Inpatient stays / DRG 178
MS-DRG 178 · 1,020 hospitals · 34,201 stays
DRG 178: Respiratory Infections and Inflammations with CC
Medicare patients had 34,201 stays in DRG 178 in 2024. Hospitals charged an average of $45,313 per stay and were paid $9,493 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $7,355. Average charges ran from $10,586 at the least expensive hospital to $287,831 at the most; half of hospitals charged between $28,034 and $54,157.
- 1Average charge $45,313
- 2Average paid $9,493
- 3Reporting hospitals 1,020
- 4Medicare stays 34,201
By state
Average charges for DRG 178 were highest in California ($83,297) and lowest in Maryland ($15,186). Payments vary far less than charges, because Medicare sets them: they range across states from $7,323 to $13,633.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 2,555 | $83,297 | $12,287 | 6.8× |
| Nevada | 129 | $79,786 | $9,626 | 8.3× |
| New Jersey | 1,373 | $78,831 | $9,795 | 8× |
| Colorado | 300 | $71,942 | $9,013 | 8× |
| New York | 2,377 | $60,621 | $11,576 | 5.2× |
| Florida | 2,957 | $55,333 | $8,517 | 6.5× |
| Alaska | 49 | $52,952 | $13,351 | 4× |
| Kansas | 291 | $50,861 | $8,468 | 6× |
| Texas | 1,652 | $50,321 | $9,613 | 5.2× |
| Arizona | 574 | $48,079 | $9,361 | 5.1× |
| Pennsylvania | 1,914 | $47,942 | $8,605 | 5.6× |
| District of Columbia | 79 | $46,269 | $11,468 | 4× |
| Hawaii | 76 | $45,123 | $12,802 | 3.5× |
| Georgia | 803 | $42,021 | $9,486 | 4.4× |
| Washington | 425 | $40,800 | $9,734 | 4.2× |
| Oklahoma | 536 | $40,625 | $8,149 | 5× |
| South Carolina | 631 | $39,166 | $8,770 | 4.5× |
| Illinois | 1,859 | $39,067 | $9,014 | 4.3× |
| Missouri | 902 | $38,965 | $8,213 | 4.7× |
| Maine | 144 | $38,614 | $10,044 | 3.8× |
| Nebraska | 269 | $37,726 | $9,143 | 4.1× |
| Delaware | 224 | $37,654 | $9,582 | 3.9× |
| Kentucky | 510 | $37,586 | $7,323 | 5.1× |
| South Dakota | 99 | $36,923 | $8,665 | 4.3× |
| Connecticut | 415 | $36,811 | $11,016 | 3.3× |
| Louisiana | 481 | $36,568 | $7,708 | 4.7× |
| Alabama | 575 | $35,211 | $8,333 | 4.2× |
| Tennessee | 580 | $35,026 | $8,172 | 4.3× |
| Wisconsin | 497 | $35,012 | $8,701 | 4× |
| Indiana | 767 | $34,296 | $8,132 | 4.2× |
| Ohio | 1,300 | $34,024 | $8,362 | 4.1× |
| New Hampshire | 184 | $33,910 | $8,531 | 4× |
| Idaho | 89 | $33,787 | $8,523 | 4× |
| Virginia | 825 | $33,742 | $8,780 | 3.8× |
| Oregon | 228 | $33,304 | $10,033 | 3.3× |
| North Carolina | 1,279 | $32,855 | $9,022 | 3.6× |
| Vermont | 70 | $32,744 | $7,375 | 4.4× |
| Utah | 107 | $32,721 | $9,797 | 3.3× |
| New Mexico | 101 | $32,469 | $9,752 | 3.3× |
| Rhode Island | 158 | $31,875 | $10,327 | 3.1× |
| West Virginia | 256 | $31,710 | $7,842 | 4× |
| Mississippi | 342 | $30,791 | $7,669 | 4× |
| Minnesota | 580 | $30,769 | $9,564 | 3.2× |
| Wyoming | 83 | $29,850 | $11,282 | 2.6× |
| Arkansas | 347 | $28,329 | $7,349 | 3.9× |
| North Dakota | 114 | $28,040 | $9,047 | 3.1× |
| Michigan | 891 | $27,947 | $8,900 | 3.1× |
| Iowa | 302 | $27,621 | $7,365 | 3.8× |
| Massachusetts | 1,747 | $25,354 | $9,749 | 2.6× |
| Montana | 75 | $22,951 | $7,622 | 3× |
| Maryland | 1,080 | $15,186 | $13,633 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Medical Center - Hopewell Pennington, NJ · 27 stays | $287,831 | $10,039 |
| Capital Health Regional Medical Center Trenton, NJ · 17 stays | $275,618 | $12,490 |
| Intermountain Health Saint Joseph Hospital Denver, CO · 39 stays | $179,421 | $13,026 |
| Westchester Medical Center Valhalla, NY · 24 stays | $168,684 | $13,569 |
| Cedars-Sinai Medical Center Los Angeles, CA · 76 stays | $161,694 | $13,663 |
| Stanford Health Care Stanford, CA · 74 stays | $155,067 | $19,760 |
| Good Samaritan Hospital San Jose, CA · 18 stays | $143,272 | $11,108 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 47 stays | $134,423 | $12,235 |
| Temple University Hospital Philadelphia, PA · 32 stays | $134,038 | $14,412 |
| Newton Medical Center Newton, NJ · 29 stays | $130,670 | $8,294 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 32 stays | $10,586 | $9,570 |
| Meritus Medical Center Hagerstown, MD · 32 stays | $10,843 | $10,124 |
| UPMC Washington Washington, PA · 12 stays | $11,095 | $7,268 |
| Holy Cross Germantown Hospital Germantown, MD · 13 stays | $11,908 | $10,560 |
| Medstar Franklin Square Medical Center Rosedale, MD · 35 stays | $12,147 | $10,841 |
| Suburban Hospital Bethesda, MD · 37 stays | $12,241 | $10,939 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 94 stays | $12,325 | $11,362 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 34 stays | $12,576 | $11,776 |
| University of MD Shore Medical Center at Easton Easton, MD · 15 stays | $12,729 | $11,555 |
| Medstar Harbor Hospital Baltimore, MD · 18 stays | $12,825 | $11,734 |
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.