Inpatient stays / DRG 186
MS-DRG 186 · 123 hospitals · 8,187 stays
DRG 186: Pleural Effusion with MCC
Medicare patients had 8,187 stays in DRG 186 in 2024. Hospitals charged an average of $71,573 per stay and were paid $14,264 — a ratio of 5 to 1 — of which Medicare's own share averaged $12,051. Average charges ran from $10,490 at the least expensive hospital to $285,409 at the most; half of hospitals charged between $52,469 and $96,106.
- 1Average charge $71,573
- 2Average paid $14,264
- 3Reporting hospitals 123
- 4Medicare stays 8,187
By state
Average charges for DRG 186 were highest in Nevada ($126,415) and lowest in Maryland ($22,012). Payments vary far less than charges, because Medicare sets them: they range across states from $10,922 to $19,980.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 99 | $126,415 | $14,030 | 9× |
| California | 745 | $116,290 | $18,551 | 6.3× |
| New Jersey | 256 | $110,429 | $15,172 | 7.3× |
| District of Columbia | 28 | $108,315 | $19,980 | 5.4× |
| New York | 494 | $100,290 | $18,963 | 5.3× |
| Texas | 565 | $86,614 | $13,577 | 6.4× |
| Colorado | 114 | $84,100 | $12,890 | 6.5× |
| Florida | 723 | $83,356 | $12,185 | 6.8× |
| Pennsylvania | 393 | $76,990 | $13,679 | 5.6× |
| Kansas | 91 | $75,205 | $12,629 | 6× |
| Arizona | 220 | $73,146 | $14,040 | 5.2× |
| Alaska | 11 | $72,934 | $19,245 | 3.8× |
| Georgia | 249 | $72,560 | $14,311 | 5.1× |
| Hawaii | 27 | $69,400 | $18,856 | 3.7× |
| Washington | 136 | $64,861 | $14,173 | 4.6× |
| Connecticut | 95 | $63,991 | $16,291 | 3.9× |
| South Carolina | 137 | $63,552 | $12,817 | 5× |
| New Mexico | 43 | $62,387 | $13,547 | 4.6× |
| Illinois | 346 | $62,055 | $14,370 | 4.3× |
| New Hampshire | 39 | $61,832 | $14,766 | 4.2× |
| Oklahoma | 124 | $60,786 | $11,658 | 5.2× |
| Utah | 50 | $59,992 | $13,254 | 4.5× |
| West Virginia | 71 | $57,633 | $13,486 | 4.3× |
| Rhode Island | 19 | $55,879 | $15,015 | 3.7× |
| Alabama | 128 | $55,263 | $12,461 | 4.4× |
| Virginia | 218 | $55,108 | $12,808 | 4.3× |
| Minnesota | 91 | $54,900 | $14,635 | 3.8× |
| Idaho | 30 | $53,679 | $11,263 | 4.8× |
| Mississippi | 89 | $53,216 | $10,922 | 4.9× |
| Tennessee | 197 | $53,050 | $11,746 | 4.5× |
| Missouri | 195 | $52,314 | $12,462 | 4.2× |
| Wisconsin | 108 | $52,140 | $13,815 | 3.8× |
| Oregon | 58 | $51,865 | $15,126 | 3.4× |
| Kentucky | 123 | $51,811 | $11,842 | 4.4× |
| Ohio | 289 | $51,512 | $12,739 | 4× |
| Louisiana | 108 | $50,960 | $11,439 | 4.5× |
| North Carolina | 236 | $47,965 | $13,839 | 3.5× |
| South Dakota | 28 | $47,646 | $13,724 | 3.5× |
| Indiana | 179 | $47,096 | $11,950 | 3.9× |
| Iowa | 92 | $47,047 | $11,876 | 4× |
| Delaware | 50 | $46,787 | $13,311 | 3.5× |
| Nebraska | 73 | $46,354 | $12,120 | 3.8× |
| Arkansas | 114 | $46,307 | $11,194 | 4.1× |
| Michigan | 215 | $42,000 | $13,708 | 3.1× |
| Vermont | 21 | $38,898 | $12,086 | 3.2× |
| Massachusetts | 189 | $37,487 | $15,381 | 2.4× |
| Montana | 43 | $36,264 | $12,449 | 2.9× |
| Maine | 15 | $36,044 | $13,124 | 2.7× |
| North Dakota | 25 | $35,527 | $11,896 | 3× |
| Wyoming | 19 | $32,895 | $17,167 | 1.9× |
| Maryland | 179 | $22,012 | $19,607 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 16 stays | $285,409 | $37,043 |
| Cedars-Sinai Medical Center Los Angeles, CA · 15 stays | $256,179 | $21,288 |
| Wesley Medical Center Wichita, KS · 11 stays | $193,478 | $12,785 |
| New York-Presbyterian Hospital New York, NY · 33 stays | $190,702 | $21,532 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 11 stays | $178,980 | $16,496 |
| NYU Langone Hospitals New York, NY · 28 stays | $178,072 | $25,545 |
| Temple University Hospital Philadelphia, PA · 15 stays | $174,478 | $20,485 |
| Mount Sinai Hospital New York, NY · 15 stays | $165,936 | $29,296 |
| Long Island Jewish Medical Center New Hyde Park, NY · 23 stays | $140,515 | $20,387 |
| West Jersey Hospital Voorhees, NJ · 16 stays | $128,461 | $11,894 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Howard County Medical Center Columbia, MD · 11 stays | $10,490 | $9,465 |
| Meritus Medical Center Hagerstown, MD · 13 stays | $12,903 | $12,053 |
| Umass Memorial Health-Milford Regional Medical Ctr Milford, MA · 11 stays | $18,062 | $12,071 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 11 stays | $18,965 | $16,873 |
| Baystate Medical Center Springfield, MA · 17 stays | $26,240 | $17,137 |
| University of Tn Medical Center (The) Knoxville, TN · 12 stays | $28,043 | $14,356 |
| Hannibal Regional Hospital Hannibal, MO · 13 stays | $35,051 | $12,555 |
| Good Samaritan Regional Hlth Center Mount Vernon, IL · 14 stays | $36,051 | $10,461 |
| Saint Agnes Medical Center Fresno, CA · 13 stays | $36,184 | $16,344 |
| Billings Clinic Hospital Billings, MT · 12 stays | $36,201 | $14,585 |
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.