Inpatient stays / DRG 204
MS-DRG 204 · 32 hospitals · 4,134 stays
DRG 204: Respiratory Signs and Symptoms
Medicare patients had 4,134 stays in DRG 204 in 2024. Hospitals charged an average of $42,809 per stay and were paid $8,184 — a ratio of 5.2 to 1 — of which Medicare's own share averaged $6,187. Average charges ran from $18,248 at the least expensive hospital to $97,027 at the most; half of hospitals charged between $39,002 and $69,065.
- 1Average charge $42,809
- 2Average paid $8,184
- 3Reporting hospitals 32
- 4Medicare stays 4,134
By state
Average charges for DRG 204 were highest in Nevada ($73,360) and lowest in Maryland ($12,067). Payments vary far less than charges, because Medicare sets them: they range across states from $6,121 to $11,221.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 44 | $73,360 | $8,726 | 8.4× |
| California | 371 | $69,298 | $10,070 | 6.9× |
| Colorado | 26 | $63,239 | $7,467 | 8.5× |
| New Jersey | 177 | $56,988 | $8,284 | 6.9× |
| New York | 323 | $54,094 | $11,221 | 4.8× |
| Texas | 271 | $52,786 | $7,970 | 6.6× |
| Florida | 523 | $51,535 | $7,316 | 7× |
| Kansas | 44 | $50,273 | $6,980 | 7.2× |
| Missouri | 80 | $49,785 | $6,950 | 7.2× |
| Pennsylvania | 201 | $45,953 | $7,716 | 6× |
| Arizona | 80 | $44,808 | $7,242 | 6.2× |
| Hawaii | 12 | $42,744 | $9,982 | 4.3× |
| Maine | 12 | $37,599 | $9,612 | 3.9× |
| Georgia | 113 | $37,538 | $8,809 | 4.3× |
| Illinois | 156 | $35,449 | $8,522 | 4.2× |
| Washington | 43 | $35,081 | $7,995 | 4.4× |
| Connecticut | 34 | $34,570 | $9,068 | 3.8× |
| Virginia | 98 | $34,074 | $6,898 | 4.9× |
| South Dakota | 15 | $33,632 | $7,180 | 4.7× |
| Oklahoma | 49 | $33,273 | $7,433 | 4.5× |
| Kentucky | 65 | $33,039 | $6,167 | 5.4× |
| Indiana | 71 | $33,017 | $7,416 | 4.5× |
| Alabama | 71 | $32,199 | $6,851 | 4.7× |
| North Carolina | 128 | $31,882 | $8,175 | 3.9× |
| Tennessee | 88 | $30,922 | $6,958 | 4.4× |
| Mississippi | 31 | $30,660 | $6,427 | 4.8× |
| South Carolina | 68 | $30,195 | $7,429 | 4.1× |
| New Hampshire | 19 | $29,777 | $7,268 | 4.1× |
| Delaware | 20 | $29,050 | $8,547 | 3.4× |
| Minnesota | 51 | $28,596 | $7,158 | 4× |
| Louisiana | 37 | $27,638 | $6,591 | 4.2× |
| Wisconsin | 50 | $27,599 | $6,837 | 4× |
| Ohio | 156 | $26,907 | $7,515 | 3.6× |
| Oregon | 16 | $26,532 | $8,926 | 3× |
| New Mexico | 16 | $26,440 | $8,554 | 3.1× |
| North Dakota | 15 | $25,721 | $7,554 | 3.4× |
| West Virginia | 41 | $25,297 | $6,400 | 4× |
| Michigan | 143 | $24,458 | $7,358 | 3.3× |
| Nebraska | 29 | $24,180 | $6,742 | 3.6× |
| Iowa | 33 | $23,995 | $6,342 | 3.8× |
| Rhode Island | 17 | $23,036 | $7,715 | 3× |
| Arkansas | 36 | $22,758 | $6,121 | 3.7× |
| Montana | 12 | $21,898 | $6,428 | 3.4× |
| Massachusetts | 131 | $21,581 | $8,231 | 2.6× |
| Maryland | 87 | $12,067 | $10,948 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| New York-Presbyterian Hospital New York, NY · 19 stays | $97,027 | $16,613 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 12 stays | $89,097 | $8,500 |
| North Shore University Hospital Manhasset, NY · 20 stays | $82,373 | $10,087 |
| NYU Langone Hospitals New York, NY · 27 stays | $80,908 | $11,793 |
| Grossmont Hospital La Mesa, CA · 11 stays | $77,163 | $8,880 |
| HCA Florida North Florida Hospital Gainesville, FL · 14 stays | $73,349 | $7,422 |
| Montefiore Medical Center Bronx, NY · 21 stays | $70,041 | $14,241 |
| West Jersey Hospital Voorhees, NJ · 11 stays | $69,181 | $6,698 |
| Robert Wood Johnson University Hospital Somerset Somerville, NJ · 11 stays | $68,717 | $7,122 |
| Jersey Shore University Medical Center Neptune, NJ · 13 stays | $63,996 | $7,476 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| South Shore Hospital South Weymouth, MA · 13 stays | $18,248 | $6,886 |
| Ascension Providence Hospital Southfield, MI · 14 stays | $20,954 | $7,380 |
| Jefferson Abington Hospital Abington, PA · 11 stays | $25,891 | $7,037 |
| Duke University Hospital Durham, NC · 12 stays | $27,901 | $10,096 |
| Corewell Health Beaumont Troy Hospital Troy, MI · 19 stays | $28,503 | $5,881 |
| UT Southwestern University Hospital Dallas, TX · 11 stays | $30,184 | $7,432 |
| Corewell Health William Beaumont University Hospit Royal Oak, MI · 14 stays | $34,636 | $8,021 |
| Morton Plant Hospital Clearwater, FL · 14 stays | $38,644 | $6,755 |
| Naples Community Hospital Naples, FL · 16 stays | $40,074 | $6,366 |
| Sarasota Memorial Hospital Sarasota, FL · 36 stays | $40,092 | $6,509 |
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.