Inpatient stays / DRG 199
MS-DRG 199 · 86 hospitals · 6,684 stays
DRG 199: Pneumothorax with MCC
Medicare patients had 6,684 stays in DRG 199 in 2024. Hospitals charged an average of $80,926 per stay and were paid $16,777 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $13,771. Average charges ran from $16,127 at the least expensive hospital to $315,867 at the most; half of hospitals charged between $49,550 and $114,958.
- 1Average charge $80,926
- 2Average paid $16,777
- 3Reporting hospitals 86
- 4Medicare stays 6,684
By state
Average charges for DRG 199 were highest in California ($145,379) and lowest in Maryland ($23,472). Payments vary far less than charges, because Medicare sets them: they range across states from $13,177 to $22,955.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 536 | $145,379 | $22,692 | 6.4× |
| Nevada | 85 | $135,663 | $17,633 | 7.7× |
| New Jersey | 162 | $128,539 | $19,377 | 6.6× |
| District of Columbia | 21 | $118,084 | $22,955 | 5.1× |
| Florida | 559 | $107,812 | $14,639 | 7.4× |
| New York | 289 | $107,420 | $22,377 | 4.8× |
| Texas | 445 | $103,230 | $15,202 | 6.8× |
| Pennsylvania | 271 | $101,738 | $17,075 | 6× |
| Colorado | 101 | $89,949 | $16,011 | 5.6× |
| Georgia | 166 | $79,837 | $16,943 | 4.7× |
| Tennessee | 183 | $77,247 | $15,573 | 5× |
| Alabama | 92 | $76,659 | $13,927 | 5.5× |
| Arizona | 169 | $75,313 | $15,254 | 4.9× |
| Missouri | 140 | $73,630 | $15,259 | 4.8× |
| Washington | 132 | $71,839 | $17,047 | 4.2× |
| Kansas | 105 | $71,254 | $15,116 | 4.7× |
| South Carolina | 106 | $70,548 | $14,781 | 4.8× |
| Idaho | 35 | $68,781 | $14,076 | 4.9× |
| Hawaii | 29 | $68,413 | $21,964 | 3.1× |
| Indiana | 188 | $65,730 | $14,931 | 4.4× |
| Virginia | 224 | $64,790 | $15,075 | 4.3× |
| Utah | 57 | $63,405 | $16,083 | 3.9× |
| Connecticut | 68 | $63,256 | $18,755 | 3.4× |
| Illinois | 297 | $62,044 | $17,197 | 3.6× |
| Oklahoma | 114 | $61,988 | $13,802 | 4.5× |
| New Hampshire | 53 | $61,658 | $15,325 | 4× |
| Ohio | 231 | $61,272 | $15,042 | 4.1× |
| Kentucky | 118 | $58,284 | $13,938 | 4.2× |
| Louisiana | 86 | $57,669 | $13,705 | 4.2× |
| Rhode Island | 23 | $57,450 | $21,062 | 2.7× |
| Nebraska | 58 | $56,512 | $14,738 | 3.8× |
| Minnesota | 115 | $54,904 | $16,072 | 3.4× |
| New Mexico | 48 | $54,665 | $16,157 | 3.4× |
| Wisconsin | 100 | $51,767 | $15,573 | 3.3× |
| Arkansas | 102 | $51,194 | $13,183 | 3.9× |
| Michigan | 199 | $50,485 | $16,448 | 3.1× |
| Maine | 27 | $50,367 | $15,492 | 3.3× |
| Massachusetts | 193 | $50,320 | $19,761 | 2.5× |
| Oregon | 74 | $50,281 | $18,494 | 2.7× |
| Mississippi | 73 | $50,160 | $13,177 | 3.8× |
| North Carolina | 179 | $50,080 | $15,564 | 3.2× |
| Iowa | 74 | $48,066 | $14,070 | 3.4× |
| West Virginia | 40 | $47,958 | $13,241 | 3.6× |
| South Dakota | 29 | $47,198 | $15,224 | 3.1× |
| Wyoming | 20 | $45,676 | $19,532 | 2.3× |
| Delaware | 44 | $39,675 | $16,924 | 2.3× |
| North Dakota | 37 | $37,876 | $14,082 | 2.7× |
| Montana | 34 | $33,102 | $14,038 | 2.4× |
| Maryland | 129 | $23,472 | $21,570 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 11 stays | $315,867 | $23,340 |
| Delray Medical Center Delray Beach, FL · 12 stays | $233,605 | $11,056 |
| Scripps Memorial Hospital La Jolla La Jolla, CA · 13 stays | $230,898 | $16,494 |
| HCA Florida Lawnwood Hospital Fort Pierce, FL · 11 stays | $229,718 | $14,994 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 12 stays | $225,098 | $15,295 |
| New York-Presbyterian Hospital New York, NY · 11 stays | $198,623 | $40,376 |
| Lehigh Valley Hospital Allentown, PA · 12 stays | $171,285 | $26,946 |
| NYU Langone Hospitals New York, NY · 14 stays | $170,253 | $27,143 |
| Tristar Skyline Medical Center Nashville, TN · 11 stays | $163,081 | $13,659 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 12 stays | $158,482 | $17,504 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 12 stays | $16,127 | $14,455 |
| Suburban Hospital Bethesda, MD · 11 stays | $20,905 | $18,647 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 12 stays | $25,032 | $23,325 |
| South Shore Hospital South Weymouth, MA · 13 stays | $26,397 | $15,470 |
| Baystate Medical Center Springfield, MA · 11 stays | $27,839 | $19,841 |
| Mercy Hospital Fort Smith Fort Smith, AR · 13 stays | $28,938 | $13,387 |
| Bayhealth Medical Center, Kent Campus Dover, DE · 11 stays | $31,751 | $13,898 |
| Sanford Fargo, ND · 14 stays | $31,895 | $14,515 |
| Ascension St John Medical Center Tulsa, OK · 12 stays | $32,445 | $14,358 |
| Albany Medical Center Hospital Albany, NY · 14 stays | $33,524 | $19,065 |
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.