8,390 stays
DRG 004: Tracheostomy with MV >96 Hours or Principal Diagnosis except Face, Mouth and Neck Withou
Medicare patients had 8,390 stays in DRG 004 in 2024. Hospitals charged an average of $613,613 per stay and were paid $125,491 — a ratio of 4.9 to 1 — of which Medicare's own share averaged $110,951. Average charges ran from $105,962 at the least expensive hospital to $4,272,292 at the most; half of hospitals charged between $347,248 and $793,611.
- 1Average charge $613,613
- 2Average paid $125,491
- 3Reporting hospitals 212
- 4Medicare stays 8,390
By state
Average charges for DRG 004 were highest in Nevada ($1,148,581) and lowest in Maryland ($161,210). Payments vary far less than charges, because Medicare sets them: they range across states from $68,212 to $188,216.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 105 | $1,148,581 | $115,332 | 10× |
| California | 1,053 | $1,037,087 | $173,417 | 6× |
| Alaska | 13 | $925,670 | $176,019 | 5.3× |
| Colorado | 88 | $872,643 | $115,871 | 7.5× |
| New Jersey | 366 | $818,652 | $127,443 | 6.4× |
| New York | 880 | $796,483 | $181,059 | 4.4× |
| Connecticut | 72 | $736,739 | $185,923 | 4× |
| Pennsylvania | 361 | $696,415 | $126,005 | 5.5× |
| Texas | 661 | $656,833 | $104,103 | 6.3× |
| Hawaii | 25 | $648,819 | $169,988 | 3.8× |
| District of Columbia | 50 | $633,648 | $157,750 | 4× |
| New Hampshire | 24 | $622,978 | $188,216 | 3.3× |
| Florida | 680 | $600,738 | $92,482 | 6.5× |
| Washington | 74 | $546,229 | $137,770 | 4× |
| Georgia | 298 | $545,019 | $105,369 | 5.2× |
| Kansas | 39 | $524,712 | $91,433 | 5.7× |
| Virginia | 184 | $523,533 | $133,413 | 3.9× |
| Alabama | 123 | $520,590 | $91,198 | 5.7× |
| Oklahoma | 85 | $489,719 | $80,434 | 6.1× |
| Maine | 14 | $475,717 | $155,246 | 3.1× |
| Missouri | 150 | $469,519 | $112,338 | 4.2× |
| South Carolina | 151 | $465,851 | $109,434 | 4.3× |
| Minnesota | 49 | $463,016 | $157,460 | 2.9× |
| Rhode Island | 12 | $457,418 | $141,313 | 3.2× |
| Massachusetts | 149 | $442,280 | $155,701 | 2.8× |
| Iowa | 34 | $442,077 | $104,432 | 4.2× |
| Arizona | 124 | $436,723 | $104,840 | 4.2× |
| Louisiana | 122 | $433,234 | $81,149 | 5.3× |
| Oregon | 26 | $432,860 | $153,676 | 2.8× |
| Illinois | 307 | $427,759 | $116,531 | 3.7× |
| South Dakota | 17 | $412,642 | $128,362 | 3.2× |
| Ohio | 285 | $404,362 | $104,898 | 3.9× |
| Utah | 23 | $375,679 | $117,817 | 3.2× |
| Indiana | 158 | $373,753 | $89,841 | 4.2× |
| New Mexico | 46 | $373,654 | $98,999 | 3.8× |
| Mississippi | 146 | $372,516 | $87,660 | 4.2× |
| Tennessee | 201 | $368,081 | $83,302 | 4.4× |
| Nebraska | 42 | $368,013 | $99,073 | 3.7× |
| Kentucky | 142 | $362,834 | $94,669 | 3.8× |
| North Carolina | 205 | $361,737 | $112,811 | 3.2× |
| West Virginia | 55 | $353,441 | $93,502 | 3.8× |
| Wisconsin | 79 | $349,665 | $104,078 | 3.4× |
| Delaware | 37 | $335,329 | $112,400 | 3× |
| Michigan | 252 | $331,478 | $103,475 | 3.2× |
| North Dakota | 34 | $311,696 | $108,815 | 2.9× |
| Idaho | 20 | $292,662 | $89,208 | 3.3× |
| Montana | 18 | $280,412 | $112,149 | 2.5× |
| Arkansas | 110 | $271,874 | $68,212 | 4× |
| Maryland | 193 | $161,210 | $139,680 | 1.2× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 12 stays | $4,272,292 | $539,356 |
| Valley Hospital Medical Center Las Vegas, NV · 12 stays | $2,355,622 | $127,611 |
| Cedars-Sinai Medical Center Los Angeles, CA · 36 stays | $2,172,667 | $208,772 |
| Riverside Community Hospital Riverside, CA · 23 stays | $1,916,302 | $145,392 |
| Westchester Medical Center Valhalla, NY · 20 stays | $1,909,248 | $209,641 |
| North Shore University Hospital Manhasset, NY · 15 stays | $1,700,384 | $195,307 |
| HCA Healthone Swedish Englewood, CO · 15 stays | $1,693,968 | $115,291 |
| New York-Presbyterian Hospital New York, NY · 56 stays | $1,667,320 | $291,018 |
| Mount Sinai West New York, NY · 20 stays | $1,590,286 | $280,867 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 16 stays | $1,556,343 | $116,086 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Adventist Healthcare White Oak Medical Center Silver Spring, MD · 12 stays | $105,962 | $94,838 |
| Uams Medical Center Little Rock, AR · 11 stays | $125,891 | $79,261 |
| CHI St Vincent Hospital Hot Springs Hot Springs, AR · 28 stays | $140,791 | $45,527 |
| Saint Agnes Hospital Baltimore, MD · 11 stays | $141,644 | $123,267 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 12 stays | $155,846 | $143,721 |
| Holy Cross Hospital Silver Spring, MD · 18 stays | $157,724 | $142,146 |
| Bronxcare Hospital Center Bronx, NY · 21 stays | $160,579 | $137,154 |
| Suburban Hospital Bethesda, MD · 13 stays | $177,539 | $160,215 |
| New York Community Hospital of Brooklyn, Inc. Brooklyn, NY · 23 stays | $202,936 | $115,619 |
| Cone Health Greensboro, NC · 12 stays | $216,044 | $83,364 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.