Inpatient stays / DRG 167
MS-DRG 167 · 56 hospitals · 3,956 stays
DRG 167: Other Respiratory System O.R. Procedures with CC
Medicare patients had 3,956 stays in DRG 167 in 2024. Hospitals charged an average of $95,286 per stay and were paid $18,372 — a ratio of 5.2 to 1 — of which Medicare's own share averaged $14,235. Average charges ran from $24,670 at the least expensive hospital to $300,020 at the most; half of hospitals charged between $68,938 and $131,119.
- 1Average charge $95,286
- 2Average paid $18,372
- 3Reporting hospitals 56
- 4Medicare stays 3,956
By state
Average charges for DRG 167 were highest in Nevada ($202,712) and lowest in Maryland ($31,289). Payments vary far less than charges, because Medicare sets them: they range across states from $13,033 to $28,598.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 21 | $202,712 | $18,784 | 10.8× |
| California | 331 | $159,314 | $23,009 | 6.9× |
| Florida | 318 | $130,669 | $15,987 | 8.2× |
| New York | 258 | $127,411 | $24,200 | 5.3× |
| Alaska | 12 | $124,238 | $18,772 | 6.6× |
| Texas | 264 | $114,697 | $18,126 | 6.3× |
| Pennsylvania | 200 | $110,204 | $17,301 | 6.4× |
| District of Columbia | 22 | $108,790 | $20,296 | 5.4× |
| New Jersey | 124 | $104,892 | $18,656 | 5.6× |
| Colorado | 56 | $97,278 | $15,880 | 6.1× |
| Virginia | 127 | $96,211 | $17,208 | 5.6× |
| Arizona | 97 | $95,628 | $18,082 | 5.3× |
| Kansas | 39 | $95,312 | $15,898 | 6× |
| Oklahoma | 50 | $94,285 | $14,661 | 6.4× |
| Alabama | 62 | $93,207 | $14,768 | 6.3× |
| Georgia | 109 | $91,929 | $17,287 | 5.3× |
| Illinois | 182 | $82,708 | $19,928 | 4.2× |
| Kentucky | 78 | $80,240 | $14,993 | 5.4× |
| Missouri | 85 | $76,296 | $17,617 | 4.3× |
| South Carolina | 68 | $75,836 | $16,809 | 4.5× |
| New Hampshire | 17 | $74,976 | $16,862 | 4.4× |
| Tennessee | 85 | $74,898 | $15,413 | 4.9× |
| Washington | 74 | $74,610 | $18,284 | 4.1× |
| Indiana | 63 | $74,539 | $13,897 | 5.4× |
| Louisiana | 46 | $74,036 | $15,711 | 4.7× |
| South Dakota | 15 | $73,177 | $14,021 | 5.2× |
| Ohio | 152 | $70,583 | $17,312 | 4.1× |
| Wisconsin | 89 | $67,733 | $17,591 | 3.9× |
| Utah | 23 | $67,575 | $19,554 | 3.5× |
| Maine | 11 | $67,020 | $20,144 | 3.3× |
| Delaware | 25 | $66,365 | $20,785 | 3.2× |
| West Virginia | 27 | $65,927 | $14,944 | 4.4× |
| Nebraska | 33 | $65,700 | $16,327 | 4× |
| Oregon | 28 | $65,050 | $18,544 | 3.5× |
| Michigan | 111 | $65,007 | $17,208 | 3.8× |
| Connecticut | 52 | $64,725 | $19,751 | 3.3× |
| Mississippi | 42 | $63,511 | $13,033 | 4.9× |
| North Carolina | 123 | $61,689 | $16,981 | 3.6× |
| Iowa | 25 | $59,854 | $14,617 | 4.1× |
| Massachusetts | 148 | $55,681 | $19,419 | 2.9× |
| Minnesota | 61 | $54,730 | $17,645 | 3.1× |
| Arkansas | 58 | $54,292 | $13,652 | 4× |
| Montana | 24 | $52,333 | $14,284 | 3.7× |
| Maryland | 82 | $31,289 | $28,598 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Temple University Hospital Philadelphia, PA · 11 stays | $300,020 | $28,115 |
| Stanford Health Care Stanford, CA · 21 stays | $252,412 | $31,807 |
| Cedars-Sinai Medical Center Los Angeles, CA · 33 stays | $252,037 | $23,161 |
| Houston Methodist Hospital Houston, TX · 14 stays | $212,998 | $29,543 |
| Henrico Doctors' Hospital Richmond, VA · 11 stays | $212,252 | $13,858 |
| NYU Langone Hospitals New York, NY · 44 stays | $194,806 | $26,074 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 15 stays | $194,801 | $24,352 |
| Adventhealth Orlando Orlando, FL · 18 stays | $192,205 | $17,048 |
| El Camino Hospital Mountain View, CA · 16 stays | $172,771 | $19,922 |
| New York-Presbyterian Hospital New York, NY · 44 stays | $159,110 | $28,902 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| South Shore Hospital South Weymouth, MA · 20 stays | $24,670 | $16,486 |
| Johns Hopkins Hospital, the Baltimore, MD · 15 stays | $28,892 | $28,507 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 12 stays | $31,295 | $28,269 |
| Beth Israel Deaconess Medical Center Boston, MA · 12 stays | $31,475 | $22,012 |
| Inova Fairfax Hospital Falls Church, VA · 16 stays | $40,511 | $17,905 |
| Rush University Medical Center Chicago, IL · 14 stays | $50,738 | $23,236 |
| Yale-New Haven Hospital New Haven, CT · 13 stays | $52,335 | $22,458 |
| Henry Ford Health Hospital Detroit, MI · 13 stays | $55,292 | $22,319 |
| Duke University Hospital Durham, NC · 23 stays | $56,259 | $20,837 |
| University of Utah Hospital and Clinics Salt Lake City, UT · 13 stays | $59,673 | $20,600 |
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.