Inpatient stays / DRG 176
MS-DRG 176 · 515 hospitals · 17,180 stays
DRG 176: Pulmonary Embolism without MCC
Medicare patients had 17,180 stays in DRG 176 in 2024. Hospitals charged an average of $41,475 per stay and were paid $8,242 — a ratio of 5 to 1 — of which Medicare's own share averaged $6,018. Average charges ran from $7,234 at the least expensive hospital to $166,577 at the most; half of hospitals charged between $27,133 and $50,424.
- 1Average charge $41,475
- 2Average paid $8,242
- 3Reporting hospitals 515
- 4Medicare stays 17,180
By state
Average charges for DRG 176 were highest in Nevada ($84,417) and lowest in Maryland ($13,217). Payments vary far less than charges, because Medicare sets them: they range across states from $5,567 to $13,522.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 113 | $84,417 | $8,420 | 10× |
| California | 1,154 | $73,915 | $10,488 | 7× |
| New Jersey | 581 | $64,738 | $8,607 | 7.5× |
| Hawaii | 29 | $59,621 | $13,522 | 4.4× |
| Florida | 1,405 | $57,031 | $7,428 | 7.7× |
| Alaska | 19 | $54,775 | $10,968 | 5× |
| Colorado | 195 | $52,854 | $7,387 | 7.2× |
| New York | 1,029 | $52,837 | $10,365 | 5.1× |
| Texas | 934 | $51,118 | $8,932 | 5.7× |
| District of Columbia | 48 | $45,879 | $10,230 | 4.5× |
| Pennsylvania | 987 | $44,421 | $7,485 | 5.9× |
| Arizona | 464 | $44,091 | $7,460 | 5.9× |
| Kansas | 171 | $43,359 | $6,615 | 6.6× |
| Georgia | 516 | $39,248 | $8,711 | 4.5× |
| Illinois | 869 | $38,200 | $8,471 | 4.5× |
| Missouri | 390 | $36,742 | $7,119 | 5.2× |
| New Mexico | 72 | $36,658 | $8,007 | 4.6× |
| Washington | 235 | $36,343 | $8,157 | 4.5× |
| Virginia | 573 | $35,833 | $7,546 | 4.7× |
| Tennessee | 401 | $35,537 | $7,320 | 4.9× |
| Alabama | 263 | $34,964 | $6,788 | 5.2× |
| Connecticut | 184 | $34,860 | $9,566 | 3.6× |
| Oregon | 94 | $34,294 | $8,826 | 3.9× |
| South Carolina | 347 | $34,186 | $7,371 | 4.6× |
| Kentucky | 291 | $33,205 | $6,473 | 5.1× |
| Louisiana | 206 | $32,991 | $6,922 | 4.8× |
| Oklahoma | 190 | $32,844 | $6,915 | 4.7× |
| New Hampshire | 98 | $32,355 | $7,552 | 4.3× |
| South Dakota | 55 | $32,266 | $7,492 | 4.3× |
| Ohio | 719 | $32,213 | $7,142 | 4.5× |
| Indiana | 405 | $32,058 | $6,929 | 4.6× |
| Wisconsin | 229 | $31,811 | $7,177 | 4.4× |
| Idaho | 75 | $31,105 | $7,305 | 4.3× |
| North Carolina | 639 | $29,716 | $7,989 | 3.7× |
| West Virginia | 151 | $29,248 | $7,169 | 4.1× |
| Vermont | 44 | $29,116 | $5,567 | 5.2× |
| Delaware | 132 | $28,627 | $7,735 | 3.7× |
| Minnesota | 257 | $28,219 | $8,056 | 3.5× |
| Mississippi | 167 | $27,687 | $6,586 | 4.2× |
| Utah | 98 | $27,391 | $7,773 | 3.5× |
| Nebraska | 137 | $25,907 | $7,313 | 3.5× |
| Michigan | 474 | $25,391 | $7,623 | 3.3× |
| Rhode Island | 70 | $25,296 | $9,219 | 2.7× |
| Maine | 52 | $25,054 | $7,749 | 3.2× |
| Arkansas | 126 | $24,881 | $6,246 | 4× |
| Iowa | 142 | $23,937 | $6,470 | 3.7× |
| North Dakota | 51 | $23,330 | $7,367 | 3.2× |
| Massachusetts | 564 | $23,090 | $8,565 | 2.7× |
| Wyoming | 42 | $22,762 | $9,819 | 2.3× |
| Montana | 54 | $21,723 | $6,479 | 3.4× |
| Maryland | 639 | $13,217 | $11,944 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Desert Regional Medical Center Palm Springs, CA · 12 stays | $166,577 | $9,849 |
| Stanford Health Care Stanford, CA · 28 stays | $161,151 | $13,934 |
| Cedars-Sinai Medical Center Los Angeles, CA · 26 stays | $155,412 | $11,032 |
| Westchester Medical Center Valhalla, NY · 18 stays | $151,056 | $11,042 |
| Henderson Hospital Henderson, NV · 12 stays | $145,801 | $7,358 |
| Valley Hospital Medical Center Las Vegas, NV · 16 stays | $138,233 | $8,436 |
| Good Samaritan Hospital San Jose, CA · 12 stays | $121,320 | $9,206 |
| El Camino Hospital Mountain View, CA · 22 stays | $119,893 | $9,371 |
| Dominican Hospital Santa Cruz, CA · 13 stays | $101,453 | $8,900 |
| HCA Florida North Florida Hospital Gainesville, FL · 26 stays | $98,198 | $7,525 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Howard County Medical Center Columbia, MD · 21 stays | $7,234 | $6,683 |
| Suburban Hospital Bethesda, MD · 11 stays | $7,402 | $6,634 |
| Holy Cross Hospital Silver Spring, MD · 15 stays | $8,265 | $7,804 |
| Meritus Medical Center Hagerstown, MD · 26 stays | $9,736 | $9,007 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 32 stays | $9,768 | $9,251 |
| University of MD St Joseph Medical Center Towson, MD · 32 stays | $9,839 | $8,810 |
| Frederick Health Hospital Frederick, MD · 43 stays | $9,954 | $9,088 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 53 stays | $9,974 | $9,246 |
| Carroll Hospital Center Westminster, MD · 19 stays | $10,048 | $8,882 |
| Adventist Healthcare Shady Grove Medical Center Rockville, MD · 16 stays | $10,603 | $9,362 |
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.