Inpatient stays / DRG 175
MS-DRG 175 · 990 hospitals · 28,627 stays
DRG 175: Pulmonary Embolism with MCC or Acute Cor Pulmonale
Medicare patients had 28,627 stays in DRG 175 in 2024. Hospitals charged an average of $65,154 per stay and were paid $13,354 — a ratio of 4.9 to 1 — of which Medicare's own share averaged $10,757. Average charges ran from $13,104 at the least expensive hospital to $388,493 at the most; half of hospitals charged between $41,260 and $79,112.
- 1Average charge $65,154
- 2Average paid $13,354
- 3Reporting hospitals 990
- 4Medicare stays 28,627
By state
Average charges for DRG 175 were highest in California ($115,782) and lowest in Maryland ($20,270). Payments vary far less than charges, because Medicare sets them: they range across states from $10,346 to $18,415.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 2,133 | $115,782 | $17,368 | 6.7× |
| Nevada | 320 | $114,712 | $12,970 | 8.8× |
| New Jersey | 811 | $107,372 | $14,204 | 7.6× |
| Alaska | 67 | $101,548 | $18,415 | 5.5× |
| New York | 1,622 | $98,163 | $18,055 | 5.4× |
| District of Columbia | 88 | $86,947 | $17,492 | 5× |
| Florida | 1,852 | $83,791 | $11,521 | 7.3× |
| Texas | 1,629 | $78,563 | $13,038 | 6× |
| Pennsylvania | 1,329 | $73,525 | $12,570 | 5.8× |
| Colorado | 569 | $70,616 | $12,291 | 5.7× |
| Arizona | 696 | $70,008 | $12,951 | 5.4× |
| Kansas | 297 | $65,503 | $11,589 | 5.7× |
| Georgia | 922 | $62,942 | $13,460 | 4.7× |
| Alabama | 381 | $60,199 | $10,843 | 5.6× |
| Missouri | 535 | $59,221 | $12,015 | 4.9× |
| Illinois | 1,353 | $58,898 | $13,125 | 4.5× |
| South Carolina | 501 | $56,982 | $11,974 | 4.8× |
| Tennessee | 671 | $56,391 | $11,399 | 4.9× |
| Connecticut | 363 | $55,247 | $15,777 | 3.5× |
| Washington | 498 | $55,149 | $13,297 | 4.1× |
| Oklahoma | 361 | $54,238 | $10,937 | 5× |
| Delaware | 181 | $53,711 | $14,357 | 3.7× |
| Virginia | 1,025 | $50,619 | $12,191 | 4.2× |
| Hawaii | 59 | $50,041 | $16,172 | 3.1× |
| South Dakota | 136 | $49,666 | $12,169 | 4.1× |
| Indiana | 635 | $49,438 | $11,404 | 4.3× |
| Kentucky | 430 | $49,144 | $10,425 | 4.7× |
| Ohio | 1,237 | $48,540 | $11,572 | 4.2× |
| Idaho | 186 | $48,465 | $11,737 | 4.1× |
| Nebraska | 220 | $48,136 | $12,483 | 3.9× |
| New Mexico | 213 | $47,909 | $12,836 | 3.7× |
| Louisiana | 290 | $47,343 | $10,676 | 4.4× |
| Vermont | 73 | $47,301 | $12,451 | 3.8× |
| New Hampshire | 187 | $46,728 | $13,091 | 3.6× |
| Oregon | 253 | $46,295 | $14,335 | 3.2× |
| Mississippi | 317 | $46,283 | $10,607 | 4.4× |
| West Virginia | 250 | $45,616 | $11,601 | 3.9× |
| Arkansas | 249 | $45,504 | $10,346 | 4.4× |
| Wisconsin | 523 | $45,383 | $12,479 | 3.6× |
| North Carolina | 958 | $44,086 | $12,339 | 3.6× |
| Michigan | 781 | $44,033 | $12,750 | 3.5× |
| Minnesota | 460 | $43,121 | $13,283 | 3.2× |
| Maine | 101 | $41,229 | $13,160 | 3.1× |
| Utah | 280 | $40,920 | $12,802 | 3.2× |
| Rhode Island | 86 | $40,416 | $13,514 | 3× |
| Iowa | 354 | $38,664 | $10,868 | 3.6× |
| Massachusetts | 949 | $37,035 | $14,275 | 2.6× |
| North Dakota | 100 | $36,950 | $11,325 | 3.3× |
| Wyoming | 92 | $34,181 | $16,381 | 2.1× |
| Montana | 163 | $30,180 | $11,147 | 2.7× |
| Maryland | 841 | $20,270 | $18,349 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Medical Center - Hopewell Pennington, NJ · 11 stays | $388,493 | $13,627 |
| Stanford Health Care Stanford, CA · 54 stays | $302,631 | $29,134 |
| Good Samaritan Hospital San Jose, CA · 11 stays | $289,543 | $15,577 |
| Doctors Medical Center Modesto, CA · 18 stays | $268,332 | $14,826 |
| Valley Hospital Medical Center Las Vegas, NV · 13 stays | $239,180 | $13,900 |
| South Texas Health System Behavioral Edinburg, TX · 11 stays | $224,821 | $13,199 |
| Centennial Hills Hospital Medical Center Las Vegas, NV · 12 stays | $215,608 | $10,890 |
| Cedars-Sinai Medical Center Los Angeles, CA · 42 stays | $214,473 | $18,454 |
| Henderson Hospital Henderson, NV · 19 stays | $213,481 | $11,737 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 13 stays | $210,718 | $11,684 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Howard County Medical Center Columbia, MD · 34 stays | $13,104 | $12,204 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 61 stays | $13,326 | $12,367 |
| Atlantic General Hospital Berlin, MD · 12 stays | $14,147 | $12,955 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 31 stays | $14,324 | $12,992 |
| Frederick Health Hospital Frederick, MD · 24 stays | $14,737 | $13,292 |
| Meritus Medical Center Hagerstown, MD · 29 stays | $14,781 | $13,819 |
| Carroll Hospital Center Westminster, MD · 31 stays | $15,481 | $13,778 |
| University of MD Capital Region Medical Center Upper Marlboro, MD · 21 stays | $15,876 | $15,223 |
| Adventist Healthcare Shady Grove Medical Center Rockville, MD · 27 stays | $15,924 | $13,969 |
| Suburban Hospital Bethesda, MD · 23 stays | $16,080 | $15,062 |
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.